This role is work from home with travel required in Pima County, AZ to visit members once COVID restrictions are lifted.
Evaluation of Members; Through the use of care management tools and information/data review, conducts comprehensive evaluation of referred member’s needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member’s benefit plan and available internal and external programs/services.
Coordinates and implements assigned care plan activities and monitors care plan progress.
Enhancement of Medical Appropriateness and Quality of Care;
Identifies and escalates quality of care issues through established channels.
healthy lifestyle choices.
Required Qualifications
3+ years of direct clinical practice experience post masters degree required for LPC, LISAC,LCSW, LAC, LMSW
– Work hours are M-F, 8am – 5pm.
Preferred Qualifications
preferred
Education
Bachelor’s degree or equivalent experience for RN licensure
or
Master’s degree in behavioral/mental health with licensure LPC, LISAC,LCSW, LAC, LMSW
Business Overview
At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.
Job Discription Description *** If you are currently employed and seeking additional supplemental work before or after your work schedule...
Apply For This JobEmployment Type Full time Shift Day Shift Description Summary At Mount Carmel, we work to continuously inspire one another. Here,...
Apply For This Jobbr{display:none;}.css-58vpdc ul > li{margin-left:0;}.css-58vpdc li{padding:0;}]]> -Scheduling appointments -Confirming appointments -Handling phones, emails, texts, faxes, -filing claims to insurance -billing -insurance...
Apply For This Jobbr{display:none;}.css-58vpdc ul > li{margin-left:0;}.css-58vpdc li{padding:0;}]]> Medical Billing Specialist – Remote We are looking for team members to add to our...
Apply For This JobJob Description Description Job Schedule: Full Time Standard Hours: 40 Job Shift: Shift 1 Shift Details: Full-time, No Call! Nurse...
Apply For This JobJob Description Additional Information About the Role Great opportunity for an experienced MA! 40 hours a week Monday-Friday No weekends...
Apply For This Job