Job Description
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Join Aetna’s Illinois care management team supporting the D‑SNP FIDE (Fully Integrated Dual Eligible Special Needs Plan) population. As a Behavioral Health Field Case Manager, you will deliver person-centered case management through assessment, planning, care coordination, advocacy, and evaluation to achieve quality, cost-effective outcomes. You will collaborate with members, caregivers, providers, and community partners to address the full continuum of care and social determinants of health, conduct telephonic and in-person outreach within the geographic area of the required location, and support transitions of care. Responsibilities include comprehensive biopsychosocial assessments, individualized care plan development, transitions-of-care support, provider and community coordination, crisis response/intervention and follow-up, application of clinical criteria and guidelines, quality of care identification/escalation, case conferencing, documentation and outcomes evaluation in compliance with regulatory/organizational standards, and ongoing monitoring of goals and outcomes.
