Nurse Case Manager
The Cigna Group
full-time
Posted on:
Location Type: Remote
Location: Pennsylvania • United States
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Salary
💰 $77,500 - $129,100 per year
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
- 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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Registered Nurse (RN) licensenursing degreecase managementmotivational interviewingbehavior changehealth promotiondisease preventionclinical expertisepatient carestandard operating procedures
Soft Skills
communication skillsorganizational skillsflexibilityconflict resolutioncollaborationcustomer empowermentgoal settinginterpersonal skillstime managementprioritization
Certifications
URAC-recognized certification in case management