Aetna Case Management Coordinator Behavioral/Mental Health in Chantilly, Virginia
Req ID: 51347BR
The CMC will provide care coordination to the Long Term Services & Support members. Will assistant the member to remain in the least restrictive environment according to the State and Federal guidelines
Fundamental Components but not limited to the following:
Managed Care Experience preferred
Case Management and discharge planning experience preferred.
2 Years experience in behavioral health, social services or appropriate related field equivalent to program focus.
BS degree preferred.
Managed Care experience preferred
Case management and discharge planning experience preferred
2 years experience in behavioral health, social services or appropriate related field equivalent to program focus
The minimum level of education desired for candidates in this position is a Bachelor's degree.
LICENSES AND CERTIFICATIONS
Healthcare Management/Case Manager Society of America (CMSA) is desired
Managed Care/Alliance for Managed Care (AMC) is desired
Learning/Association for Educational Communications and Technology is desired
Mental Health/Licensed Professional Counselor is desired
Functional - Information Technology/Computer operations/1-3 Years
Functional - Medical Management/Medical Management - Case Management/1-3 Years
Functional - Products-Long Term Care/Long Term Care Service Reimbursement Model/1-3 Years
Functional - Customer Service/Customer Service - Long Term Care/4-6 Years
Functional - Learning/Design - TBT/1-3 Years
Technical - Aetna Applications/Aetna Internet site at www.aetna.com/1-3 Years/End User
Technical - Desktop Tools/Documentum/1-3 Years/End User
Technical - Telecommunications/Wireless Technologies/1-3 Years/End User
Technical - QA Tools/QA Playback w/File Extension/1-3 Years/End User
Benefits Management/Encouraging Wellness and Prevention/ADVANCED
Benefits Management/Maximizing Healthcare Quality/FOUNDATION
General Business/Communicating for Impact/FOUNDATION
ADDITIONAL JOB INFORMATION
The care coordinator will develop community resources and relationships while servicing our LTSS members. They will have endearing experiences while assisting our members.
Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.
We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.
Together we will empower people to live healthier lives.
Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.
We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.
Schedule is M-F standard business hours, no holidays & no weekends.
Benefit eligibility may vary by position. Click here to review the benefits associated with this position.
Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.
Job Function: Health Care