Case Management Coordinator (Field - Must reside in Peoria or Tazewell Counties, IL))

Welcome to Aetna! We are seeking a dedicated and compassionate individual to join our team as a Case Management Coordinator for our Peoria and Tazewell Counties, IL locations. In this role, you will have the opportunity to make a meaningful impact on the lives of our members by providing high-quality case management services. As a Field Case Management Coordinator, you will have the unique opportunity to work directly with our members in their communities, ensuring they receive the best care possible. If you are a motivated and empathetic individual with a passion for helping others, we would love to hear from you. Read on to learn more about the qualifications and expectations for this exciting position.

Conduct field visits to members in Peoria and Tazewell Counties, IL to assess their needs and develop individualized care plans.

Collaborate with healthcare providers, community resources, and other stakeholders to coordinate and facilitate the delivery of quality care to members.

Utilize case management software to document and track member progress, interventions, and outcomes.

Provide education and support to members and their families on disease management, treatment options, and resources available.

Advocate for and ensure that members receive appropriate and timely medical care and services.

Identify and address any barriers to care, such as social determinants of health, and develop solutions to improve member outcomes.

Monitor and evaluate the effectiveness of care plans and make necessary adjustments as needed.

Communicate and collaborate with interdisciplinary team members to ensure coordinated and comprehensive care for members.

Participate in ongoing training and development opportunities to enhance case management skills and stay updated on industry best practices.

Adhere to all company policies, procedures, and legal regulations to ensure compliance with state and federal laws.

Maintain a high level of professionalism and confidentiality in all interactions with members and stakeholders.

Act as a resource and support for other team members, providing guidance and assistance as needed.

Attend meetings and conferences to stay informed about industry trends and network with other healthcare professionals.

Continuously strive to meet performance goals and improve member satisfaction.

Maintain accurate and timely documentation of all case management activities and outcomes.

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.