RN – Complex Nurse Case Manager

The Cigna Group

RN Case Manager partnering with customers for individualized care plans and health navigation. Delivering Cigna’s whole-person health strategy for improved outcomes and customer experience.

Posted 4/14/2026full-timeRemote • 🇺🇸 United StatesJuniorMid-Level💰 $77,500 - $129,100 per yearWebsite

About the role

Key responsibilities & impact

Partner with customers to assess needs, develop individualized care plans, and document interventions and outcomes in Cigna medical management systems.
Collaborate with customers and providers to establish goals, interventions, and evidence-based plans of care.
Apply motivational interviewing, behavior change strategies, and shared decision-making to drive engagement and improved health outcomes.
Empower customers to effectively navigate the healthcare system and communicate with providers.
Coordinate care across customers, caregivers, providers, and internal partners via phone and digital channels (email, text, chat).
Collaborate with interdisciplinary teams—including pharmacists, nutritionists, behavioral clinicians, Medical Directors, and Medical Management programs—to support whole-person health.
Track, analyze, and document daily activity, volume, and outcomes to support performance and quality goals.
Follow established policies, procedures, and Case Management performance measures.
Efficiently navigate multiple systems and applications in a fast-paced, customer-focused environment.
Complete required training and maintain clinical knowledge, licensure, and certifications.

Requirements

What you’ll need

Active, unrestricted Registered Nurse (RN) license in a U.S. state or territory
Minimum of two (2) years of full-time direct patient care experience as an RN
Specialty case management experience, with Complex experience preferred for specialty roles
Ability to obtain a URAC-recognized Case Management certification within four (4) years of hire
Strong clinical judgment with the ability to assess risk, prioritize care, and act decisively
Excellent verbal and written communication skills across phone and digital platforms
Proficiency in Microsoft Word, Excel, Outlook, and online research tools
Demonstrated ability to resolve conflict, collaborate across teams, and interact with diverse populations
Strong organizational skills, adaptability, and comfort managing multiple complex cases simultaneously

Benefits

Comp & perks

Medical, vision, dental, and well-being and behavioral health programs
401(k)
Company paid life insurance
Tuition reimbursement
Minimum of 18 days of paid time off per year
Paid holidays

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Registered Nurse (RN)case managementpatient careclinical judgmentrisk assessmentbehavior change strategiesmotivational interviewingevidence-based care plansperformance trackingquality goals

Soft Skills

communication skillscollaborationconflict resolutionorganizational skillsadaptabilitycustomer engagementinterpersonal skillsdecisivenessteamworkproblem-solving

Certifications

Registered Nurse (RN) licenseURAC-recognized Case Management certification