Clinical Case Manager BH - Burlington/Mercer

Remote Full-time
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.

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