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Weekend Aetna Case Management Jobs in Raleigh, NC

... hours or weekend hours) Job Location Raleigh, NC Department EHPS - Risk Assessment About the ... Professional Knowledge and Case Management Practice - 30% Bring your analytical skills and ...

They are responsible for the delivery of case management services, individual and family counseling ... Maintains flexible working hours and works weekends or holidays as needed. Qualifications The ...

Case Manager

Raleigh, NC · On-site

$19.50 - $25/hr

Provides case management to an assigned group of patients and ancillary staff * Understands and ... Takes on-call duty nights, weekends, and holidays, as assigned. When functioning as the on-call RN ...

Case Manager

Raleigh, NC

$19.50 - $25/hr

Provides case management to an assigned group of patients and ancillary staff * Understands and ... Takes on-call duty nights, weekends, and holidays, as assigned. When functioning as the on-call RN ...

Work with Utilization Management partners to provide information and feedback that will enhance ... Job responsibilities may include site specific duties, weekend/holiday or after hours coverage as ...

Work with Utilization Management partners to provide information and feedback that will enhance ... Job responsibilities may include site specific duties, weekend/holiday or after hours coverage as ...

Work with Utilization Management partners to provide information and feedback that will enhance ... Job responsibilities may include site specific duties, weekend/holiday or after hours coverage as ...

Showing results 21-40

Weekend Aetna Case Management information

See Raleigh, NC salary details

$14

$24

$41

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

As of Aug 8, 2026, the average hourly pay for weekend 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 Weekend Aetna Case Manager?

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 typical responsibilities and challenges faced by a Weekend Aetna Case Manager?

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 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 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 Weekend Aetna Case Management jobs? Cities near Raleigh, NC with the most Weekend Aetna Case Management job openings:

Case Manager Monday through Friday

Duke Health

Raleigh, NC • On-site

Full-time

Posted 10 days ago


Duke Health rating

7.3

Company rating: 7.3 out of 10

Based on 253 frontline employees who took The Breakroom Quiz

305th of 887 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 Raleigh Hospital, A Campus of Duke University Hospital
Pursue your passion for caring with the Duke Raleigh Campus in Raleigh, North Carolina. With 204-beds, it is the third largest of the four Duke Health hospitals and offers a comprehensive array of services, including cancer, cardiovascular, neuroscience, advanced gastrointestinal, and wound healing care.
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)

Monday - Friday with One weekend day/month
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 Responsibilities
Care 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 Qualifications
Education
  • 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.

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