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Director Aetna Case Management Jobs in Decatur, GA

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.

Step Up on Second, Inc

RHI Case Manager

Atlanta, GA · On-site

Direct Service and Support: * Provide intensive case management Housing First services to chronically homeless persons to maintain Permanent Supportive Housing. Services include: conduct intake and ...

Shepherd Center

PRN Case Manager

Atlanta, GA · On-site

$19.25 - $24.75/hr

... case management office. * Provides the team with active support by meeting with patient's, families, and vendors to create the best outcomes for our patient treatment plans. * Provides direct ...

Shepherd Center

PRN Case Manager

Atlanta, GA · On-site

$19.25 - $24.75/hr

... case management office. * Provides the team with active support by meeting with patient's, families, and vendors to create the best outcomes for our patient treatment plans. * Provides direct ...

Morgan & Morgan, P.A.

Case Manager

Atlanta, GA

$19.25 - $24.75/hr

... management and support of case files * Maintain organized case files. * Prepare comprehensive demands and assemble support for submission to carriers under the direct supervision of an attorney

dekalbcsb

Housing Support Case Manager

Decatur, GA · On-site

$20.25 - $24.50/hr

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

dekalbcsb

Housing Support Case Manager

Decatur, GA · On-site

$20.25 - $24.50/hr

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

genex

Telephonic Nurse Case Manager

Atlanta, GA · On-site

Provision of comprehensive Utilization Management, incorporating the strategies of cost containment ... Minimum of two (2) years full time equivalent of direct clinical care to consumers/ clinical ...

genex

Telephonic Nurse Case Manager

Atlanta, GA · On-site

Provision of comprehensive Utilization Management, incorporating the strategies of cost containment ... Minimum of two (2) years full time equivalent of direct clinical care to consumers/ clinical ...

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All JobsAetna Case Management JobsDirector Aetna Case Management JobsDirector Aetna Case Management Jobs in Decatur, GA

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.

What are popular job titles related to Director Aetna Case Management jobs in Decatur, GA?

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

What job categories do people searching Director Aetna Case Management jobs in Decatur, GA look for?

The top searched job categories for Director Aetna Case Management jobs in Decatur, GA are:

What cities near Decatur, GA are hiring for Director Aetna Case Management jobs?

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

Director Aetna Case Management jobs near you

Case Manager

MedCura Health

Stone Mountain, GA • On-site

$18 - $23.25/hr

Full-time

Re-posted 19 days ago

Job description

Overview

The Case Manager plays a vital role in supporting patients across multiple specialties by coordinating care, facilitating access to services, and ensuring continuity throughout the healthcare journey. Working under the direction of the Director of Clinical Quality, this position helps bridge gaps in care, reduce barriers, and promote patient-centered outcomes.

Qualifications
  • Active Licensed Practical Nurse (LPN) license in the state of Georgia.
  • 2+ years of experience in outpatient care coordination, case management, or nursing.
  • Familiarity with EMR systems and documentation standards.
  • Experience in a multi-specialty or community health setting.
  • Knowledge of Medicaid/Medicare and commercial insurance processes.
  • Excellent communication, organizational, leadership and customer service skills.
  • Excellent phone etiquette.
Responsibilities
  • Assess patient needs and develop individualized care plans in collaboration with providers and clinical teams.
  • Coordinate referrals, follow-ups, and transitions between specialties and external services.
  • Monitor patient progress and proactively address gaps in care or barriers to treatment.
  • Maintain accurate and timely documentation in the Electronic Health Record (EHR).
  • Ensure compliance with federal, state, and organizational guidelines, including company and regulatory standards.
  • Track and report patient outcomes, service utilization, and care plan adherence.
  • Serve as a liaison between patients, providers, referral coordinators, and external agencies.
  • Participate in department team meetings to review complex cases and align care strategies.
  • Communicate effectively with patients to provide education, support, and advocacy.
  • Assist in collecting and analyzing data related to care coordination and patient outcomes.
  • Support quality improvement initiatives led by the Director of Clinical Quality.
  • Contribute to departmental goals by working referral, prior authorization, and refill queues in the EHR when needed.
  • Conduct patient intake and clinical triage, assessing presenting concerns, and promptly consulting with providers when expanded clinical guidance or urgent care decisions are needed.
Employment Type: FULL_TIME

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