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Industry: Private…
Employment Type: Full Time
Work Hours: 8
Salary: $65000/Yearly
Location: United States
Company: Aetna
Description:
That Is A Full-Time Telework Function Open To Candidates Placed Within Maricopa County, Arizona. This Function Will Require Up To 25% – 50% Tour Within An Assigned Location Put Up Covid Restrictions (No In A Single Day Tour Required). Aetna Remote Jobs (Work From Home)
Tour Includes Member Visits And Running Inside The Workplace. Aetna Remote Jobs (Work From Home)
Mercy Care Is A No Longer-For-Earnings Medicaid Managed-Care Health Plan, Serving Arizonans Considering 1985. We Provide Access To Bodily And Behavioral Health Care Services, To Those Who Are Eligible For Medicaid. Our Members Encompass Families, Kids, Seniors, And Individuals WhoÂ’ve Developmental/Cognitive Disabilities. We Preserve More Than One Contracts With Ahcccs, ArizonaÂ’s Medicaid Enterprise, And Supply Services Throughout The Country. Aetna Remote Jobs (Work From Home)
Mercy Care Is Run By Aetna, A Cvs Fitness Corporation. Our Body Of Workers Is Hired Via Aetna And Cvs Fitness. This Gives Mercy Care The Resources Of A Country Wide Business Enterprise, And Nonetheless Permits Us To Carry Our Individuals The Familiarity And Presence Of A Local Group Of Folks That Put Our Contributors At The Center Of The Entirety We Do. Aetna Remote Jobs (Work From Home)
• Makes Use Of Medical Competencies To Coordinate, Record And Speak All Aspects Of The Usage/Benefit Control Software. Aetna Remote Jobs (Work From Home)
• Applies Critical Thinking And Knowledge In Clinically Suitable Remedy, Evidence-Based Care And Scientific Necessity Standards For Contributors Via Presenting Care Coordination, Guide And Training For Individuals Through Using Care Management Gear And Assets. Aetna Remote Jobs (Work From Home)
Assessment Of Participants:
• Via The Usage Of Care Management Gear And Information/Data Assessment, Conducts Complete Evaluation Of Referred Member’s Desires/Eligibility And Recommends An Method To Case Decision And/Or Assembly Wishes Through Evaluating Member’s Gain Plan And Available Inner And External Programs/Offerings.
• Identifies Excessive Hazard Factors And Carrier Desires That Can Effect Member Effects And Care Making Plans Components With Suitable Referrals. Aetna Remote Jobs (Work From Home)
• Coordinates And Implements Assigned Care Plan Sports And Video Display Units Care Plan Progress.
• Enhancement Of Medical Appropriateness And High-Quality Of Care:
• Makes Use Of A Holistic Technique To Triumph Over Barriers To Meet Desires And Objectives; Gives Cases At Case Conferences To Reap Multidisciplinary Review That Allows You To Attain Superior Effects.
• Identifies And Escalates Great Of Care Issues Through Mounted Channels. Aetna Remote Jobs (Work From Home)
• Utilizes Negotiation Competencies To Secure Appropriate Options And Offerings Essential To Fulfill The Member’s Benefits And/Or Healthcare Wishes. Aetna Remote Jobs (Work From Home)
• Makes Use Of Influencing/ Motivational Interviewing Talents To Make Certain Maximum Member Engagement And Promote Lifestyle/Conduct Changes To Reap Finest Degree Of Health.
• Presents Education, Statistics And Assist To Empower The Member To Make Ongoing Impartial Scientific And/Or Healthy Life-Style Choices. Aetna Remote Jobs (Work From Home)
• Allows Member Actively And Knowledgably Take Part With Their Company In Healthcare Decision-Making.
