Aetna Case Management Coordinator Job Description – MySmartPros

Aetna Case Management Coordinator Job Description

Job Responsibilities: Case Management Coordinator

Salary: $20-30 /Hour

Company: Aetna

Location: Kansas, USA

Educational Requirements: Bachelor Degree

Full Job Description :

Aetna Better Strength of Kansas, is focused on aiding individuals on their way to better wellbeing. By adopting an aggregate and associated strategy to wellbeing, we guide and backing our individuals so they can get more out of life, consistently. We are searching for ability like you who esteem greatness, uprightness, mindful and advancement. As a worker, you'll join a group devoted to working on the existences of Aetna Better Wellbeing of Kansas individuals. We esteem variety and are devoted to assisting you with accomplishing your vocation objectives.

Create, execute, support, and advance Wellbeing Administrations procedures, strategies, arrangements, and projects that drive the conveyance of value medical care to lay out aggressive business advantage for Aetna. Wellbeing Administrations methodologies, arrangements, and projects are contained usage the board, quality administration, network the executives and clinical inclusion and approaches.

Uses decisive reasoning and judgment to team up and illuminate the case the executives cycle, to work with proper medical services results for individuals by giving consideration coordination, backing and instruction for individuals using care the board devices and assets.

Assessment of Individuals:

• Using care the executives instruments and data/information survey, conducts exhaustive assessment of alluded part's necessities/qualification and prescribes a way to deal with case goal as well as addressing needs by assessing part's advantage plan and accessible inward and outside programs/administrations.

• Distinguishes high gamble factors and administration needs that might influence part results and care arranging parts with fitting reference to clinical case the executives or emergency intercession as suitable

• Facilitates and carries out alloted care plan exercises and screens care plan progress.

Improvement of Clinical Propriety and Nature of Care:

• Utilizing comprehensive methodology talks with caseworkers, bosses, Clinical Chiefs as well as other wellbeing projects to beat obstructions to meeting objectives and targets; presents cases at case gatherings to acquire multidisciplinary audit to accomplish ideal results .

• Recognizes and heightens nature of care issues through laid out channels.

• Uses discussion abilities to tie down suitable choices and administrations important to meet the part's advantages as well as medical care needs.

• Uses affecting/inspirational talking abilities to guarantee greatest part commitment and advance way of life/conduct changes to accomplish ideal degree of wellbeing.

• Gives training, data and support to enable the part to make progressing free clinical and additionally solid way of life decisions.

• Helps part effectively and knowledgably take part with their supplier in medical services direction.

Observing, Assessment and Documentation of Care:

• Uses case the board and quality administration processes in consistence with administrative and authorization rules and company approaches and methods

Required Capabilities

2+ year(s) conduct wellbeing, social administrations, or human administrations field.

• Willing and ready to go up tp 25-half of their chance to meet individuals face in Sedgewick/Head servant Districts in KS and encompassing regions/areas.

Favored Capabilities

• PC education and exhibited capability is expected to explore through inward/outer PC frameworks, and MS Office Suite applications, including Word and Succeed is unequivocally liked.

• Case the board and release arranging experience liked

• Overseen Care experience liked

• 2 year Involvement with Home and Local area based administrations (HCBS) waiver

Business Outline

Carry your heart to CVS Wellbeing All of us at CVS Wellbeing shares a solitary, clear reason: Carrying our heart to each snapshot of your wellbeing. This reason directs our obligation to convey upgraded human-driven medical services for a quickly influencing world. Moored in our image — with heart at its middle — our motivation sends an individual message that how we convey our administrations is similarly essentially as significant as what we convey. Our Heart At Work Behaviors™ support this reason. We need each and every individual who works at CVS Wellbeing to feel enabled by the job they play in changing our way of life and speeding up our capacity to enhance and convey answers for make medical care more private, helpful and reasonable. We endeavor to advance and support a culture of variety, incorporation and having a place consistently. CVS Wellbeing is a governmental policy regarding minorities in society manager, and is an equivalent open door boss, similar to the doctor possessed organizations for which CVS Wellbeing gives the board administrations. We don't separate in selecting, recruiting, advancement, or some other staff activity in light of race, nationality, variety, public beginning, sex/orientation, sexual direction, orientation personality or articulation, religion, age, handicap, safeguarded veteran status, or some other trademark safeguarded by material government, state, or nearby regulation. We gladly support and empower individuals with military experience (dynamic, veterans, reservists and Public Gatekeeper) as well as military life partners to go after CVS Wellbeing position open doors.

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Compliance with labor laws: Companies in the United States are required to comply with various labor laws, such as the Fair Labor Standards Act (FLSA), which establishes minimum wage, overtime pay, and child labor standards. They must also adhere to laws related to workplace safety and health, including the Occupational Safety and Health Act (OSHA).
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Aetna Case Management Coordinator Job Description

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