Aetna Careers Remote $27/Hour

October 16, 2024

Job Details:-

Hiring Organization:-Â Aetna

Post Name: Transition of Care Coordinator

Qualifications:-Â Bachelor Degree

Industry:-Â Private

Employment Type:- Full Time

Work Hours:-Â 8 Hours

Salary:- $27/Hour

Locations:- Oklahoma, USA

Required Qualifications:

Qualified applicants ideally will dwell inside the area which incorporates the accompanying regions: Cimarron, Texas, Beaver, Harper, Ellis, Woodward, Roger Plants, Beckham, Washita, Custer, Dewey, Major, Woods, Alfafa, Award, Garfield, Kingsfisher, Blaine, Canadian, Logan, Respectable, Payne, Pawnee, Osage and Kay

The Social Wellbeing Clinical Caseworker (CCM TOC) for changes of care, uses progressed clinical judgment and decisive reasoning abilities to work with fitting part conduct wellbeing advances. The CCM TOC use case the board apparatuses, for example, appraisals and care arranging, direct supplier coordination/cooperation, and coordination of wraparound administrations to advance compelling use of accessible assets and ideal, financially savvy results. Aetna Careers Remote.Â

Guarantees protected and suitable advances between settings by working together with distinguished resources at offices, individuals, people in question, legitimate watchmen, suppliers, and encouraging groups of people through the interdisciplinary consideration group process. Aetna Careers Remote.Â

Using clinical instruments and data/information audit, conducts appraisals of alluded part’s necessities/qualification and decides way to deal with addressing needs by assessing accessible inside and outside projects and administrations.
Dissects usage, self-report, and clinical information accessible to merge data and start to recognize complete part needs. Aetna Careers Remote.Â

Follows individuals through their long term social wellbeing confirmation and proceeds with oversight through progress from the intense setting to any remaining settings determined to lessen readmissions and expanding permanency locally. Aetna Careers Remote.Â
Accessible to lead eye to eye visits as vital for high gamble individuals.
Organizes care and reconsider part’s need 2-day, 7-day, and 14-day post-release course of events suggested by the Coleman Care Changes Model. Aetna Careers Remote.Â

Guarantees individuals change upon release with sufficient oversight, suggested conduct wellbeing, actual wellbeing, drug store assets, and care the board support.

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Teaches and supports part/guardian zeroing in on seven essential regions: prescription administration, utilization of individual wellbeing record, follow up care, signs and side effects of deteriorating condition, sustenance, utilitarian requirements and advance mandates.
Applies clinical judgment to the joining of procedures intended to decrease risk factors and address complex clinical markers which effect care arranging and goal of part issues. Aetna Careers Remote.Â

Utilizing progressed clinical abilities, performs emergency mediation with individuals encountering a social wellbeing or clinical emergency and alludes them to the suitable clinical suppliers for exhaustive evaluation and treatment, as clinically showed.

Gives emergency follow up to individuals to assist with guaranteeing they are getting the suitable treatment/administrations. Aetna Careers Remote.Â

Applies as well as deciphers pertinent rules and clinical rules, normalized care the board plans, approaches, techniques, and administrative guidelines while evaluating benefits and additionally part’s necessities to guarantee fitting organization of advantages.
Utilizing a comprehensive methodology talks with supervisors, clinical chiefs or potentially other program delegates on a case by case basis to defeat hindrances to meeting objectives and goals. Aetna Careers Remote.

Presents cases at case gatherings/rounds to acquire multidisciplinary view to accomplish ideal results.
Draws in and fabricates proceeded with proficient connections at network offices.
Distinguishes and raises nature of care issues through laid out channels.

Conveys and teams up with clinical and social wellbeing experts to impact suitable part care.
Uses affecting/persuasive talking abilities to guarantee greatest part
commitment and advances way of life/conduct changes to accomplish ideal
level of wellbeing. Aetna Careers Remote,Â
Gives training, data, and support to engage the part to make progressing autonomous clinical or potentially solid way of life decisions.

Helps part effectively and knowledgably take part with their supplier in medical services direction.
In a joint effort with the part and their consideration group creates and screens laid out plans of care to meet the part’s objectives. Aetna Careers Remote.Â
Uses case the board, usage the executives, and quality administration processes in consistence with administrative and license rules and company arrangements and systems.

Required Capabilities:

Should dwell in Oklahoma
Oklahoma-authorized psychological wellness proficient Authorized Proficient Mentor (LPC), Authorized Marriage and Family Advisor (LMFT), Authorized Conduct Expert (LFP), or Authorized Clinical Social Specialist (LCSW) with current unhampered permit

3+ long periods of direct clinical practice experience post graduate degree, e.g., emergency clinic setting or elective consideration setting like wandering consideration or short term center/office. Aetna Careers Remote.Â
2+ long stretches of involvement in PCs, console route, and MS Office Suite applications (Groups, Standpoint, Word, Succeed, SharePoint, and so forth.)

Should have solid transportation and be willing and ready to make a trip in-state up to half of the time. Mileage is repaid per our organization cost repayment strategy
Favored Capabilities:
Emergency mediation abilities liked

Overseen care/usage audit experience liked
Case the executives and release arranging experience liked
Experience giving consideration to Native American/Native American/Local American populaces. Aetna Careers Remote.Â

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