Aetna careers remote

Remote, USA Full-time Posted 2025-02-22

This is a work at home role, and will require travel within the Cincinnati, OH area. Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member?s needs to ensure appropriate administration of benefits. Using holistic approach consults with supervisors, Medical Directors and/or other programs to overcome barriers to meeting goals and objectives. Utilizes influencing/motivational interviewing skills to ensure maximum member engagement and promotes lifestyle/behavior changes to achieve optimum level of health. Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices. In collaboration with the member and their care team develops and monitors established plans of care to meet the member?s goals.

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