Tracking, Assessment, And Documentation Of Care:
• Makes Use Of Case Management Techniques In Compliance With Regulatory And Accreditation Hints And Employer Policies And Approaches. Aetna Remote Jobs (Work From Home) Aetna Remote Jobs (Work From Home)
Required Qualifications:
• Three+ Years Of Direct Clinical Practice Enjoy Publish Grasp’s Degree Required For Lpc, Lisac, Lcsw, Lac, Lmsw. Aetna Remote Jobs (Work From Home)
• Unencumbered Behavioral Fitness Medical License Within The Kingdom In Which They Paintings Is Required (I.E. Lpc, Lisac, Lcsw, Lac, Lmsw).
• 2+ Years Case Control. Aetna Remote Jobs (Work From Home)
• 2+ Years’ Experience Running With People Who’ve Been Exact As Having A Severe Mental Contamination (Smi) And Operating With Individuals Who Are Aged Or Have A Physical Disability. Aetna Remote Jobs (Work From Home)
• Should Have Reliable Transportation And Be Inclined And Able To Journey 25-50% Of The Time Within Maricopa County. Mileage May Be Reimbursed In Step With Agency Policy.
• Exquisite With Written And Verbal Verbal Exchange. Aetna Remote Jobs (Work From Home)
Desired Qualifications:
• Microsoft Suite: Word, Excel, PowerPoint, Outlook, Teams. Aetna Remote Jobs (Work From Home)
• Amazing Communication Abilities In Writing And Verbally.
• Potential To Speedy Examine Numerous Operating Structures For Records Entry And Authorizations.
• Experience Taking Part With Scientific Specialists. Aetna Remote Jobs (Work From Home)
• Case Control Revel In.
• Green Time Management, Organizational Abilities, Potential To Multi-Venture, Potential To Prioritize.
• Team Player. Aetna Remote Jobs (Work From Home)
• Disaster Intervention Abilities Favored.
• Managed Care/Utilization Overview Experience Preferred. Aetna Remote Jobs (Work From Home)
• Discharge Planning Revel In Preferred. Aetna Remote Jobs (Work From Home)
About Aetna Careers:
Aetna is a medical health insurance organization that gives a range of healthcare-related offerings, inclusive of clinical, dental, pharmacy, disability, and other associated fitness merchandise. As of my ultimate update, Aetna, now part of CVS health, gives numerous blessings to its contributors and employees: Aetna Data Entry Remote Jobs
Blessings for individuals:
• Health insurance coverage: Aetna offers numerous medical insurance plans, including person and circle of relatives plans, company-subsidized plans, Medicare, and Medicaid.
• Network of Healthcare vendors: Aetna usually has a huge network of healthcare providers, inclusive of hospitals, doctors, professionals, and pharmacies, permitting contributors to get right of entry to care without difficulty.
• On line tools and sources: They offer digital tools and resources along with cellular apps and on-line portals to assist members control their health, discover providers, take a look at claims, and access educational materials.
• Well being applications: Aetna frequently affords well being programs and incentives to encourage wholesome behaviors, which includes health packages, nutrition counseling, and smoking cessation guide.
• Telemedicine offerings: some plans offer telemedicine offerings, permitting contributors to consult with healthcare specialists remotely for certain non-emergency situations. Aetna Data Entry Remote Jobs
Blessings for employees:
• Fitness and well being packages: Aetna typically offers comprehensive fitness and wellbeing applications for its personnel, including get admission to healthcare, health incentives, and health coaching.
• Work-existence balance: They often provide bendy paintings preparations, paid time without work, and guide for personnel to achieve a healthy paintings-existence stability.
• Career development: Aetna commonly invests in worker education and development applications to assist personnel develop of their careers.
• Economic benefits: this might include retirement financial savings plans, lifestyles insurance, disability insurance, and worker help programs.
• Network Engagement: some businesses, which includes Aetna, inspire network involvement through supporting volunteer applications and charitable projects. Aetna is a health insurance company that offers a number healthcare-associated offerings, including medical, dental, pharmacy, incapacity, and different associated fitness products. As of my last replace, Aetna, now part of CVS fitness, gives diverse blessings to its contributors and personnel: Aetna Data Entry Remote Jobs
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