Case Management Analyst - Field in Will and DuPage Counties, IL
Core
Field-based Case Management Analyst for Aetna's Long-Term Services & Supports team, conducting in-person care coordination and evaluations for waiver members in the Chicago area.
Role type
Field-based case management analyst
Builds
Care plans and healthcare outcomes for waiver/LTSS members
Domain
Health insurance / Long-term services and supports
Required skills
Care coordination, care plan implementation, risk factor identification, negotiation, motivational interviewing, quality management, data review, Microsoft Office, electronic health record navigation
Preferred skills
Discharge planning, managed care, HIV/AIDS population experience, multi-lingual proficiency
Technologies
Microsoft Office 365, Teams, Outlook, Word, Excel, PowerPoint, EHR portals, VPN
Responsibilities
Conduct comprehensive evaluations of member needs and eligibility; coordinate and monitor assigned care plan activities; consult with medical directors and supervisors to overcome care barriers; present cases at multidisciplinary conferences; identify and escalate quality of care issues; provide coaching and support to empower members in healthcare decision-making; utilize care management tools to facilitate appropriate healthcare outcomes.
Seniority
Mid-level, hands-on IC