Aetna jobs

Nurse Case Manager RN – Central and North Chicago IL

Job DescriptionQualifying candidates may be eligible for a sign on bonus of up to $5,000Nurse Case Manager is responsible for telephonically and/or face to face assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness.* Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a ...

Case Manager RN

Job Description

Remote position. Will require up to 20 percent travel once COVID restrictions are lifted.

Must reside in WV near the Western Region- Cabell, Jackson, Lincoln, Mason, Putnam, Wayne, Wirt, Wood

Schedule Monday - Friday 8am - 5pm

Nurse Case Manager is responsible for telephonically and/or face to face assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs of the member to facilit...

Clinical Case Manager Behavioral Health – LCSW or LCPC

Job Description50 - 75% Travel required in Northern Cook and Lake Counties of IL; Work from home flexible, standard business hours 8am - 5pmClinical BH Case Manager will perform the following:Care coordination involves assessing LTC members with their needs specific to transition from Nursing home to community, and developing and implementing a plan to meet those needs. Care coordination can involve setting up a schedule for the member's medications, treatments, and health care provider vi...

Manager Clinical Health Services (OHRISE)

Job DescriptionThis is a full time teleworker position in Ohio. The Manager of Clinical Health Services leads the OhioRISE Care Plan Reviewer team and is responsible for oversight and management of clinical team processes including the organization and development of a high performing team. Must reside in Ohio. Travel will be required in-state up to 15% of the time.Fundamental Components:* Reinforces clinical philosophy, programs, policies and procedures.* Communicates strategic plan and s...

Clinical Case Manager Behavior Health – Winnebago County IL

Job DescriptionAs a Clinical Case Manager you will facilitate appropriate healthcare outcomes for our members by providing care coordination, support and education for members through the use of care management tools and resources.Travel: 50-75% required in Winnebago and surrounding areas.Evaluation of Members:* Through the use of care management tools and information/data review, conducts comprehensive evaluation of referred member's needs/eligibility and recommends an approach to case re...

Clinical Case Manager Behavioral Health LISW

Job DescriptionThis position requires 50-75% travel in Franklin, Union, Delaware, Pickaway, and Madison counties in OhioIn this role you will develop, implement, support, and promote Health Services strategies, tactics, policies, and programs that drive the delivery of quality healthcare to establish competitive business advantage for Aetna. Health Services strategies, policies, and programs are comprised of utilization management, quality management, network management and clinical covera...

Case Manager RN (Oncology, Behavioral Health, Transplant)

Job DescriptionThis position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured clients.This is a work at home position and all training is virtual.Enhancement of Medical Appropriateness and Quality of Care:* Application and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, policies, procedures and regulatory standards while assessing benefits and/or member's needs to...

Case Manager RN (Oncology, Behavioral Health, Transplant)

Job DescriptionThis position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured clients.This is a work at home position and all training is virtual.Enhancement of Medical Appropriateness and Quality of Care:* Application and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, policies, procedures and regulatory standards while assessing benefits and/or member's needs to...

Case Manager RN (Oncology, Behavioral Health, Transplant)

Job DescriptionThis position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured clients.This is a work at home position and all training is virtual.Enhancement of Medical Appropriateness and Quality of Care:* Application and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, policies, procedures and regulatory standards while assessing benefits and/or member's needs to...

Case Manager RN (Oncology, Behavioral Health, Transplant)

Job DescriptionThis position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured clients.This is a work at home position and all training is virtual.Enhancement of Medical Appropriateness and Quality of Care:* Application and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, policies, procedures and regulatory standards while assessing benefits and/or member's needs to...

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