Aetna's Corporate Care Management is expanding our Engagement Hub services. The Engagement Hubs are focused on driving member engagement into Aetna's Care Management programs, while also delivering care services to members who do not need long term support but have immediate care needs. The Information and Referral Specialist provides information, referral, assistance with accessing resources, health coaching, and supportive care to members. The I&R Specialist will support multiple member service initiatives by assessing the member's stated and unstated needs, addressing resource needs, and effectively utilizing community, health care, and plan benefit resources.
Utilize designated interactions to assess the member's stated and unstated needs, including social determinants of health
Thoroughly complete member questionnaires, accurately assess member need, and appropriately document results in the member record
Secure resources to address the member's needs, including connection to community and national resources
Accurately assess the need for clinical (Nurse RN or Social Worker) intervention and work closely with Engagement Hub Clinical Consultants to serve our members
Educate members on available services and empower participation
Assist the member in actively participating with their health care providers and Aetna Care Management teams regarding decisions that impact their health and well-being
Document all member interaction into the appropriate member record(s)
Demonstrate empathy for situations faced by our members and their caregivers
Troubleshoot unavailability of resources, securing support as needed to close member gaps
Assist members in problem-solving when no services are available which can meet their needs
Follow program workflows consistently, following up with members to ensure needed services were secured and meeting the member's needs
At least 2 years working within the healthcare, non-profit, or community-based services industry
Candidates with experience in information & referral, health coaching, care management, social work, aging network, sales, or similar backgrounds are encouraged to apply
Comprehensive working knowledge of services available within one's community and across our nation (e.g. faith based/nonprofit services)
Community health or public health experience preferred
Managed Care/Medicare/Medicaid experience preferred
Flexibility with work schedule to meet business needs
CVS Health requires its Colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, or religious belief that prevents them from being vaccinated.
If you are vaccinated, you are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status within the first 10 days of your employment. For the two COVID-19 shot regimen, you will be required to provide proof of your second COVID-19 shot within the first 45 days of your employment. In some states and roles, you may be required to provide proof of full vaccination before you can begin to actively work. Failure to provide timely proof of your COVID-19 vaccination status will result in the termination of your employment with CVS Health.
If you are unable to be fully vaccinated due to disability, medical condition, or religious belief, you will be required to apply for a reasonable accommodation within the first 10 days of your employment in order to remain employed with CVS Health. As a part of this process, you will be required to provide information or documentation about the reason you cannot be vaccinated. In some states and roles, you may be required to have an approved reasonable accommodation before you can begin to actively work. If your request for an accommodation is not approved, then your employment may be terminated.
Please see requirements above
The minimum level of education desired is a Bachelors Degree preferred. Candidates with at least 4 years of aligned experience, regardless of education, are encouraged to apply.
At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.
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