This Analyst, Case Management Field position is with Aetna's Long Term Services & Supports (LTSS) team and is a field-based position out of the Macon County area of Illinois.

Job Responsibilities As an Analyst, Case Management Field, you will facilitate appropriate healthcare outcomes for waiver/LTSS members by providing care coordination, support, and education for members through the use of care management tools and resources.

Key responsibilities include:

• Conducting comprehensive evaluations of referred members' needs and eligibility
• Recommending approaches to case resolution and/or meeting needs
• Coordinating and implementing assigned care plan activities and monitoring care plan progress
• Identifying high-risk factors and service needs that may impact member outcomes and care planning components
• Utilizing negotiation skills to secure appropriate options and services necessary to meet the member's benefits and/or healthcare needs
• Providing coaching, information, and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices

Requirements

• Must reside in the state of Illinois in Macon County Illinois area
• Valid Illinois Driver's license
• Willing and able to travel up to 75% of their time to meet with members face-to-face
• Reliable Transportation required, eligible for mileage reimbursement as per company policy
• Minimum of two (2) years of case management experience
• Microsoft Office and electronic health record experience

Preferred Qualifications

• Case management and discharge planning experience preferred
• Managed Care experience preferred
• Microsoft Office experience preferred

Education

• Individual with a bachelor's degree or a non-licensed individual with a master's degree, with either degree being in a human-services field (including, but not limited to sociology, special education, rehabilitation counseling)

Salary and Benefits The typical pay range for this role is: $21.10 - $44.99 per hour. This position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families.

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