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Remote Aetna Case Management Jobs in Springfield, IL

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Reconcile figures and case counts across report sections and data sources, identifying and ...

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Reconcile figures and case counts across report sections and data sources, identifying and ...

Remote Aetna Case Management information

See Springfield, IL salary details

$14

$24

$42

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

As of Aug 9, 2026, the average hourly pay for remote aetna case management in Springfield, IL is $24.54, according to ZipRecruiter salary data. Most workers in this role earn between $19.04 and $26.68 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?

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 job categories do people searching Remote Aetna Case Management jobs in Springfield, IL look for? The top searched job categories for Remote Aetna Case Management jobs in Springfield, IL are:
What cities near Springfield, IL are hiring for Remote Aetna Case Management jobs? Cities near Springfield, IL with the most Remote Aetna Case Management job openings:

Case Management Coordinator (Kankakee, Iroquois, Livingston, Ford)

4004 Aetna Medicaid Administrators

Springfield, IL • Remote

$21.10 - $44.99/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

This job post has expired 2 days ago. Applications are no longer accepted.


Job description

Program Overview Support dual‐eligible Medicare and Medicaid members in Kankakee, Iroquois, Livingston, Ford, Champaign and surrounding counties. Provide case management to improve health outcomes. Position Summary / Mission Case Management Coordinator collaborates within the case management team and streamlines care for members through appointment scheduling, benefit education and care plan implementation. Key Responsibilities Evaluate members' eligibility and need using care tools and recommend case resolutions. Identify high‐risk factors and refer to clinical case management or crisis intervention. Coordinate and monitor assigned care plan activities. Consult with case managers, supervisors, medical directors and other programs to overcome barriers and present cases at conferences. Escalate quality‐of‐care issues and use negotiation skills to secure needed services. Use motivational interviewing to promote member engagement and lifestyle change. Document care activities in compliance with regulatory and company policies. Participate in team meetings and provide peer mentoring or training. Support members in engaging with providers for decision‐making. Required Qualifications Preferred experience in case management and discharge planning. At least two years in behavioral health, social services or equivalent. Preferred managed‐care experience. Strong analytical and problem‐solving skills. Excellent communication, organizational and interpersonal skills. Ability to work independently and use virtual collaboration tools. Willingness to travel within the geographic area. Proficiency with MS Word, Excel, Outlook, PowerPoint and proprietary systems. Education Bachelor's degree or non‐licensed master's‐level clinician in behavioral health or human services (psychology, social work, marriage & family therapy, counseling). Anticipated Weekly Hours 40 hours per week. Pay Range Base hourly rate: $21.10 - $44.99. Additional incentive programs and benefits may apply. Benefits Eligible for comprehensive health, dental, vision coverage, paid time off, retirement savings and wellness programs. Application Window Applications close on 08/15/2026. EEO Statement Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. #J-18808-Ljbffr