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Director Aetna Case Management Jobs in Decatur, GA

dekalbcsb

Case Manager-Project HEAL

Atlanta, GA

... and/or Director MINIMUM QUALIFICATIONS : * High school diploma or GED * At least one year of experience in behavioral health setting providing case management/community support services * Must ...

dekalbcsb

Case Manager-Project HEAL

Atlanta, GA · On-site

... and/or Director MINIMUM QUALIFICATIONS : * High school diploma or GED * At least one year of experience in behavioral health setting providing case management/community support services * Must ...

dekalbcsb

Case Manager

Decatur, GA

$19.50 - $25.25/hr

Provide on-going support, case management, and skills training in accordance with the strengths ... Perform additional duties assigned by team lead/program manager/director. WORKING CONDITIONS ...

dekalbcsb

Case Manager

Decatur, GA · On-site

$19.50 - $25.25/hr

Provide on-going support, case management, and skills training in accordance with the strengths ... Perform additional duties assigned by team lead/program manager/director. WORKING CONDITIONS ...

DeKalb Community Service Board

Case Manager

Decatur, GA · On-site

$19.50 - $25.25/hr

Provide on-going support, case management, and skills training in accordance with the strengths ... Perform additional duties assigned by team lead/program manager/director. WORKING CONDITIONS ...

MedCura Health

Case Manager

Stone Mountain, GA · On-site

$18 - $23.25/hr

Working under the direction of the Director of Clinical Quality, this position helps bridge gaps in ... case management, or nursing. * Familiarity with EMR systems and documentation standards.

MedCura Health

Case Manager

Stone Mountain, GA

$18 - $23.25/hr

Working under the direction of the Director of Clinical Quality, this position helps bridge gaps in ... case management, or nursing. * Familiarity with EMR systems and documentation standards.

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Director Aetna Case Management information

See Decatur, GA salary details

$43.9K

$120.7K

$194.8K

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

As of Sep 4, 2026, the average yearly pay for director aetna case management in Decatur, GA is $120,685.00, according to ZipRecruiter salary data. Most workers in this role earn between $95,700.00 and $138,200.00 per year, depending on experience, location, and employer.

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 are the key skills and qualifications needed to thrive as a director of Aetna Case Management?

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 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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For Director Aetna Case Management jobs in Decatur, GA, the most frequently searched job titles are:

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Cities near Decatur, GA with the most Director Aetna Case Management job openings:

Director Aetna Case Management jobs near you

MCS Case Manger (Multi-Lingual)

POSITIVE GROWTH INC

Clarkston, GA • On-site

$15 - $25/hr

Full-time

Re-posted 13 days ago

Job description

About Company:

Positive Growth Inc. is the premier residential and community-based mental health service agency in Clarkston Georgia. We are dedicated to improving the lives of children, youth and families during difficult life transitions by providing comprehensive residential and community-based treatment services. Out goals are to provide high quality, culturally appropriate, strength-based, services; and to empower people to live productive and valued lives. 

About the Role:

The MCS Case Manager (Multi-Lingual) plays a critical role in coordinating and managing comprehensive care services for clients within diverse communities across the United States. This position involves assessing client needs, developing individualized care plans, and facilitating access to appropriate resources and support systems. The Case Manager acts as a liaison between clients, healthcare providers, and community organizations to ensure seamless service delivery and positive outcomes. Multilingual capabilities are essential to effectively communicate with clients from various linguistic backgrounds, enhancing engagement and trust. Ultimately, this role aims to improve client well-being by providing culturally sensitive, personalized case management and advocacy.

Minimum Qualifications:

  • Bachelor’s degree in Social Work, Nursing, Psychology, or a related field.
  • At least two years of experience in case management or a related healthcare/social services role.
  • Proficiency in English and at least one additional language commonly spoken in the United States.
  • Strong knowledge of community resources, healthcare systems, and social service programs.
  • Excellent organizational, communication, and interpersonal skills.

Preferred Qualifications:

  • Master’s degree in Social Work (MSW) or related discipline.
  • Certification in Case Management (CCM) or equivalent credential.
  • Experience working with diverse populations, including immigrant and refugee communities.
  • Familiarity with electronic health records (EHR) and case management software.
  • Additional language proficiencies beyond the minimum requirement.

Responsibilities:

  • Conduct thorough assessments of clients’ medical, social, and psychological needs to develop tailored care plans.
  • Coordinate and monitor services by collaborating with healthcare providers, social services, and community resources.
  • Maintain accurate and up-to-date case records, documenting client progress and service delivery.
  • Provide direct support and advocacy for clients, ensuring they understand and can access available services.
  • Utilize multilingual skills to communicate effectively with clients and stakeholders, overcoming language barriers.
  • Identify and address potential barriers to care, including cultural, linguistic, and socioeconomic factors.
  • Participate in interdisciplinary team meetings to discuss client cases and optimize care strategies.
  • Educate clients and their families about health management, community resources, and self-advocacy.

Skills:

The required skills enable the Case Manager to perform comprehensive client assessments, develop effective care plans, and coordinate services efficiently. Multilingual communication skills are essential for building rapport and trust with clients from diverse linguistic backgrounds, ensuring clear understanding and engagement. Strong organizational abilities support meticulous documentation and case tracking, which are critical for monitoring client progress and compliance. Interpersonal and advocacy skills empower the Case Manager to navigate complex healthcare and social service systems on behalf of clients. Preferred skills such as certification and advanced degrees enhance the ability to apply best practices and specialized knowledge, while familiarity with technology streamlines case management processes.