Careermilard Aetna Remotecustomer Service ? Entry Level | Apply
careermilard has an opening for a dedicated Aetna Remotecustomer Service ? Entry Level! We're looking for someone to start immediately in this Remote role. This position requires a strong skillset in relevant areas. We offer a Competitive salary.
Post Name: Analyst, Case Management Specialist (Remote)
Company: Aetna...
Job Location: USA
Job Type: Full Time
Job Description
Title: Aetna Remote (Work From Home) Customer Service Jobs - Entry Level
This is a full-time remote job open to up-and-comers all through the US.
Hours for this position are Monday-Friday 8:00am - 5:00pm CST.
Program Outline:
Assist us with hoisting our patient consideration to an unheard of level! Join our Aetna group as an industry chief in serving double qualified populaces by using top tier working and clinical models. You can changingly affect our Double Qualified Extraordinary Requirements Plan (DSNP) individuals, who are signed up for Federal medical care and Medicaid and present with an extensive variety of complicated health and social difficulties. With sympathetic consideration and brilliant correspondence, we team up with individuals, suppliers, and local area associations to address the full continuum of our individuals' health care and social determinant needs. Go along with us in this thrilling an open door as we develop and grow DSNP to change lives in new business sectors the nation over.
Position Rundown/Mission: The Case Management Organizer uses decisive reasoning and judgment to team up and illuminate the case management process, The Case Management Facilitator works with fitting healthcare results for individuals by giving help arrangement booking, recognizing and helping with getting to benefits and instruction for individuals using care management apparatuses and assets.
Crucial Parts
? Assessment of Individuals: - Using care management instruments and data/data audit, conducts far reaching assessment of alluded part's requirements/qualification and prescribes a way to deal with case goal or potentially addressing needs by assessing part's advantage plan and accessible interior and outer projects/services.
? Recognizes high gamble factors and service needs that might influence part results and care arranging parts with proper reference to clinical case management or emergency mediation as fitting.
? Organizes and carries out alloted care plan exercises and screens care plan progress.
? Upgrade of Clinical Suitability and Nature of Care: - Utilizing comprehensive methodology talks with case administrators, bosses, Clinical Chiefs or potentially other health projects to conquer boundaries to meeting objectives and objectives; presents cases at case gatherings to get multidisciplinary survey to accomplish ideal results.
? Recognizes and raises nature of care issues through laid out channels.
? Uses discussion abilities to tie down proper choices and services important to meet the part's advantages and additionally healthcare needs.
? Uses affecting/persuasive talking abilities to guarantee greatest part commitment and advance way of life/conduct changes to accomplish ideal degree of health.
? Gives instructing, data and support to enable the part to make progressing free clinical as well as healthy way of life decisions.
? Helps part effectively and knowledgably take part with their supplier in healthcare navigation.
? Checking, Assessment and Documentation of Care: - Uses case management and quality management processes in consistence with administrative and license rules and company strategies and methods.
Required Capabilities:
? 3+ years experience in health-related field
Favored Capabilities:
? CRC, CDMS, CRRN, COHN, or CCM confirmation
? Federal health insurance and Medicaid experience
? Overseen care insight
? Experience working with geriatric extraordinary requirements, social health and cripple populace
? Information on evaluation, screenings and care arranging
? Bilingual (English/Spanish; English/Creole)
Training:
? Lone rangers Degree or comparable experience required
Pay Reach
The regular compensation range for this job is:
$19.52 - $40.90
This pay range addresses the base hourly rate or base yearly full-time compensation for all situations in the gig grade inside which this position falls. The genuine base compensation proposition will rely upon various variables including experience, training, topography and other important elements. This position is qualified for a Aetna reward, commission or momentary impetus program notwithstanding the base compensation range recorded previously.
Notwithstanding your remuneration, partake in the prizes of an association that places our heart into really focusing on our partners and our networks. The Organization offers a full scope of clinical, dental, and vision benefits. Qualified workers might sign up for the Organization's 401(k) retirement reserve funds plan, and a Representative Stock Buy Plan is likewise accessible for qualified workers. The Organization gives a completely paid term disaster protection plan to qualified workers, and present moment and long haul incapacity benefits. Aetna likewise offers various prosperity programs, training help, free improvement courses, a CVS store endlessly rebate programs with taking an interest accomplices. Concerning downtime, Organization representatives appreciate Took care of Time ('PTO') or get-away compensation, as well as paid occasions all through the schedule year. Number of paid occasions, wiped out time and other time off are given reliable applicable state regulation and Company strategies Apply!
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