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Aetna Case Management Jobs (NOW HIRING)

CVS Health

Case Management Coordinator (Illinois)

Urbana, IL · On-site

$21.10 - $44.99/hr

Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in ... The Case Management Coordinator utilizes critical thinking and judgment to collaborate and inform ...

Tenet Health

Director of Case Management

Memphis, TN · On-site

This position integrates national standards for case management scope of services including ... Aetna. Saint Francis Hospital serves as an academic training site for University of Tennessee ...

Tenet Health

Director of Case Management

Memphis, TN · On-site

... Aetna. Saint Francis Hospital serves as an academic training site for University of Tennessee ... Experience: 3 years of acute hospital case management or healthcare leadership experience

Apex Informatics

Case Manager

Pleasanton, CA · On-site

$22.25 - $28.75/hr

Job Title : Case Manager Location : Case Manager Case Manager Need candidates at the earliest ... Member relations- Medicare / medicaid / commercial Blueshield / Aetna experience is plus candidate ...

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Aetna Case Management information

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How much do aetna case management jobs pay per hour?

As of Jun 15, 2026, the average hourly pay for aetna case management in the United States is $19.75, according to ZipRecruiter salary data. Most workers in this role earn between $14.90 and $21.88 per hour, depending on experience, location, and employer.

Is Aetna laying off employees?

There have been reports of layoffs at Aetna, including in roles related to case management, as part of company restructuring or cost management efforts. However, specific details and the extent of layoffs can vary and are not always publicly confirmed. Job seekers should monitor official company communications for the most accurate information.

Is it hard to get hired at Aetna?

Getting hired for a Case Management role at Aetna typically requires relevant healthcare experience, strong communication skills, and sometimes certifications like CCM or ANCC. The hiring process can involve multiple interviews and assessments, reflecting the competitive nature of healthcare positions.

What does a typical day look like for someone in an Aetna Case Management role?

A typical day in Aetna Case Management involves assessing member needs, developing care plans, coordinating with healthcare providers, and monitoring patient progress through telephonic or digital communication. Case managers often review clinical documentation, authorize services, and ensure members access appropriate resources and support. Collaboration with multidisciplinary teams, including physicians and social workers, is frequent to ensure a holistic approach to patient care. The role is primarily administrative and involves both independent work and participation in team meetings.

What are the key skills and qualifications needed to thrive in the Aetna Case Management position, and why are they important?

To excel in Aetna Case Management, you typically need a background in nursing or social work, relevant licensure (such as an RN or LCSW), and experience in care coordination or utilization review. Familiarity with care management platforms, electronic health records (EHRs), and insurance case management software is commonly expected. Strong interpersonal communication, critical thinking, and organizational skills make candidates stand out, as does the ability to work independently in a remote or collaborative team environment. These competencies are vital for ensuring members receive appropriate healthcare services, optimizing health outcomes, and supporting Aetna’s standards of care.

What is an Aetna Case Management job?

An Aetna Case Management job involves coordinating healthcare services for members to ensure they receive appropriate, cost-effective care. Case Managers assess patient needs, develop care plans, and collaborate with healthcare providers to improve health outcomes. They also provide education and support to members, helping them navigate their healthcare options. This role typically requires a background in nursing or social work, along with strong communication and problem-solving skills.

Is Aetna struggling financially?

Aetna, as a major health insurance provider, has faced financial challenges in the past due to industry pressures and regulatory changes, but it remains financially stable and continues to operate effectively. For case management professionals, this stability means consistent job opportunities and a focus on efficient healthcare delivery using tools like electronic health records and care coordination skills.

What do Aetna case managers do?

Aetna case managers coordinate and manage patient care by assessing individual needs, developing care plans, and working with healthcare providers to ensure appropriate services. They often use medical records and health information systems and may require relevant certifications or licenses to perform their duties effectively.
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Aetna Case Management jobs near you
Case Management Coordinator (Illinois)

Case Management Coordinator (Illinois)

CVS Health

Galesburg, IL • Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 20 days ago

CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,245 frontline employees who took The Breakroom Quiz

78th of 99 rated pharmacies

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 ourselvesaccountable 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.

Program Overview:

Help us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members' health care and social determinant needs. Join us in this exciting opportunity as we grow and expand to change lives in new markets across the country.

Position Summary/Mission:The Case Management Coordinator utilizes critical thinking and judgment to collaborate and inform the case management process, The Case Management Coordinator facilitates appropriate healthcare outcomes for members by aiding with appointment scheduling, identifying and assisting with accessing benefits and

education for members through the use of care management tools and resources.

Key Responsibilities

  • Evaluation of Members: -Through the use of care management tools and information/data review, conducts comprehensive evaluation of referred member's needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member's benefit plan and available
  • internal and external programs/services.
  • Identifies high risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate.
  • Coordinates and implements assigned care plan activities and monitors care plan progress.
  • Enhancement of Medical Appropriateness and Quality of Care: - Using holistic approach consults with case managers, supervisors, Medical Directors and/or other health programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary review in order to achieve optimal outcomes.
  • Identifies and escalates quality of care issues through established channels.
  • Utilizes negotiation skills to secure appropriate options and services necessary to meet the member's benefits and/or healthcare needs.
  • Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote 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.
  • Helps member actively and knowledgably participate with their provider in healthcare decision-making.
  • Monitoring, Evaluation and Documentation of Care: - Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.

Remote Work Expectations

  • Candidates must have a dedicated workspace free of interruptions
  • Dependents must have separate care arrangements during work hours, as continuous care responsibilities during shift times are not permitted.
  • Interacts withmembers/clientstelephonicallyorinperson. Maybe requiredtomeet with members/clients in their homes, worksites, or physician's office to provide ongoing case management services.

Required Qualifications:

Must reside in the state of Illinois

2 years experience in behavioral health, social services or appropriate related field equivalent to program focus

Confidence working at home/independent thinker, using tools to collaborate and connect with teams virtually

Excellent analytical and problem-solving skills

Effective communications, organizational, and interpersonal skills

Ability to work independently

Proficiency with standard corporate software applications, including MS Word, Excel, Outlook and PowerPoint, as well as some special proprietary applications.

Efficient and Effective computer skills including navigating multiple systems and keyboarding

Must possess reliable transportation and be willing and able to travel up to 40% of the time. Mileage is reimbursed per our company expense reimbursement policy

Preferred Qualifications:

Bilingual

Case management and discharge planning experience

Managed Care experience

Education

Bachelor's degree or non-licensed master level clinician required with either degree being in behavioral health or human services (psychology, social work, marriage and family therapy, counseling)

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$21.10 - $44.99

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This fulltime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbeing of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 06/26/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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