Case Management Coordinator (Field – Must reside in Washington County, IL_

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At Aetna, we believe in providing quality care and support to our members every day. We are currently seeking a dedicated and experienced Case Management Coordinator to join our team in Washington County, IL. As a Field Case Management Coordinator, you will play a vital role in ensuring that our members receive the best possible care and resources to manage their health and well-being. If you are passionate about making a positive impact in people's lives and have the necessary qualifications, we invite you to join our team and be a part of our mission to improve the healthcare experience for all.Conduct comprehensive assessments of members' health needs and develop individualized care plans to meet their specific needs and goals.Collaborate with healthcare providers, community resources, and other stakeholders to coordinate and facilitate the delivery of quality healthcare services for members.Monitor and evaluate the effectiveness of care plans, making necessary adjustments and referrals as needed.Serve as a liaison between members, healthcare providers, and insurance companies to ensure seamless and efficient communication.Educate members on their benefits and resources available to them, as well as promote self-management of their health conditions.Document all interactions and interventions with members and maintain accurate and up-to-date case files.Identify and address barriers to care, such as social determinants of health, and connect members with appropriate resources to overcome these barriers.Collaborate with interdisciplinary teams to identify and implement best practices for case management and improve overall quality of care.Stay current with industry trends and best practices in case management to continuously improve the services provided to members.Adhere to all company policies and procedures, as well as state and federal regulations, to ensure compliance with ethical and legal standards.Aetna is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

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