Clinical Case Manager

Aetna   •  

Omaha, NE

Industry: Managed Care & Health Insurance

  •  

Less than 5 years

Posted 383 days ago

POSITION SUMMARY
Utlizes advanced clinical judgment and critical thinking skills to perform case management duties for complex patient populations, requiring a higher level of clinical experience. Services to promote effective utilization of available resources and optimal, cost-effective member outcomes.

Fundamental Components:
Telephonic clinical case management with commercial population. Uses Motivational Interviewing and engagement interventions to optimize member participation. Will document in clinical systems to support legacy Aetna membership, provide BH consultation and collaborate with Aetna partners. Active participation in clinical treatment rounds. Active participation in team activities focused on program development. Innovative thinking expected.

BACKGROUND/EXPERIENCE:

  • 3-5 years of direct clinical practice experience post mastersdegree, e.g., psychiatric setting or substance abuse setting; Required.
  • 3-5 years experience in managed care; Preferred

EDUCATION
The highest level of educationdesired for candidates in this position is a Master's degree, or RN with requirededucation.

45368BR