Remote Care Coordination Specialist Healthcare

The Opportunity

At Aetna, we believe that exceptional healthcare starts with seamless coordination. As a Remote Care Coordination Specialist, you will serve as a vital link between Aetna members, healthcare providers, and our internal clinical teams. Your primary goal will be to ensure that members navigating complex medical situations — from hospital discharges to chronic disease management — receive timely, coordinated support that keeps them on track with their care plans. This is a rewarding opportunity to make a meaningful difference in the lives of individuals and families managing serious health challenges.

Your Day-to-Day

• Coordinate post-discharge care plans for members transitioning from hospital to home or post-acute settings
• Liaise between Aetna's clinical teams, primary care physicians, specialists, and community resources
• Contact members by phone and digital channels to assess care needs, confirm appointments, and address barriers to care
• Process referrals and prior authorization requests in accordance with clinical guidelines
• Maintain accurate and up-to-date member records in Aetna's care coordination platform
• Monitor member progress against care plan milestones and escalate concerns to clinical managers
• Support members in accessing community health programs, social services, and durable medical equipment

Who You Are

• You have 2+ years of experience in care coordination, case management support, or healthcare administration
• You have strong knowledge of managed care concepts, referral processes, and prior authorization workflows
• You communicate clearly and compassionately with members from diverse health literacy backgrounds
• You are organized, detail-oriented, and capable of managing a large caseload efficiently
• You are familiar with HIPAA standards and healthcare privacy regulations
• You hold at minimum a high school diploma; a medical assistant certificate or healthcare-related associate's degree is a plus

Benefits & Perks

• Competitive pay commensurate with experience
• Full suite of Aetna health benefits available from your first day on the job
• Wellness programs, gym reimbursement, and mental health days
• Paid parental leave and family care resources
• Structured career path within Aetna's Care Management and Population Health teams
• Remote work with equipment and technology provided by Aetna