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Director Aetna Case Management Jobs in Reno, NV (NOW HIRING)

CVS Health

Case Manager, Registered Nurse

Carson City, NV · Remote

$54.10K - $155.54K/yr

American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna ... Using a holistic approach, consults with clinical colleagues, supervisors, Medical Directors and/or ...

CVS Health

Case Manager, Registered Nurse

Carson City, NV · Remote

$54.10K - $155.54K/yr

American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna ... Using a holistic approach, consults with clinical colleagues, supervisors, Medical Directors and/or ...

genex

Medical Nurse Case Manager

Reno, NV

Minimum of two (2) years full time equivalent of direct clinical care to consumersrequired. Workers' compensation-related experience preferred. Prior case management experience preferred. MINIMUM ...

genex

Medical Nurse Case Manager

Reno, NV · On-site

Minimum of two (2) years full time equivalent of direct clinical care to consumersrequired. Workers' compensation-related experience preferred. Prior case management experience preferred. MINIMUM ...

Genex

Medical Nurse Case Manager

Reno, NV · On-site

Minimum of two (2) years full time equivalent of direct clinical care to consumers required. Workers' compensation-related experience preferred. Prior case management experience preferred. MINIMUM ...

Pivotal Placement Services

Field Case Manager (RN)

Reno, NV · On-site

$90K - $110K/yr

... Management company that empowers Registered Nurses with greater autonomy over their caseloads ... We offer tailored services including Direct Placement, Right-to-Hire Contract Staffing, and Managed ...

Zenova

Case Manager Telehealth - Zenova

Carson City, NV · On-site

$19.50 - $25.25/hr

... direct clinical care, which includes lives saved by Narcan. We offer ongoing training and ... Management in a corrections environment preferred. Licenses/Certifications * Have and maintain ...

GGRM Law Firm

Case Manager

Reno, NV

$48K - $72K/yr

Ensuring case management software (CMS) feed is cleared daily * Completing all assigned tasks by ... as directed by the assigned attorney * Meeting with the assigned attorney on a regular basis to ...

City of Carson, NV

DAS Case Worker

Carson City, NV · On-site

$24.86 - $34.81/hr

Continuous Description Responsible for providing case management services to residents requiring stabilization assistance; provides direct assistance and referrals to a broad array of community ...

GGRM Law Firm

Case Manager

Reno, NV · On-site

$48K - $72K/yr

Ensuring case management software (CMS) feed is cleared daily * Completing all assigned tasks by ... as directed by the assigned attorney * Meeting with the assigned attorney on a regular basis to ...

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Director Aetna Case Management information

See Reno, NV salary details

$44.9K

$123.2K

$198.9K

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 Reno, NV is $123,248.00, according to ZipRecruiter salary data. Most workers in this role earn between $97,700.00 and $141,100.00 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.

What are the most commonly searched types of Aetna Case Management jobs in Reno, NV? The most popular types of Aetna Case Management jobs in Reno, NV are:
What are popular job titles related to Director Aetna Case Management jobs in Reno, NV? For Director Aetna Case Management jobs in Reno, NV, the most frequently searched job titles are:
What job categories do people searching Director Aetna Case Management jobs in Reno, NV look for? The top searched job categories for Director Aetna Case Management jobs in Reno, NV are:
Director Aetna Case Management jobs near you
Director of Case Management

Director of Case Management

Prime Healthcare

Reno, NV

Full-time

Posted 8 days ago

Prime Healthcare rating

6.3

Company rating: 6.3 out of 10

Based on 268 frontline employees who took The Breakroom Quiz

661st of 864 rated healthcare providers

Job description

Welcome to St. Mary's Regional Medical Center - The Best Hospital in Reno

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Saint Mary’s Health Network, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

As a long-standing community partner with a 118-year history, Saint Mary’s Health Network offers Northern Nevada inpatient, outpatient, ancillary, and wellness services. Nationally recognized and accredited by the Joint Commission, as well as named one of the Top 100 Hospitals by Fortune/Merative and America’s Best 250 hospitals by Healthgrades, Saint Mary’s Regional Medical Center is a 352-bed acute care hospital offering a robust line of inpatient, outpatient and ancillary services including a top-rated Center for Cancer, surgical and orthopedic services, and an award-winning Cardiology program and more. The health system, a member of Prime Healthcare, also operates a fully-integrated Medical Group, multiple urgent care clinics, freestanding imaging, lab, and primary care clinics. For more information, visit www.SaintMarysReno.com.


The Director of Case Management is responsible for the development of staff and systems to effectively operate a comprehensive Case Management Program. Provides leadership and supervision to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and utilization technicians.  Assesses needs and plans, communicates and designs services that are appropriate to the hospital mission and patient/family needs.  Integrates and coordinates services using continuous quality improvement tools.


EDUCATION, EXPERIENCE, TRAINING

Required qualifications:

  1. Licensed clinician in your state or;
  2. Grandfathered prior to April 1, 2015. Minimum 5 years’ post graduate of an accredited school of Social Work for Licensed Clinical Social Worker.
  3. Minimum 5 years’ experience in a Case Management position.
  4. Must have analytical ability for problem identification and assessment and evaluation of data/statistics obtained from an on-going review process.
  5. Experience and knowledge in basic to intermediate computer skills.

Preferred qualifications:

  1. CCM or obtained within 1year
  2. BS or BSN or related field preferred.
  3. Current BCLS certificate preferred.
  4. Knowledge of Milliman Criteria and InterQual Criteria preferred.

Full Time
Days

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

 

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