ZipRecruiter

Log In

1

Manager Aetna Case Management Jobs in Raleigh, NC

Duke Health

Case Manager Adult Transplant

Durham, NC · On-site

Relocation Assistance (based on eligibility) Inpatient Case Management or Transplant experience and NC LCSW License Highly Preferred The Case Manager is responsible for managing an assigned caseload ...

McKesson

Reimbursement Case Manager

Cary, NC · Hybrid

$25 - $26/hr

This role is responsible for reimbursement support, patient access services, and case management activities throughout the patient journey. The Reimbursement Case Manager conducts benefit ...

McKesson

Reimbursement Case Manager

Cary, NC · Hybrid

$25 - $26/hr

This role is responsible for reimbursement support, patient access services, and case management activities throughout the patient journey. The Reimbursement Case Manager conducts benefit ...

Summit BHC

Case Manager- Full Time

Garner, NC · On-site

... case management to the different units within the facility. Responsible for the overall discharge resource connection and aftercare planning needs and placement of the patient based on their ...

Summit BHC

Case Manager- Full Time

Raleigh, NC · On-site

... case management to the different units within the facility. Responsible for the overall discharge resource connection and aftercare planning needs and placement of the patient based on their ...

Advocate Aurora Health

Case Manager NEX-PRN

Wake Forest, NC · On-site

$38.20 - $57.30/hr

Previous Case Management experience preferred LICENSURE, CERTIFICATION, and/or REGISTRATION: Current licensure to practice as a Registered Nurse in the State of applicable state. Certification in ...

Valeris

Executive Case Manager (Remote)

Raleigh, NC · Remote

When you join the team as an Executive Case Manager, you'll have the opportunity to make a ... Relationship Management * Builds trusted relationships with patients, prescribers, and appropriate ...

paradigm

Nurse Case Manager - Raleigh, NC

Raleigh, NC · On-site

This individual is responsible for the medical case management of work-related injuries, which includes assessment, planning, coordination, implementation, and evaluation of injured/disabled ...

Mosaic Health, LLC.

Clinical Case Manager

Durham, NC · On-site

$67 - $111/hr

Active, unrestricted Registered Nurse (RN) license in the State of Florida (must be maintained) * 3+ years of clinical experience * 1+ year of case management experience preferred Preferred Skills ...

Duke University

Case Manager PRN

Durham, NC · On-site

Work with Utilization Management partners to provide information and feedback that will enhance ... NC) CASE MANAGER Job Level: G2 Duke is an Equal Opportunity Employer committed to providing ...

previous page

Showing results 41-60

All JobsAetna Case Management JobsManager Aetna Case Management JobsManager Aetna Case Management Jobs in Raleigh, NC

Manager Aetna Case Management information

See Raleigh, NC salary details

$14

$24

$41

How much do manager aetna case management jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for manager aetna case management in Raleigh, NC is $24.07, according to ZipRecruiter salary data. Most workers in this role earn between $18.70 and $26.15 per hour, depending on experience, location, and employer.

What is a manager in Aetna Case Management?

A Manager in Aetna Case Management leads a team of case managers who coordinate care for members with complex health needs. They oversee daily operations, ensure compliance with policies, and work to achieve quality and efficiency goals within the case management program. This role involves supervising staff, implementing best practices, and collaborating with other healthcare professionals to support members' health outcomes. Managers also contribute to strategic planning and process improvement initiatives within the organization.

What are the key skills and qualifications needed to thrive as a manager in Aetna Case Management?

To excel as a Manager in Aetna Case Management, you need a background in nursing, social work, or related healthcare fields, along with leadership experience and relevant licensure (e.g., RN, LCSW). Familiarity with case management software, utilization review systems, and healthcare compliance tools is typically required. Strong interpersonal skills, problem-solving abilities, and effective communication set outstanding managers apart in this role. These skills ensure the delivery of quality care coordination, regulatory compliance, and effective team leadership within a complex healthcare environment.

What are some common challenges faced by a manager in Aetna Case Management, and how can they be addressed?

As a Manager in Aetna Case Management, one common challenge is balancing team workloads while ensuring high-quality, compliant patient care. Managers often navigate complex cases with diverse patient needs and coordinate across interdisciplinary teams, which requires strong organizational and communication skills. Addressing these challenges typically involves fostering open communication, providing ongoing training, leveraging technology for efficient case tracking, and regularly reviewing team performance to identify areas for support and improvement.

