19 Jul

Case Management Coordinator Mental Behavioral Health Jobs Vacancy in Aetna Richmond

Position
Case Management Coordinator Mental Behavioral Health
Company
Aetna
Location
Richmond VA
Opening
19 Jul, 2018 27 days ago

Aetna Richmond urgently required following position for Case Management Coordinator Mental Behavioral Health. Please read this job advertisement carefully before apply. There are some qualifications, experience and skills requirement that the employers require. Does your career history fit these requirements? Ensure you understand the role you are applying for and that it is suited to your skills and qualifications.

Follow the online directions, complete all the necessary fields, and provide all relevant information so your application is submitted correctly. When you click the 'Apply this Job' button (open in new window) you will be taken to the online application form. Here you will be asked to provide personal and contact details, respond to employment-related questions, and show how you meet the key selection criteria.

Case Management Coordinator Mental Behavioral Health Jobs Vacancy in Aetna Richmond Jobs Details:

POSITION SUMMARY
Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources. Standard business hours 8am-5pm.

Fundamental Components but not limited to the following:
Evaluation of Members:
  • Through the use of care management tools and information/data review, conducts comprehensive evaluation of referred members needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating members benefit plan and available internal and external programs/services. Identifies high risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate.
  • Coordinates and implements assigned care plan activities and monitors care plan progress.

Enhancement of Medical Appropriateness and Quality of Care:
  • Using holistic approach consults with case managers, supervisors, Medical Directors and/or other health programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary review in order to achieve optimal outcomes.
  • Identifies and escalates quality of care issues through established channels.
  • Utilizes negotiation skills to secure appropriate options and services necessary to meet the members benefits and/or healthcare needs.
  • Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.
  • Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.
  • Helps member actively and knowledgably participate with their provider in healthcare decision-making.

Monitoring, Evaluation and Documentation of Care:
  • Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.
Exhibits the following Case Management Coordinator Behaviors


BACKGROUND/EXPERIENCE:
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

EDUCATION
The minimum level of education desired for candidates in this position is a Bachelor's degree (Human services, Psych, Social Work).

DESIRED SKILLS
Benefits Management/Maximizing Healthcare Quality/FOUNDATION
Benefits Management/Understanding Clinical Impacts/FOUNDATION
Benefits Management/Interacting with Medical Professionals/ADVANCED

Telework Specifications:
Opportunities for telework after demonstrating competencies of work flows. Must reside near to Richmond, VA. Training onsite in Richmond, VA.

ADDITIONAL JOB INFORMATION
Opportunity to work in a nationally recognized company with room for growth.

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.

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.


Jobs Vacancy Related to Case Management Coordinator Mental Behavioral Health:

08Aug

Case Coordinator Supported Living Department Jobs Vacancy in Humanim Columbia. Humanim Columbia opening great career opportunity and jobs vacancy for Case Coordinator Supported Living Department position. This jobs vacancy will be open for new jobs applicant starting for 08 Aug, 2018. Case Coordinator, Supported Living. A Case Coordinator is needed in the Department of Behavioral Health for the Supported Living program.... ... Continue reading -->


17Jul

Social Worker Jobs Vacancy in Government The District Columbia Washington. Government The District Columbia Washington opening great career opportunity and jobs vacancy for Social Worker position. This jobs vacancy will be open for new jobs applicant starting for 17 Jul, 2018. Department of Health, Health Professional Licensing Administration. May serve as a training instructor, provide seminars and consultation for students and other... ... Continue reading -->


08Aug

Clinical Social Worker Position Jobs Vacancy in Commonwealth Massachusetts Worcester. Commonwealth Massachusetts Worcester opening great career opportunity and jobs vacancy for Clinical Social Worker Position position. This jobs vacancy will be open for new jobs applicant starting for 08 Aug, 2018. Helps plan and coordinates discharge planning, in collaboration of the treatment team, case management and the vendor community.... ... Continue reading -->


01May

Mental Health Day Treatment Coordinator Jobs Vacancy in Joseph Orphanage Cincinnati. Joseph Orphanage Cincinnati opening great career opportunity and jobs vacancy for Mental Health Day Treatment Coordinator position. This jobs vacancy will be open for new jobs applicant starting for 01 May, 2018. Mental Health Day Treatment Coordinator. In this role you will coordinate and manage mental health groups, provide case management services and ensure family... ... Continue reading -->


25Jul

Refugee Health Education Outreach Case Worker Jobs Vacancy in Church World Service Harrisonburg. Church World Service Harrisonburg opening great career opportunity and jobs vacancy for Refugee Health Education Outreach Case Worker position. This jobs vacancy will be open for new jobs applicant starting for 25 Jul, 2018. Facilitate the delivery of health training and educational materials developed by (1) Virginia Department of Health Refugee Health Coordinator;... ... Continue reading -->