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Remote Aetna Case Management Jobs in Rochester, MN

MDS Solutions

REMOTE MDS Coordinator

Rochester, MN · Remote

$33.50 - $42.75/hr

The role of the Remote MDS Coordinator is to work with our contract partners to plan, organize, and ... Provide Medicare, Medicaid (case mix), and Managed Care oversight to ensure appropriate clinical ...

MDS Solutions

REMOTE MDS Coordinator

Rochester, MN · On-site +1

$33.50 - $42.75/hr

The role of the Remote MDS Coordinator is to work with our contract partners to plan, organize, and ... Provide Medicare, Medicaid (case mix), and Managed Care oversight to ensure appropriate clinical ...

MDS Solutions

REMOTE MDS Coordinator

Rochester, MN · Remote

$33.50 - $42.75/hr

The role of the Remote MDS Coordinator is to work with our contract partners to plan, organize, and ... Provide Medicare, Medicaid (case mix), and Managed Care oversight to ensure appropriate clinical ...

Dutch

Virtual Care Veterinarian (Remote)

Rochester, MN · Remote

$50 - $80/hr

... the case * Provide evidence-based treatment recommendations, including prescriptions when ... Comfort using telehealth tools and managing consults independently What to Expect This is a 1099 ...

Lennar

Field Customer Care Rep

Rochester, MN · Remote

$32.96 - $37/hr

... and case history to ensure familiarity with the matter. Use remote assistance tools to patiently ... Must possess good organizational and time-management skills, and understand technical aspects of ...

All JobsAetna Case Management JobsRemote Aetna Case Management JobsRemote Aetna Case Management Jobs in Rochester, MN

Remote Aetna Case Management information

See Rochester, MN salary details

$14

$25

$43

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

As of Jul 17, 2026, the average hourly pay for remote aetna case management in Rochester, MN is $25.16, according to ZipRecruiter salary data. Most workers in this role earn between $19.57 and $27.36 per hour, depending on experience, location, and employer.

What is the difference between Remote Aetna Case Management vs Remote UnitedHealthcare Case Management?

AspectRemote Aetna Case ManagementRemote UnitedHealthcare Case Management
Required CredentialsRN or licensed healthcare professional, case management certificationRN or licensed healthcare professional, case management certification
Work EnvironmentRemote, healthcare insurance industryRemote, healthcare insurance industry
Employer & Industry UsageAetna, health insurance providersUnitedHealthcare, health insurance providers

Both Remote Aetna Case Management and Remote UnitedHealthcare Case Management roles require similar credentials, including RN licensure and case management certification. They operate in a remote work environment within the health insurance industry and are employed by leading insurance providers. The primary difference lies in the employer, with each role supporting their respective company's members and healthcare plans. Overall, they share many similarities but serve different corporate clients.

What are the key skills and qualifications needed to thrive as a Remote Aetna Case Manager, and why are they important?

To thrive as a Remote Aetna Case Manager, you need a background in nursing or social work (often requiring an RN license or relevant degree), strong case management experience, and knowledge of healthcare regulations. Familiarity with case management software, electronic health records (EHRs), and telehealth platforms is typically required. Excellent communication, problem-solving, and organizational skills help build rapport with patients and coordinate interdisciplinary care remotely. These skills ensure effective patient advocacy, streamlined care coordination, and compliance with Aetna's quality standards in a virtual environment.

What are some common challenges faced by remote Aetna case managers, and how can they be addressed?

Remote Aetna case managers often face challenges such as coordinating care across multiple providers virtually, managing a high caseload, and ensuring clear communication with both patients and healthcare teams. To address these challenges, it is important to utilize digital collaboration tools, maintain organized case notes, and establish regular check-ins with team members. Building strong relationships with patients and providers through proactive communication can also help streamline the care management process and improve outcomes.

What is remote Aetna case management?

Remote Aetna case management involves healthcare professionals, such as nurses or case managers, working from a remote location to help Aetna members manage their health conditions. These professionals assess patients' needs, coordinate care, and connect members with resources or services to improve their health outcomes. Remote case managers use phone calls, emails, and digital tools to communicate with members, providers, and care teams. This role aims to ensure members receive personalized support while reducing hospitalizations and improving overall well-being.
What are popular job titles related to Remote Aetna Case Management jobs in Rochester, MN? For Remote Aetna Case Management jobs in Rochester, MN, the most frequently searched job titles are:
What job categories do people searching Remote Aetna Case Management jobs in Rochester, MN look for? The top searched job categories for Remote Aetna Case Management jobs in Rochester, MN are:
What cities near Rochester, MN are hiring for Remote Aetna Case Management jobs? Cities near Rochester, MN with the most Remote Aetna Case Management job openings:
Remote Aetna Case Management jobs near you

REMOTE MDS Coordinator

MDS Solutions

Rochester, MN • Remote

$33.50 - $42.75/hr

Other

Medical, Life, Retirement, PTO

Posted 17 days ago

Job description

Overview

MDS Solutions, a division of Key Rehabilitation, is looking for fun, energetic, and self-driven team members to join our remote MDS consulting group.  The role of the Remote MDS Coordinator is to work with our contract partners to plan, organize, and coordinate the completion of the Minimum Data Set (MDS) in accordance with current Federal and State Regulations. If you are looking for something that is flexible and collaborative, come join us!  We thrive on Quality Resident Care.

What do we offer you?

  • Creative, fun, and flexible working environment
  • The following benefits:
  • Competitive salaries and bonuses.
  • Comprehensive health and life insurance.
  • 401K with discretionary match
  • Mileage and licensure reimbursements.
  • Flexible Spending Account and HSA
  • Reasonable working hours.
  • CE opportunities.
  • Paid sick, holiday, and vacation leave.
  • Promotion/Transfer/Advancement opportunities.
  • Meaningful work and job satisfaction.
Responsibilities
  • MDS scheduling and coordinating to ensure timeliness of assigned sections of MDS per RAI guidelines, including coordinating care plan development and completion with the interdisciplinary team.
  • Provide Medicare, Medicaid (case mix), and Managed Care oversight to ensure appropriate clinical services are provided and appropriate reimbursement is received for each resident.
  • Develop an individualized, comprehensive resident care plan in collaboration with the interdisciplinary team to ensure care area triggers are addressed.
  • Ensure care plans are reviewed quarterly and updated as needed to reflect current resident status with individualized problems, goals, and interventions.
  • Review and verify MDS documentation and charting requirements to support the clinical services provided for each resident.
  • Ensure timely submission of all Minimum Data Sets to the state data base and ensures that the necessary follow-up action is taken.
  • Promote highest degree of quality care through QI/QM data with facility team and identify trends to assist facility in advancing facility processes, improve resident outcomes, and optimize reimbursement.
Qualifications
  • Nursing Experience in MDS Assessment: 3+ year
  • RN required 
  • RAC-CT preferred
  • Thorough understanding of PDPM requirements
  • Able to negotiate through EMR and possess strong computer skills
  • Promotes and demonstrates excellence in customer service
Employment Type: OTHER

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