Friday , April 12 2024

Aetna Jobs – Information & Referral Specialist

Website Aetna

Job Description:

Aetna’s Corporate Care Management is expanding our Engagement Hub services. The Engagement Hubs are focused on driving member engagement into Aetna’s Care Management programs, while also delivering care services to members who do not need long term support but have immediate care needs. The Information and Referral Specialist provides information, referral, assistance with accessing resources, health coaching, and supportive care to members. The I&R Specialist will support multiple member service initiatives by assessing the member’s stated and unstated needs, addressing resource needs, and effectively utilizing community, health care, and plan benefit resources.

Job Responsibilities:

  • Secure resources to address the member’s needs, including connection to community and national resources
  • Document all member interaction into the appropriate member record(s)
  • Demonstrate empathy for situations faced by our members and their caregivers
  • Accurately assess the need for clinical (Nurse RN or Social Worker) intervention and work closely with Engagement Hub Clinical Consultants to serve our members
  • Educate members on available services and empower participation
  • Assist members in problem-solving when no services are available which can meet their needs
  • Troubleshoot unavailability of resources, securing support as needed to close member gaps
  • Utilize designated interactions to assess the member’s stated and unstated needs, including social determinants of health
  • Thoroughly complete member questionnaires, accurately assess member need, and appropriately document results in the member record
  • Assist the member in actively participating with their health care providers and Aetna Care Management teams regarding decisions that impact their health and well-being

Job Requirements:

  • Community health or public health experience preferred
  • At least 2 years working within the healthcare, non-profit, or community-based services industry
  • Flexibility with work schedule to meet business needs
  • Comprehensive working knowledge of services available within one’s community and across our nation (e.g. faith based/nonprofit services)
  • Candidates with experience in information & referral, health coaching, care management, social work, aging network, sales, or similar backgrounds are encouraged to apply
  • Bilingual required
  • Managed Care/Medicare/Medicaid experience preferred

Qualification & Experience:

The minimum level of education desired is a Bachelors Degree preferred. Candidates with at least 4 years of aligned experience, regardless of education, are encouraged to apply.

Job Details:

Company: Aetna

Vacancy Type:  Full Time

Job Location: Charleston, WV, US

Application Deadline: N/A

Apply Here