Experienced Data Entry and Care Management Professional for College Students – Remote Work Opportunity with Aetna
Introduction to Aetna and Our Mission
Aetna is a leading healthcare company that shares a singular, clear purpose: to carry our hearts to each moment of your health. This purpose guides our commitment to delivering enhanced human-driven healthcare for a rapidly changing world. Anchored in our brand — with heart at its center — our motivation sends a personal message that how we deliver our services is just as important as what we deliver. At Aetna, we value diversity and are committed to helping you achieve your career objectives. Our team is dedicated to improving the lives of individuals, and we are seeking talented professionals like you to join our mission.
Job Overview and Responsibilities
We are seeking an experienced Data Entry and Care Management professional to join our team. As a Senior Manager of Care Management, you will be responsible for creating, implementing, supporting, and promoting health services strategies, policies, procedures, and programs that drive the delivery of quality healthcare to our members. You will oversee and manage high-performing teams, ensuring the effective operation of care management and care coordination activities across the continuum of care.
- Drive the clinical team that supports timely health risk screenings, comprehensive assessments, care plan development, and member interventions according to the Aetna Better Health Risk Definition Level System and Texas contractual requirements.
- Act as a contact with regulatory and accrediting agencies and other health specialty units.
- Serve as a technical, professional, and business resource, potentially crossing multiple business functions.
- Support quality improvement initiatives through effective implementation.
- Develop, implement, and evaluate policies and procedures that address business issues, potentially crossing multiple business functions.
- Ability to coordinate program execution and clinical outcomes.
- Knowledge of the regulations, standards, and policies that relate to clinical management.
- Ability to communicate in a highly effective manner with internal and external constituents in both written and oral communication.
Essential Qualifications and Skills
To be successful in this role, you will need:
- An active, unrestricted Texas State License in the appropriate functional area (e.g., RN, LPC, LCSW).
- 7 years of experience in a clinical technical topic.
- 7 years of administrative/managerial experience.
- Care management experience.
- Knowledge of the regulations, standards, and policies that relate to clinical management.
- 3+ years of experience in computer, keyboard navigation, and MS Office Suite applications.
- A Bachelor's degree is required for an RN license or a graduate degree in social services/clinical counseling for a BH license.
Preferred Qualifications and Skills
Preferred qualifications include:
- Managed care experience.
- Certified Case Manager (CCM).
- Texas Medicaid experience, specifically TX STAR and CHIP.
Career Growth Opportunities and Learning Benefits
At Aetna, we are committed to helping you achieve your career objectives. As a Data Entry and Care Management professional, you will have the opportunity to develop your skills and expertise in a dynamic and supportive environment. You will be part of a team that values excellence, integrity, compassion, and growth, and you will be encouraged to pursue ongoing education and training to stay up-to-date with the latest developments in the field.
Work Environment and Company Culture
Our company culture is built on a foundation of heart, and we are committed to creating a work environment that is inclusive, supportive, and empowering. We value diversity and believe that our differences are what make us stronger. As a remote worker, you will be part of a virtual team that is connected by a shared purpose and a commitment to delivering exceptional results.
Compensation, Perks, and Benefits
We offer a competitive salary and a comprehensive benefits package that includes health insurance, retirement savings, and paid time off. You will also be eligible for a performance-based bonus and other incentives. Our benefits package is designed to support your overall well-being and to help you achieve a healthy work-life balance.
Conclusion and Call to Action
If you are a motivated and experienced Data Entry and Care Management professional who is passionate about delivering exceptional results, we encourage you to apply for this exciting opportunity. As a Senior Manager of Care Management, you will be part of a team that is dedicated to improving the lives of individuals and to delivering high-quality healthcare services. Don't miss out on this chance to join our team and to take your career to the next level. Apply today and let's build the future together!
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