All roles

Clinical Case Manager BH - Burlington/Mercer

Remote · USA Full-time New today

We are seeking a highly motivated and compassionate Clinical Case Manager BH to join our team at Aetna in the Burlington/Mercer area. In this role, you will have the opportunity to make a meaningful impact on the lives of individuals struggling with behavioral health issues. We are looking for a dedicated and qualified professional who is passionate about providing quality care and support to our members. If you possess the necessary skills and experience, and have a strong desire to help others, we invite you to apply for this fulfilling opportunity. Join us in our mission to improve the overall well-being of our members and make a positive difference in our community. Develop and implement individualized care plans for members with behavioral health issues. Conduct thorough assessments to identify the needs and goals of each member. Collaborate with members, their families, and healthcare providers to coordinate and facilitate treatment and services. Monitor member’s progress and adjust care plans as needed to ensure optimal outcomes. Provide ongoing support and counseling to members to promote self-sufficiency and improved overall well-being. Connect members with appropriate community resources and support services. Maintain accurate and up-to-date documentation of member interactions and progress. Advocate for members and ensure their needs are being met within the healthcare system. Stay current with industry standards and best practices in behavioral health care. Communicate effectively with team members and other healthcare professionals to ensure coordinated and comprehensive care for members. Participate in regular team meetings and provide input on ways to improve the delivery of behavioral health services. Adhere to all confidentiality and privacy regulations in handling sensitive member information. Act as a liaison between members, their families, and healthcare providers to facilitate treatment and resolve any issues or concerns. Collaborate with insurance providers and other stakeholders to ensure appropriate coverage for members’ treatment. Participate in ongoing training and professional development opportunities to enhance job knowledge and skills. Maintain a positive and compassionate attitude towards members and their families, promoting a supportive and caring environment. Meet performance metrics and goals set by the company for quality of care and member satisfaction. Promote and maintain a culture of diversity, equity, and inclusion in all aspects of the job. 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. Apply tot his job Apply To this Job

Related roles

RN - Utilization Management, Weekends

Remote · USA Full-time

Lead, Utilization Review Team (Remote)

Remote · USA Full-time

Field Case Management

Remote · USA Full-time

Case Manager (RN) - Inpatient - Relief A Status (0.2 FTE), 08-HR, Day Shift

Remote · USA Full-time

Specialist I, Prior Authorization-Lumicera

Remote · USA Full-time

Prior Authorization/Concurrent Review Nurse RN (Remote in Texas only, TX RN license required)

Remote · USA Full-time

Fertility Utilization Management RN – Remote

Remote · USA Full-time

Part-Time Utilization Review Nurse (Remote – Nevada RN)

Remote · USA Full-time

[Hiring] Utilization Management Nurse @Curana Health, Inc.

Remote · USA Full-time

Remote Utilization Management Nurse (RN or LVN – CA Lic. Req.) | Preservice/Denials Dept.

Remote · USA Full-time

Investment Consultant - Series 7- Hybrid

Remote · USA Full-time

Healthcare Recruiter- Remote -Unlimited Earning Potential - Direct Clients

Remote · USA Full-time

Experienced Part-Time Remote Data Entry Administrative Assistant – arenaflex

Remote · USA Full-time

Experienced Text Chat Customer Support Specialist – Live Chat Operator (Fully Remote) at arenaflex

Remote · USA Full-time

California - Highland Bilingual Cantonese or Mandarin Required

Remote · USA Full-time

English to Japanese - Judiciary/Legal - Translator, Editor and/or Transcriber

Remote · USA Full-time

Experienced Customer Service Representative (Healthcare) – Remote Work Opportunity at arenaflex

Remote · USA Full-time

Experienced Full-Time Remote Data Entry Clerk – No Experience Required – arenaflex

Remote · USA Full-time

Experienced Customer Service Representative – Remote Work Opportunity with arenaflex

Remote · USA Full-time

Adjunct Faculty-Online Family Nurse Practitioner and Adult-Gerontology Primary Care Nurse Practitioner

Remote · USA Full-time