Job Description*CENTRAL VIRGINIA RESIDENTS ONLY*Responsible for developing, facilitating, and implementing outreach activities, special events, programs, and presentations which support member education and health plan awareness within the Medicaid community. Responsible for developing and maintaining relationships with community contacts. Maintains marketing guideline compliance with the appropriate state's laws and regulations.Fundamental Components & Physical Requirements include bu...

Job Description* Fully remote*Standard business hours. 1 late day until 7pm your local time. No holidays.Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider coordination/collaboration, and coordination of psychosocial wraparound services to promote effective utilization of available resources and optimal, cost-effective outcomes.Assessment of Members...

Job DescriptionQualified candidate maybe eligible for a $5000 sign-on bonus.This is a remote position that requires 50-75% of travel in Iroquois or Vermillion County of IL and surrounding areas. Preference to candidates that reside in these counties, but may also reside in surrounding counties. Schedule standard business hours, Monday-Friday 8:00am-5:00pm. Program Overview: Help us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual elig...

Job DescriptionThis is telework position with 50-75% travel required in Jefferson County IL and surrounding areas.Prefers candidates residing in Jefferson County IL or surrounding county ( Centralia or Mount Vernon)Evaluation of Members:-Through the use of care management tools and information/data review, conductscomprehensive evaluation of referred member s needs/eligibility and recommends anapproach to case resolution and/or meeting needs by evaluating member s benefitplan and available...