Aetna Care Associate Behavioral Health in Sandy, Utah

Req ID: 51938BR

Please note: Candidates must be comfortable working the following shift: 11:30AM-8PM ET

POSITION SUMMARY

Care Associates provide support to behavioral health clinical teams. Care Associates complete various tasks including customer service, benefit review and documentation, inbound and outbound calls to providers and members. Care Associates work with Behavioral Health Clinicians and other Clinical Support Staff.

Fundamental Components:

  • Assists members locate services.

  • Facilitates follow-up calls.

  • Collects information on patient progress and adherence to treatment plan

  • Provides information to members regarding mental health and substance abuse benefits, community treatment resources, mental health managed care programs, and Aetna policies and procedures.

  • Reviews patient compliance with treatment plan; identifies obstacles to compliance; works with Care Managers to develop action plans.

  • Follows-up with members regarding missed aftercare appointments.

  • Follows-up with outpatient providers to assure timely outpatient follow-up appointments for patients discharged from the hospital.

  • Serves as liaison between the inpatient staffs of local hospitals and high volume provider groups to assure timely discharge appointments.

    BACKGROUND/EXPERIENCE desired:

    1+ years of customer service experience is required

    Experience navigating multiple computer systems is required

    1+ years Behavioral Health experience working with mental health population is preferred

    EDUCATION

    The highest level of education desired for candidates in this position is a High School diploma, G.E.D. or equivalent experience.

    FUNCTIONAL EXPERIENCES

    Functional - Administration / Operations/Data Entry/1+ Years

    Functional - Customer Service/Customer Service - Member Services - Traditional products/1+ Years

    TECHNOLOGY EXPERIENCES

    Technical - Desktop Tools/Microsoft Outlook/1+ Years/

    REQUIRED SKILLS

    Benefits Management/Maximizing Healthcare Quality/FOUNDATION

    DESIRED SKILLS

    General Business/Communicating for Impact/FOUNDATION

    Service/Handling Service Challenges/FOUNDATION

    Telework Specifications:

  • Full-Time Telework (WAH) for current WAH employees.

  • New employees: Telework will be considered. Employees must live within an hour of an Aetna office.

    ADDITIONAL JOB INFORMATION

    Opportunity to learn and work in the Health Insurance industry and mental health field. Opportunity to provide assistance to members with behavioral health needs.

    Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.

    We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.

    Together we will empower people to live healthier lives.

    Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.

    We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.

    Benefit eligibility may vary by position. Click here to review the benefits associated with this position.

    Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.

Job Function: Health Care