The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

Nurse Case Manager

ManagerManagerFull TimeRemoteTeam 10,001+Since 1982H1B No SponsorCompany SiteLinkedIn

Location

Pennsylvania

Posted

22 days ago

Salary

$77.5K - $129.1K / year

Professional Certificate2 yrs expEnglish

Job Description

• Collaborates with customer in creation of care plan and documents plan in medical management system. • Partners with each customer to establish goals and interventions to meet the customer’s needs. • Establishes plan of care in conjunction with the customer and provider then document into a medical management system. • Utilizes motivational interviewing, behavior change, and shared decision making to help customers achieve optimal health and well-being. • Empowers customers with skills to enhance interaction with their providers. • Interfaces with the customer, family members/caregivers, providers, and internal partners to coordinate the needs of the customer through telephonic, email, text, and chat interactions. • Collaborates with nutritionist, pharmacist, behavioral clinician, Medical Director and customer's provider and other Cigna Medical Management programs to provide whole-person health support. • Tracks daily activities to trend volume and outcomes. • Follows standard operating procedures. • Toggles between multiple systems and applications. • Research relevant topics in health promotion and disease prevention as required for specific customers. • Prioritizes work to meet commitments aligned with organizational goals. • Understands and adheres to Case Management performance measures to deliver on key results. • Completes training within the communicated time limit as required per role. • Demonstrates evidence of continuing education to maintain clinical expertise and certification as appropriate.

Job Requirements

  • Active unrestricted Registered Nurse (RN) license in state or territory of the United States
  • Two years of full-time direct patient care setting as an RN required.
  • Must have a nursing degree from an accredited nursing program
  • Must be flexible to work days or evenings based on business needs
  • Available to work evenings with a 12% shift differential
  • Within four (4) years of hire as a case manager will possess a URAC-recognized certification in case management.
  • Excellent communication skills including telephonic (verbal) and digital (messaging, emails).
  • Strong computer skills in Microsoft Word, Excel, Outlook, and ability to perform thorough internet research.
  • Ability to recognize, address and resolve conflicts in a professional, collaborative manner.
  • Demonstrates effective organizational skills and flexibility to meet the business needs.

Benefits

  • medical
  • vision
  • dental
  • well-being and behavioral health programs
  • 401(k)
  • company paid life insurance
  • tuition reimbursement
  • a minimum of 18 days of paid time off per year
  • paid holidays

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