Aetna

Analyst, Case Management (Field - Must reside in the West Side of Chicago)

Aetna

Remote
Full-TimeDepends on ExperienceMid-LevelBachelors
Job Description

Welcome to Aetna - a company dedicated to making a positive impact on the lives of our members and the communities we serve. We are currently seeking a highly motivated and experienced Analyst to join our team as a Case Management Field Analyst, residing on the West Side of Chicago. As an Analyst, you will play a crucial role in ensuring the delivery of high-quality, cost-effective healthcare services to our members. If you are passionate about making a difference and have a strong background in case management, we encourage you to apply for this exciting opportunity.

  1. Conduct comprehensive case management assessments and develop individualized care plans for members.
  2. Monitor and evaluate the effectiveness of care plans, making recommendations for adjustments as needed.
  3. Collaborate with healthcare providers and community resources to coordinate and facilitate member care.
  4. Maintain accurate and timely documentation of all case management activities.
  5. Analyze data and identify trends to proactively address potential issues and improve member outcomes.
  6. Communicate regularly with members, caregivers, and healthcare providers to ensure effective care coordination.
  7. Utilize evidence-based guidelines and best practices to guide case management decisions.
  8. Participate in multidisciplinary team meetings to discuss member cases and develop strategies for improving care.
  9. Stay up-to-date on industry regulations and changes in healthcare policies to ensure compliance.
  10. Act as a resource for members and their families, providing education and support to promote self-management and improve health outcomes.
  11. Collaborate with other departments and teams within the company to identify opportunities for process improvement and efficiency.
  12. Maintain strict confidentiality and adhere to all HIPAA regulations.
  13. Represent Aetna and our mission of making a positive impact on the lives of members and communities in a professional and compassionate manner.
  14. Contribute to a positive and collaborative work environment by actively participating in team meetings and sharing ideas and insights.
  15. Embrace and promote the company's values of integrity, excellence, and commitment to diversity and inclusion.
Where is this job?
This job opening is listed as 100% remote
Job Qualifications
  • Bachelor's Degree In A Related Field Such As Social Work, Psychology, Or Healthcare Administration

  • Minimum Of 2 Years Experience In Case Management Or A Related Role

  • Knowledge Of Healthcare Laws And Regulations, Particularly In The State Of Illinois

  • Strong Communication And Interpersonal Skills To Effectively Work With Clients And Other Healthcare Professionals

  • Residency On The West Side Of Chicago To Ensure Familiarity With The Community And Resources Available

Required Skills
  • Data Analysis

  • Communication

  • Time Management

  • Multitasking

  • Attention to detail

  • Organizational Skills

  • Risk assessment

  • Problem-Solving

  • Case Review

  • Decision-Making

  • Resource Coordination

Soft Skills
  • Communication

  • Conflict Resolution

  • Leadership

  • Problem Solving

  • Time management

  • Interpersonal Skills

  • creativity

  • Attention to detail

  • Teamwork

  • Adaptability

Compensation

According to JobzMall, the average salary range for a Analyst, Case Management (Field - Must reside in the West Side of Chicago) is between $50,000 to $75,000 per year. This may vary depending on the specific company, location, and level of experience.

Additional Information
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.
Required LanguagesEnglish
Job PostedMarch 13th, 2025
Apply BeforeNovember 16th, 2025
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About Aetna

Aetna Inc. is an American managed health care company that sells traditional and consumer directed health care insurance and related services, such as medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans, primarily through employer-paid (fully or partly) insurance and benefit programs, and through Medicare. Since November 28, 2018, the company has been a subsidiary of CVS Health.

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