Back to the board

Analyst, Case Management (Field - Must reside in the West Side of Chicago)

100% remote Flexible hours Hiring now

Welcome to Aetna - a company dedicated to making a positive impact on the lives of our members and the communities we serve. We are currently seeking a highly motivated and experienced Analyst to join our team as a Case Management Field Analyst, residing on the West Side of Chicago. As an Analyst, you will play a crucial role in ensuring the delivery of high-quality, cost-effective healthcare services to our members. If you are passionate about making a difference and have a strong background in case management, we encourage you to apply for this exciting opportunity. Conduct comprehensive case management assessments and develop individualized care plans for members. Monitor and evaluate the effectiveness of care plans, making recommendations for adjustments as needed. Collaborate with healthcare providers and community resources to coordinate and facilitate member care. Maintain accurate and timely documentation of all case management activities. Analyze data and identify trends to proactively address potential issues and improve member outcomes. Communicate regularly with members, caregivers, and healthcare providers to ensure effective care coordination. Utilize evidence-based guidelines and best practices to guide case management decisions. Participate in multidisciplinary team meetings to discuss member cases and develop strategies for improving care. Stay up-to-date on industry regulations and changes in healthcare policies to ensure compliance. Act as a resource for members and their families, providing education and support to promote self-management and improve health outcomes. Collaborate with other departments and teams within the company to identify opportunities for process improvement and efficiency. Maintain strict confidentiality and adhere to all HIPAA regulations. Represent Aetna and our mission of making a positive impact on the lives of members and communities in a professional and compassionate manner. Contribute to a positive and collaborative work environment by actively participating in team meetings and sharing ideas and insights. Embrace and promote the company's values of integrity, excellence, and commitment to diversity and inclusion. 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. Apply Job!

Keep exploring

Appeal Examiner

100% remote Flexible hours

Senior Analyst-Dental Recruiter (Aetna Dental)

100% remote Flexible hours

Production Supervisor - ATT Integration- 3rd Shift - NAIC5

100% remote Flexible hours

Transportation Representative, AmazonNowCO, RoW APEX

100% remote Flexible hours

Remote, RE Title Agent's wanted- Bring your book of business~

100% remote Flexible hours

Account Manager-Contract (Remote)

100% remote Flexible hours

Work From Home Call Center Representative

100% remote Flexible hours

2nd Shift Answering Service Agent- Call Center - Remote

100% remote Flexible hours

Community Policy Manager, Anti-Discrimination

100% remote Flexible hours

Staff Software Engineer, Viaduct

100% remote Flexible hours

Experienced Customer Service Representative – Work from Home Opportunities with arenaflex

100% remote Flexible hours

Senior Post Production Specialist

100% remote Flexible hours

Freelance Metadata / Documentation Specialist

100% remote Flexible hours

Jr Cyber Penetration Tester

100% remote Flexible hours

Teacher - Elementary and Moderate Disabilities/Inclusion, Gr. 2 (SEI Endorsement Required) [Anticipated Vacancy] (SY25-26)

100% remote Flexible hours

Clinical Research Associate II - Oncology (Remote US - Multiple Openings)

100% remote Flexible hours

Immediate Hiring: Data Entry Specialist (Remote – Part Time) at arenaflex

100% remote Flexible hours

Experienced Customer Service Representative – Retail and Sales Expert

100% remote Flexible hours

[Work From Home] Student Recruitment Advisor

100% remote Flexible hours

Shopify Developer

100% remote Flexible hours