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Weekend Aetna Case Management Jobs in Indiana (NOW HIRING)

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Weekend Aetna Case Management information

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

To succeed as a Weekend Aetna Case Manager, you need a background in nursing or social work, strong knowledge of case management principles, and appropriate state licensure or certification. Familiarity with case management software, utilization review tools, and electronic health records is typically required. Excellent communication, organizational, and critical thinking skills are vital for effectively coordinating care and advocating for patients. These skills ensure efficient case resolution, compliance with health plan requirements, and optimal patient outcomes during weekend shifts.

What are the typical responsibilities and challenges faced by a Weekend Aetna Case Management nurse?

Weekend Aetna Case Management nurses are responsible for coordinating patient care, conducting telephonic assessments, developing care plans, and ensuring members have access to appropriate resources. A key challenge is managing complex cases with limited in-person provider access over the weekend, which requires strong problem-solving skills and effective remote communication. Collaboration with multidisciplinary teams—including physicians, social workers, and pharmacists—is essential, even during off-hours. Successful candidates are adaptable, organized, and comfortable with technology-driven case documentation and communication.

What are Weekend Aetna Case Managers?

Weekend Aetna Case Managers are healthcare professionals who work specifically on weekends to coordinate and manage care for Aetna insurance members. Their responsibilities include assessing patient needs, creating care plans, coordinating with healthcare providers, and ensuring patients receive appropriate and cost-effective care. They often work remotely or in clinical settings, focusing on discharge planning, utilization review, and member advocacy. These roles require strong clinical knowledge, communication skills, and an understanding of insurance guidelines. Weekend shifts help ensure that members receive continuous support and care management even outside of standard business hours.

What is the difference between Weekend Aetna Case Management vs Weekend Aetna Utilization Review?

AspectWeekend Aetna Case ManagementWeekend Aetna Utilization Review
CertificationsCase Management Certification (CCM), RN or social work licenseUtilization Review Certification, RN or licensed healthcare professional
Work EnvironmentPatient interaction, care planning, coordinationReview of medical records, approval of services, compliance checks
Employer & IndustryHealth insurance, managed care organizationsHealth insurance, managed care organizations

Weekend Aetna Case Management involves direct patient interaction and care coordination, while Weekend Aetna Utilization Review focuses on evaluating medical necessity and approving services through record review. Both roles require healthcare licenses and are integral to insurance companies' operations, but they differ in daily tasks and focus areas.

What are the most commonly searched types of Aetna Case Management jobs in Indiana? The most popular types of Aetna Case Management jobs in Indiana are:
What cities in Indiana are hiring for Weekend Aetna Case Management jobs? Cities in Indiana with the most Weekend Aetna Case Management job openings:
Case Management Lead - BSN

Case Management Lead - BSN

Parkview Health

Fort Wayne, IN

Full-time

Posted 6 days ago


Parkview Health rating

7.1

Company rating: 7.1 out of 10

Based on 268 frontline employees who took The Breakroom Quiz

369th of 864 rated healthcare providers


Job description

Summary

Supports the department Manager and Director in the daily operations of the department; and in mentoring and professional development of staff. Responsible and accountable for translating the mission, strategic goals and department priorities. Supports and maintains a culture of continuous process improvement as related to care coordination and case management. Works collaboratively with the health care team to remove barriers and achieve the desired outcomes for patient/families. Develops informational and educational content for department meetings as required. Supports manager in leadership and development opportunities and provides performance input to the manager for staff yearly appraisals.

Education

Bachelor of Science in Nursing (BSN) required.

Licensure/Certification

Must be an RN with current licensure. CPHQ or CCM highly desirable.

Experience

Preferred recent experience in acute care setting. Preferred experience in Case Management. Preferred experience or knowledge of InterQual Criteria.

Other Qualifications

Must have a broad base of clinical knowledge and understanding of pathology and physiology. Must have good verbal and written communication skills. Must be available to work flexible hours, assuming on-call duties on weekends and other times when deemed necessary. Must be available to respond within a reasonable length of time. Possesses strong critical thinking skills. Ability to lead and direct co-workers in a positive and professional manner. Demonstrates continued professional development. Strong working knowledge of information technology. Ability to work collaboratively to achieve desired outcomes.


What Parkview Health employees say

Pay

Benefits

Hours and flexibility

Workplace

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About Parkview Health

Sourced by ZipRecruiter

Parkview Health, headquartered in Fort Wayne, IN, US, operates within the healthcare industry providing a wide range of medical services and community wellness programs. These include primary care, specialty health services, emergency care, rehabilitation, and home health services among others. The non-profit health system was founded in 1878 and continues to serve its surrounding communities with a dedication to quality health and wellness.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Fort Wayne, IN, US

Year founded

1995