Responsable Comercial de Tienda
Clicars
RN – Maternity Case Manager
The Cigna Group
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $76,600 - $127,600 per year
Job Level
JuniorMid-Level
About the role
- 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.
Requirements
- Active unrestricted Registered Nurse (RN) license in state or territory of the United States.
- Minimum of two years full-time direct patient care as an RN required.
- For Specialty Case management positions, experience in the specialty (Maternity) preferred.
- Must have an active and unencumbered RN License.
- 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).
- Skilled in clinical acumen to form a judgement and act.
- 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 sensitivity to culturally diverse situations, participants, and customers.
- Demonstrates effective organizational skills and flexibility to meet the business needs.
- Adapts approach and demeanor in real time to match the shifting demands of different situations.
- Ability to manage multiple, complex situations in a fast-paced environment collaborating with clinical and other business partners.
Benefits
- Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
- 401(k) with company match
- Company paid life insurance
- Tuition reimbursement
- A minimum of 18 days of paid time off per year
- Paid holidays
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
Registered Nurse (RN) licensedirect patient careclinical acumencase managementmotivational interviewingbehavior changeshared decision makinghealth promotiondisease preventionURAC-recognized certification
Soft skills
communication skillsconflict resolutionorganizational skillsflexibilitycultural sensitivitycollaborationadaptabilityjudgmentprofessionalismcustomer empowerment
Certifications
active RN licenseURAC-recognized certification in case management
