Job Responsibilities: Care Manager
Salary: $20-30/Hour
Company: Aetna
Location: Chicago, USA
Educational Requirements: Bachelor's Degree
Help us raise our patient care to an entire new degree! Join our Aetna group as an enterprise chief in serving twin eligible populations through utilizing great-in-class operating and medical models. You could have existence-converting effect on our twin Eligible special desires Plan (DSNP) members, who're enrolled in Medicare and Medicaid and present with a huge variety of complex health and social demanding situations. With compassionate attention and notable conversation, we collaborate with members, companies, and network agencies to address the full continuum of our participants’ fitness care and social determinant desires. Be part of us in this interesting opportunity as we develop and expand DSNP to change lives in new markets across the u . S ..
Role summary/mission
Our Care Managers are frontline advocates for individuals who can not suggest for themselves. They're answerable for assessing, making plans, imposing, and coordinating all case control activities with contributors to assess the clinical desires of the member to facilitate the member’s basic health.
Fundamental additives
- Develops a proactive plan of care to deal with identified troubles to enhance the fast and lengthy-time period consequences in addition to opportunities to enhance a member’s overall wellbeing.
- Makes use of clinical equipment and statistics/facts assessment to behavior an evaluation of member’s needs and benefits.
- Applies medical judgment to comprise techniques designed to lessen danger elements and obstacles and deal with complicated health and social signs which impact care making plans.
- Conducts exams that take into account information from numerous sources, including claims, to cope with all situations such as co-morbid and more than one diagnoses that effect capability.
- Uses a holistic technique to assess the need for a referral to medical resources and other interdisciplinary group contributors.
- Collaborates with manager and other key stakeholders within the member’s healthcare in overcoming limitations in meeting dreams and targets, affords cases at interdisciplinary case meetings
- Utilizes case management processes in compliance with regulatory and organisation guidelines and methods. Utilizes motivational interviewing capabilities to make sure most member engagement and determine their health status and health desires primarily based on key questions and verbal exchange.
Required Qualifications
- Should have lively and unrestricted RN licensure within the state of recent York
- 3+ years of clinical realistic experience as an RN
- 2+ years of case control, discharge making plans and/or home fitness care coordination revel in.
- 1+ yr(s) of revel in working with adult populations
Favored qualifications
- Bilingual desired
- licensed Case manager
- additional countrywide expert certification (CRC, CDMS, CRRN, COHN, or CCM) is favored, however no longer required
- first rate analytical and hassle-solving competencies
- powerful communications, organizational, and interpersonal abilties.
- ability to work independently (may require running from domestic).
- talent with preferred company software applications, including MS phrase, Excel, Outlook and PowerPoint, as well as some special proprietary programs.
- efficient and effective pc talents together with navigating a couple of systems and keyboarding
- inclined and capable of achieve multi state RN licenses if wanted, enterprise will provide.
Training
- Friends diploma required
- Bachelor’s degree preferred
Enterprise Overview
Bring your coronary heart to CVS fitness each one people at CVS fitness stocks a unmarried, clean motive: Bringing our coronary heart to every second of your health. This motive courses our commitment to deliver stronger human-centric health care for a hastily converting global. Anchored in our emblem — with heart at its middle — our reason sends a private message that how we deliver our services is just as crucial as what we deliver. Our heart At work Behaviors™ guide this motive. We want everybody who works at CVS fitness to experience empowered by means of the position they play in remodeling our lifestyle and accelerating our potential to innovate and supply answers to make health care extra personal, convenient and less expensive. We strive to sell and sustain a culture of range, inclusion and belonging each day. CVS fitness is an affirmative action enterprise, and is an same possibility company, as are the health practitioner-owned groups for which CVS health gives control offerings. We do now not discriminate in recruiting, hiring, advertising, or every other employees motion based on race, ethnicity, coloration, national origin, intercourse/gender, sexual orientation, gender identification or expression, faith, age, incapacity, covered veteran repute, or another characteristic included by using relevant federal, state, or local regulation. We proudly assist and inspire human beings with army experience (lively, veterans, reservists and country wide defend) as well as military spouses to apply for CVS health process opportunities.
