Job Details:-

Hiring Organization:- Aetna

Post Name: Care Management Associate

Qualifications:- Bachelor Degree

Industry:- Private

Employment Type:- Full Time

Work Hours:- 8 Hours

Salary:- $26/Hour

Locations:- Oklahoma, USA

Required Qualifications:

The Commitment Effort Center Consideration The executives Partner (CMA) upholds exhaustive coordination of medical care administrations through telephonic effort to and enlistment of our qualified individuals. Our Commitment Care The board Partners show a profoundly lively mix of salesman, medical services guide and wellbeing plan client service delegate.

 

The Partner is answerable for direct part effort and commitment, working with case task, and associating recognized individuals to mind administrators. By effectively enlisting individuals into care the executives, further backings the execution of care intends to advance compelling usage of medical services benefits, advancing and supporting quality viability. Aetna Remote Work From Home Jobs.

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Starts to lead the pack in part effort to evaluate individuals for risk definition and guarantee consistence with effort and contact necessities. Aetna Remote Work From Home Jobs.
Distinguishes triggers for reference into Aetna’s consideration the executives, constant condition infection the board, blended administrations, and other consideration the board and additionally specialty programs. Aetna Remote Work From Home Jobs.

Screens individuals utilizing designated mediation business rules and cycles to recognize required clinical benefits, make proper references to clinical benefits staff and direction the expected administrations as per the advantage plan. Aetna Remote Work From Home Jobs.

Gets warm exchanges from IVR outreach, part benefits, social effect group and screens individuals utilizing designated mediation rules and cycles to distinguish required administrations and make proper references to clinical administrations staff. Aetna Remote Work From Home Jobs.

Advances correspondence, both inside and remotely to improve viability of care the executives administrations (for example suppliers, and medical care colleagues individually). Aetna Remote Work From Home Jobs.

Facilitates and sorts out for medical care administration conveyance under the bearing of the consideration chief or clinical chief in the most suitable setting at the most fitting cost by distinguishing open doors for the part to use taking part suppliers and administrations.

Offers help administrations to mind coordination colleagues by noting calls, taking messages, exploring data and aiding critical thinking. Aetna Remote Work From Home Jobs.

Performs non-clinical examination appropriate to the foundation, support and conclusion of open cases. Aetna Remote Work From Home Jobs.

Capacity to successfully take part in a multi-disciplinary group including inside and outside members. Aetna Remote Work From Home Jobs.
Performs non-clinical exploration appropriate to the foundation, upkeep and conclusion of open cases. Aetna Remote Work From Home Jobs

Offers managerial help to extra mind coordination assets (esteem adds) program to incorporate affirming part qualification and handling demands.
Sticks to consistence with strategies and technique/administrative principles.
Keeps up with precise and complete documentation of required data that meets risk the executives, administrative, and authorization prerequisites. Aetna Remote Work From Home Jobs.

Safeguards the privacy of part data and sticks to organization arrangements in regards to secrecy. Aetna Remote Work From Home Jobs
Finishes documentation of every part bring in the electronic record, completely finishing expected activities with an elevated degree of detail to guarantee consistence prerequisites are met with proficiency. Aetna Remote Work From Home Jobs.

Successful correspondence, telephonic and association abilities with capacity to be coordinated, dealing with various needs all at once, and adjusting to change with energy.

Solid client assistance abilities to facilitate administration conveyance including consideration regarding clients, aversion to issues, proactive distinguishing proof and goal of issues with advance positive results for individuals, complying to mind the board processes (to incorporate, however not restricted to, protection and secrecy, quality administration processes in consistence with administrative, certification rules, organization strategies and methodology). Aetna Remote Work From Home Jobs.

Shows capacity to meet day to day measurements with speed, precision, and an uplifting outlook. Aetna Remote Work From Home Jobs.

 

Works freely and skillfully, complying with expectations and time constraints while showing an active, energetic and caring presence. Aetna Remote Work From Home Jobs.
Solid hierarchical abilities, including successful verbal and composed relational abilities.

Required Capabilities

 

3 years’ involvement with the medical services field (for example experienced in clinical office, medical clinic setting, as well as clinical charging/coding). Aetna Remote Work From Home Jobs.
3+ years’ experience utilizing PC, console route, exploring various frameworks and applications; and utilizing MS Office Suite applications (Groups, Viewpoint, Word, Succeed, and so on.)

Should have solid transportation and be willing and ready to venture out to the alright City office in light of business needs, rare. Mileage is repaid per our organization cost repayment strategy. Aetna Remote Work From Home Jobs.

Favored Capabilities

Information section and documentation inside part records liked.
Experience with essential clinical wording and ideas utilized in care the board liked.