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

AspectManager Aetna Case ManagementCase Manager Aetna
CertificationsTypically requires RN, CCM, or other healthcare case management certificationsUsually requires RN or relevant healthcare certifications
Work EnvironmentSupervises teams, manages case management programs, strategic planningHandles individual patient cases, direct patient interaction, care coordination
Employer & Industry UsageUsed in health insurance companies like Aetna, healthcare organizationsCommon in health insurance, healthcare providers, and managed care settings

The main difference is that the Manager Aetna Case Management oversees teams and programs within Aetna, focusing on strategic management, while the Case Manager Aetna directly manages patient cases and coordinates care. Both roles require healthcare certifications, but the managerial position involves leadership responsibilities and program oversight.

What are the most commonly searched types of Aetna Case Management jobs in Raleigh, NC?

The most popular types of Aetna Case Management jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Manager Aetna Case Management jobs?

Cities near Raleigh, NC with the most Manager Aetna Case Management job openings:

Manager Aetna Case Management jobs near you
Infographic showing various Manager Aetna Case Management job openings in Raleigh, NC as of August 2026, with employment types broken down into 86% Full Time, and 14% Contract. Highlights an 100% In-person job distribution, with an average salary of $50,056 per year, or $24.1 per hour.

Case Manager Adult Transplant

Duke Health

Durham, NC • On-site

Full-time

Re-posted 24 days ago

Duke Health rating

7.2

Company rating: 7.2 out of 10

Based on 256 frontline employees who took The Breakroom Quiz

345th of 898 rated healthcare providers

Job description

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

About Duke University Hospital

Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.

Duke Nursing Highlights:

  • Duke University Health System is designated as a Magnet organization
  • Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses.
  • Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.
  • Duke University Health System has 6000 + registered nurses
  • Quality of Life: Living in the Triangle!
  • Relocation Assistance (based on eligibility)

Inpatient Case Management or Transplant experience and NC LCSW License Highly Preferred

The Case Manager is responsible for managing an assigned caseload to ensure timely assessment, planning, implementation, and evaluation of discharge plans and care transitions across the continuum of care. This role supports optimal patient outcomes, effective resource utilization, and compliance with CMS and other regulatory agencies. The Case Manager collaborates closely with interdisciplinary teams, patients, families, and community partners to coordinate safe, efficient care transitions.

Key ResponsibilitiesCare Coordination & Discharge Planning
  • Assess all assigned patients for case management needs, including discharge planning, care transitions, advocacy, consultations, and patient/family education.
  • Develop, implement, and evaluate individualized discharge plans ensuring timely and appropriate transitions of care.
  • Coordinate services such as Home Health, Durable Medical Equipment (DME), transportation, Substance Abuse Treatment, outpatient follow-up, Skilled Nursing Facility (SNF) placement, and Acute Rehab referrals.
  • Monitor daily census to ensure all patients are evaluated for case management needs.
Collaboration & Communication
  • Maintain effective communication with the healthcare team regarding assessment findings, discharge needs, and provider orders.
  • Provide education to patients, families, and care teams regarding benefits, reimbursement guidelines, and regulatory requirements.
  • Collaborate with Utilization Management to support payer negotiations, reduce denials, and promote appropriate resource use.
Documentation & Compliance
  • Maintain timely, accurate documentation of assessments, interventions, discharge arrangements, and all actions taken.
  • Ensure compliance with federal, state, and local regulations, as well as organizational policies.
  • Prepare reports and maintain records as required.
Quality & Professional Development
  • Participate in Quality Assurance/Performance Improvement (QAPI) activities.
  • Represent the department with professionalism while fostering positive working relationships across Duke Health and external partners.
  • Provide weekend, holiday, or after-hours coverage as assigned based on entity needs.
Knowledge, Skills & Abilities
  • Ability to work independently in a self-directed role.
  • Strong problem-solving skills and ability to manage complex situations.
  • Excellent written and verbal communication skills.
  • Basic computer proficiency.
Minimum QualificationsEducation
  • BSN or MSW required
Experience
  • Minimum of 3 years of relevant experience

License and Certification

  • Case Management Certification (ACM, CCM, or ANCC) required within 3 years of hire
  • For BSN-prepared candidates:Must hold a current RN license (or compact license) in the state of North Carolina.

Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.


Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.


Essential Physical Job Functions:

Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.


Employment Type: FULL_TIME

What Duke Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply