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Director Aetna Case Management Jobs (NOW HIRING)

Case Management Coordinator

TX ยท Remote

$29 - $30/hr

S.) Shift: Monday-Friday, 8 AM - 5 PM CST Position Overview Seeking a Healthcare Consultant III / Case Management Coordinator to support our Aetna Care Management team. This is a non-clinical ...

... Direct patient care (hospital, private practice)/4-6 Years Functional - Medical Management/Medical ... Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for ...

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 ...

... Direct patient care (hospital, private practice)/4-6 Years Functional - Medical Management/Medical ... Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for ...

... 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

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Director Aetna Case Management information

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$45K

$123.6K

$199.5K

How much do director aetna case management jobs pay per year?

As of May 28, 2026, the average yearly pay for director aetna case management in the United States is $123,611.00, according to ZipRecruiter salary data. Most workers in this role earn between $98,000.00 and $141,500.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Director of Aetna Case Management, and why are they important?

To succeed as a Director of Aetna Case Management, you typically need a bachelor's or master's degree in nursing or a related field, active RN licensure, and extensive experience in case management or care coordination. Familiarity with case management software, utilization review tools, and health plan systems such as Milliman or InterQual is essential. Outstanding leadership, strategic thinking, and effective communication skills set top performers apart in this role. These competencies are crucial for driving quality care outcomes, ensuring regulatory compliance, and leading teams in a complex managed care environment.

How does a Director of Aetna Case Management typically collaborate with clinical teams and other departments?

A Director of Aetna Case Management regularly works with interdisciplinary teams, including nurses, social workers, physicians, and administrative staff. They facilitate coordination between departments to ensure members receive comprehensive, timely care and to streamline case management processes. Effective communication and leadership are essential, as the director often leads meetings, sets care management strategies, and resolves complex cases that require input from multiple specialties. Collaboration also extends to working with external providers and vendors to optimize patient outcomes and resource utilization.

What does a Director of Aetna Case Management do?

A Director of Aetna Case Management oversees the case management operations within the organization, ensuring that patients receive appropriate, cost-effective care. They lead teams of case managers, develop and implement care coordination strategies, and ensure compliance with regulations and Aetna's policies. Their role involves collaborating with healthcare providers, monitoring program outcomes, and improving processes to enhance patient health and satisfaction. Additionally, they play a crucial part in managing budgets and aligning case management practices with organizational goals.

What is the difference between Director Aetna Case Management vs Case Manager Aetna?

AspectDirector Aetna Case ManagementCase Manager Aetna
CredentialsTypically requires RN, BSN, or related certifications; leadership experienceRN or relevant healthcare certification; less emphasis on leadership
Work EnvironmentOversees teams, manages programs, strategic planningDirect patient interactions, care coordination, documentation
Employer & Industry UsageUsed in health insurance companies like Aetna for leadership rolesCommon in healthcare settings and insurance companies for direct care roles

The main difference between Director Aetna Case Management and Case Manager Aetna lies in scope and responsibilities. The director oversees teams and strategic initiatives, requiring leadership experience, while the case manager focuses on direct patient care and care coordination. Both roles are integral to Aetna's healthcare management but differ significantly in seniority and scope.

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Workers Compensation RN Field Case Manager Registered Nurse SPANISH

Workers Compensation RN Field Case Manager Registered Nurse SPANISH

Aetna

Dallas, TX โ€ข On-site

$77.20K - $97.90K/yr

Full-time

Medical, Retirement

Posted 17 days ago


Job description

Company Description

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. Excellent benefits package, including 401k, tuition, licensure and certification reimbursement. We promote healthy & wellness lifestyles and offer specialty programs here at Aetna.
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.
Benefit eligibility may vary by position. Click here to review the benefits associated with this position.
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.

Job Description

Job Description :

JOIN OUR GROWING TEAM

Do you want to make a difference as a Field Case Manager in your local community?

Let us show you how you can expand your professional experience as a CCM, CRRN, COHN, and CDMS.

We are seeking self-motivated,energetic, detail oriented, highly organized, tech-savvy Registered Nurses to join our Workers' Compensation Field Case Management team. This opportunity offers a competitive salary, full benefits, and a performance-based bonus paid out on a monthly or quarterly basis. Our organization promotes autonomy through a Monday-Friday working schedule, paid holidays, and flexibility as you coordinate the care of your members.

POSITION SUMMARY
The field case manager position includes traveling to different clinical and non-clinical settings in order to meet with patients and health care providers to determine work status, current treatment plan, and projected MMI. This position also includes being available to injured worker to advise on medical issues that may arise and be advocate as needed

Qualifications

BACKGROUND/EXPERIENCE:
3+ years case management experience.
5 years clinical practice experience.
Ability to travel within a designated geographic area for in-person case management activities
Bilingual preferred
Knowledge of laws and regulations governing delivery of rehabilitation services.
Job-specific technical knowledge, (e.g., knowledge of workers compensation and disability industry for workers compensation case managers or case management).
Excellent analytical and problem solving skills
Effective communications, organizational, and interpersonal skills.
Ability to work independently (may require working from home).
Proficiency with standard corporate software applications, including MS Word, Excel, Outlook and PowerPoint, as well as some special proprietary applications.
Effective computer skills including navigating multiple systems and keyboarding
EDUCATION
The minimum level of education desired for candidates in this position is a Associate's degree or equivalent experience.
LICENSESย 
Nursing/Board of Nursing is required, active and unrestricted for the state of Texas


One of the following certifications is required:
CCM
CRRNCDMS

COHN
FUNCTIONAL EXPERIENCES
Functional - Nursing/Case Management/1-3 Years
Functional - Nursing/Case Management/
TECHNOLOGY EXPERIENCES
Technical - Computer Operations

Additional Information

ADDITIONAL JOB INFORMATION
Work Autonomously
No Weekend of Holiday
Meet top doctors of their specialty and learn from them directly
Earn CEU free by attending free seminars and in house training
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.
ย 

As a Workers' Compensation Field Case Manager, you will be offered:

  • Autonomy
  • Productivity incentives
  • Monday-Friday schedule
  • Reimbursement for mileage, tolls, parking, licensure and certification

Laptop, iPhone & printer/fax/scanner all in one.
Benefit eligibility may vary by position. Click here to review the benefits associated with this position.


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About aetna

Sourced by ZipRecruiter

Industry

Insurance services, fitness and sports centers and clean energy semiconductors manufacturing

Company size

10,000+ Employees

Headquarters location

Hartford, CT, US

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