Adult Services Coordinator
Welcome to Aetna, where we believe in helping people live healthier and happier lives. We are currently seeking an experienced and motivated Adult Services Coordinator to join our team. In this role, you will have the opportunity to make a positive impact on the lives of our adult members by coordinating and managing their healthcare needs. We are looking for a candidate who is passionate about providing exceptional customer service and has a strong understanding of adult healthcare services. If you are a dedicated and compassionate individual who meets the qualifications listed below, we encourage you to apply for this exciting opportunity at Aetna. Coordinate and manage the healthcare needs of adult members to ensure they receive high-quality and timely care. Serve as the primary point of contact for adult members, providing exceptional customer service and addressing any inquiries or concerns they may have. Collaborate with healthcare providers, including physicians, specialists, and facilities, to ensure coordinated and effective care for adult members. Conduct assessments and develop care plans for adult members based on their individual healthcare needs. Monitor and track adult members' healthcare utilization and outcomes, making adjustments to care plans as necessary. Educate adult members on their healthcare benefits and available resources to help them make informed decisions about their care. Advocate for adult members and assist them in navigating the healthcare system to access needed services. Stay up-to-date on industry trends and changes in adult healthcare services, and make recommendations for improvement to enhance the member experience. Collaborate with internal teams, such as case managers and claims specialists, to ensure seamless and efficient delivery of services to adult members. Maintain accurate and thorough documentation of all interactions with adult members and their healthcare providers. Adhere to all company policies and procedures, as well as regulatory guidelines, to ensure compliance and protect the confidentiality of adult members' health information. Participate in team meetings and trainings to continuously improve knowledge and skills related to adult healthcare services. Maintain a positive and professional attitude and represent Aetna's mission and values in all interactions with adult members and colleagues. Other duties as assigned by management. Aetna is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Apply tot his job