Field Case Mgr-MedicalPrimary Location: Pittsburgh, Pennsylvania
Additional Locations: PA-Beaver, PA-Pittsburgh, PA-Washington Apply
Candidates must be located in the following counties in PA: Beaver, Washington, or Allegheny.
We are building an exciting new clinical and member experience program at Aetna. Aetna Case Management is a member centric, team-delivered, community based care management model that joins members where they are. The Field Case Manager works collaboratively with an interdisciplinary team in the process of assessment, planning, facilitation, care coordination, evaluation, and advocacy. The Field Case Manager connects members to the resources and services, available in their own community, to support the members comprehensive health needs while promoting quality care and cost effective outcomes.
Responsible for case management of eligible Aetna members with complex care needs; partners with an interdisciplinary team to deliver comprehensive, community-based case management services focused on helping the member maximize best health outcomes. Interacts with members in-person, in their home on a regular basis; also meets members at an agreed upon community location such as a library. Interacts with members telephonically following at least the minimum standard of contact required per member based on their level of intervention. Conducts in-person, individualized assessments to identify problems, goals, & interventions with corresponding measurable outcomes that drive the content of the holistic, member centered care plan.
RN licensure required
5+ years clinical experience required
Ability to travel within a designated geographic area for in-person case management activities required
Home health experience highly preferred
Case management experience highly preferred
Excellent analytical and problem solving skills
Effective communications, organizational, and interpersonal skills
Proficiency with standard corporate software applications, including MS Word, Excel, Outlook and PowerPoint, as well as some special proprietary applications
Effective computer skills including navigating multiple systems and keyboarding.
Jobs for you
Recently Viewed Jobs
You do not have any recently viewed jobs
Your Saved Jobs
You do not have any saved jobs
Sign up for Job Alerts
Join our Talent Community
At Aetna, we are pioneering a total approach to health and wellness and we need talented candidates like you to join our team. Become a member of our talent community to be the first to know about career initiatives that match your skills and interests as they become available, in addition to details on upcoming events, networking opportunities, and news about Aetna.
Join Our Talent Community
Sign up to receive information about job openings that are tailored to your skills and interests. Plus, get the latest career news from Aetna.