Join Our Team: Case Management Coordinator - Salt River Trail Embark on a rewarding career journey with Aetna Better Health, a leading provider of health care services, as a Case Management Coordinator - Salt River Trail! We are seeking a highly skilled and compassionate professional to join our team in the Salt River Trail region of Kentucky. This exciting remote opportunity offers a competitive salary, comprehensive benefits, and the chance to make a positive impact on the lives of children and families. About Aetna Better Health Aetna Better Health is part of CVS Health, a company dedicated to delivering enhanced human-centric health care for a rapidly changing world. Our purpose is to bring our heart to every moment of your health, guiding our commitment to provide personalized, convenient, and affordable health care solutions. We believe that our employees are our greatest asset, and we strive to create a work environment that is supportive, inclusive, and empowering. Job Summary As a Case Management Coordinator (CMC) with Aetna Better Health, you will play a critical role in supporting the case management process to facilitate and maintain improved healthcare outcomes for members. This is a telework position that requires regional in-state travel 80-90% of the time, with flexibility to work beyond core business hours. You will utilize critical thinking and professional judgment to provide advocacy, collaboration, coordination, support, and education to members through the use of care management tools and resources. Key Responsibilities Evaluate members' needs through the use of care management assessments and information/data review, recommending approaches to resolving care needs and maintaining optimal health and well-being. Identify high-risk factors and service needs that may impact member outcomes and implement early and proactive support interventions. Coordinate and implement Wellness care plan activities and monitor member care needs. Consult with case managers, supervisors, Medical Directors, and other health programs to overcome barriers to meeting goals and objectives. Identify and escalate quality of care issues through established channels. Utilize negotiation skills to secure appropriate options and services necessary to meet the member's benefits and/or healthcare needs. Provide coaching, information, and support to empower members to make ongoing independent medical and/or healthy lifestyle choices. Help members actively and knowledgeably participate with their provider in healthcare decision-making. Utilize case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures. Requirements Essential Qualifications Minimum 6 months of experience in Foster Care and juvenile justice systems, Adoption Assistance, the delivery of Behavioral Health Services, Trauma-informed Care, ACEs, Crisis Intervention services, or evidence-based practices applicable to the Kentucky SKY populations. Minimum 2 years of experience in behavioral health, social services, social work, psychology, sociology, marriage and family therapy, or counseling. Minimum 1 year of experience in MS Office Suite applications, including Word and Excel. Willing and able to travel 80-90% of their time to meet members face-to-face in their assigned region. Candidate must reside in one of the following counties: Breckinridge, Grayson, Meade, Hardin, Larue, Bullitt, Nelson, Marion, Washington, Spencer, Anderson, Woodford, Shelby, Franklin, Henry, Oldham, or Trimble. Preferred Qualifications 3 years of experience in behavioral health, social services, social work, psychology, sociology, marriage and family therapy, or counseling. 1 MCO experience. Education Minimum of a Bachelor's degree or a non-licensed master-level clinician required with either degree being in behavioral health or human services field. What We Offer Compensation and Benefits We offer a competitive salary range of $21.10 - $36.78 per hour, depending on experience and qualifications. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. Our comprehensive benefits package includes: Medical, dental, and vision benefits. 401(k) retirement savings plan and Employee Stock Purchase Plan. Fully-paid term life insurance plan. Short-term and long-term disability benefits. Paid Time Off (PTO) or vacation pay. Paid holidays throughout the calendar year. Numerous well-being programs, education assistance, free development courses, and a CVS store discount. Career Growth Opportunities At Aetna Better Health, we are committed to the growth and development of our employees. We offer: Opportunities for professional advancement and career growth. Training and development programs to enhance your skills and knowledge. A supportive and inclusive work environment that encourages collaboration and innovat