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Needs to review the security of your connection before proceeding. • 2+ years of case management, discharge planning and/or home health care coordination experience. To learn more about careers at Aetna and the work-from-home job positions that the company offers, you can visit the company’s website here. You will need a few years of experience in clinical practice to be hired at Aetna for the licensed social worker position.
This position involves building best practices for medical costs and developing and presenting actionable recommendations. This position involves evaluating member benefits with expertise and may require alternative hours sometimes. This post provides complete information on the best Aetna work from home jobs that you can apply for if you are interested in working remotely from the comfort of your home. Design conceptual models, handle clinical initiative planning, ongoing client relationship management, and provide guidance to internal/external partners and vendors. Work remotely during CST or EST and travel to Falls Church, VA or Minneapolis, MN.
COMPANY
Platform Services Extend athenaOne with differentiated apps, exchange clinical data across systems, and effortlessly explore clinical and financial data. Electronic Health Records Technology that supports clinical efficiency while keeping you ahead of industry change. A powerful tool that provides vital clinical knowledge and supports medical decisions whenever you need it. Shop for apps and services that integrate with our solutions to optimize your workflows and experience. Extend athenaOne with differentiated apps, exchange clinical data across systems, and effortlessly explore clinical and financial data. Technology that supports clinical efficiency while keeping you ahead of industry change.
Founded in 1850 but incorporated in 1982, Aetna provides high-quality healthcare and protects consumers financially from health-related risks. In 2018, Aetna joined CVS Health, embarking on a mission to offer an innovative new healthcare model that enables better health at a lower cost. Aetna offers a wide range of health insurance services and products to over 50 million network members, including medical, pharmacy, dental, behavioral health, disability, and group life plans.
Weekend PT Team Lead- Global Reservations Team (REMOTE position)
The Newsroom From media mentions to relevant data-driven insights, this is the home of athenahealth in the news. Interoperability Open data exchange is only the first step in healthcare interoperability. Our technology goes a step further, curating data for seamless integration directly into your workflows—so it’s within reach when you need it. Open data exchange is only the first step in healthcare interoperability. Meet some customers who have realized stronger financial performances after partnering with athenahealth. Our Marketplace Program Tailor your athenahealth experience to your organization’s specific needs with industry-leading solutions from our Marketplace.
We help people navigate the health care system — and their personal health care — by improving access, lowering costs and being a trusted partner for every meaningful moment of health. Verify insurance coverage in order to process patient prescription orders in a timely manner. Must have a high school diploma and 1+ years experience in healthcare environment. The sr. claims data specialist will handle claim data management processes, help create product offerings, & lead process improvements. Requires at least three years' claim processing experience & a year of recent customer service exp.
Why Aetna
Aetna, a CVS Health company, is an equal opportunity/affirmative action employer. Gender/Minority/Disability/Protected Veteran — committed to diversity in the workplace. We have opportunities for you to work with purpose across our organisation. • Applies clinical judgment to incorporate strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning.
Enter your email below to receive job recommendations for similar positions. The member advocate’s job is to employ information, offer education and industry expertise; respond to inquiries and identify member needs. The senior informatics analyst performs coding, designs and creates new reports, and extracts data from credible sources. You should have an RN license and a few years of experience. You should have an understanding of IAM and security, along with a few years of experience.
Remote Healthcare Customer Service Representative
With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members' health care and social determinant needs. Join us in this exciting opportunity as we grow and expand DSNP to change lives in new markets across the country. The company offers quality Healthcare and keeps consumers protected from risks that are health-related, provides health insurance products and services like behavioral health, pharmacy, dental, and disability plans.
For Aetna Group, promoting the well-being of its workers means contributing positively to their quality of life with services and activities in line with their real needs. Nurses are committed to improving the lives of patients and their families. By applying to a job using CareerBuilder you are agreeing to comply with and be subject to the CareerBuilderTerms and Conditionsfor use of our website.
To use our website, you must agree with theTerms and Conditionsand both meet and comply with their provisions. • Conducts assessments that consider information from various sources, such as claims, to address all conditions including co-morbid and multiple diagnoses that impact functionality. • Develops a proactive plan of care to address identified issues to enhance the short and long-term outcomes as well as opportunities to enhance a member's overall wellness. Our Care Managers are frontline advocates for members who cannot advocate for themselves. They are responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness.
The job of a health concierge is to provide personalized and targeted service based on benefits, engagement, holistic view, and health information of the member. Aetna, founded in 1850, is a successful healthcare benefits company and has consistently been named among other high-flying companies in Fortune magazine. Will collect requirements, collaborate with team, lead solution development and create business models. High school diploma and 8+ years' related experience required.
• Uses clinical tools and information/data review to conduct an evaluation of member's needs and benefits. A collection of job descriptions, resume examples, employment, and career resources. This position involves educating colleagues, collaborating with a team, and conducting reviews.
Solve real business challenges, and experience our culture firsthand. With expert back-office teams and automation, we take on your administrative work—at speed, at scale, and more efficiently than any one organization possibly could. Patient Engagement Stay connected with patients through every stage of their visit. Revenue Cycle Services Drive efficiency through your entire revenue cycle, whatever your organization’s size.
The patient assistance rep will help patients obtain financial assistance for drug therapies. Six months' medical insurance, financial assistance, or related experience is required. This position involves utilizing previous clinical experience in assessing and planning options in order to determine service promotion opportunities and facilitate proper healthcare services. Duties include monitoring team attendance, hiring & managing the performance of team members, compiling performance reviews, and providing support to other departments as needed. Manage patient cases to ensure quality and medical appropriateness.
Duties include contributing code & tests based on established criteria, breaking down & planing sprint work, writing template files, & monitoring, troubleshooting, & supporting applications in production. You will assess members, coordinate care, review claims, and maximize member engagement for best outcomes. Requires an active RN license, 5+ years of clinical practice experience, your own vehicle, and a valid license. Will address health indicators, conduct assessments, coordinate activities and resolve issues. Bachelor's degree and 3+ years' related experience required. We include these past jobs as a way for you to explore what kinds of remote and flexible jobs Aetna has hired for in the past and might be likely to hire for again in the future.
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