Nurse Case Management Lead Analyst

The Cigna Group

Nurse Case Management Lead Analyst coordinating healthcare services and addressing complex cases while evaluating outcomes. Required to have an RN license and nursing experience with a focus on high acuity cases.

Posted 6/2/2026full-timeRemote • Washington • 🇺🇸 United StatesSenior💰 $77,500 - $129,100 per yearWebsite

About the role

Key responsibilities & impact

Provides advanced professional input to complex Nurse Case Management assignments/projects
Plans, implements, and evaluates appropriate health care services in conjunction with the physician treatment plan
Handles more complex, high acuity cases, and/or account sensitive cases involving largest reserves
Utilizes clinical skills to assess, plan, implement, coordinate, monitor and evaluate options and services in order to facilitate appropriate healthcare outcomes for members
Ensures that case management program objectives are met by evaluating the effectiveness of alternative care services
Performs prospective, concurrent, and retrospective reviews for inpatient acute care, rehabilitation, referrals, and select outpatient services
May review initial liability disability claims to determine extent and impact of insured's medical condition, medical restrictions and limitations and expected duration
Performs leadership role on team when implementing new tools or case management programs/initiatives
Manages own caseload and coordinates all assigned cases
Supports and provides direction to more junior professionals

Requirements

What you’ll need

Registered Nurse (RN) license in state of primary residence
BSN preferred
Compact nursing license preferred
Minimum 2 years of nursing experience in prior authorizations or case management
Proficiency with Microsoft Office; basic database navigation
Knowledge of pharmacy, pharmaceuticals, life sciences, or healthcare business required
Ability to multitask in PC/Phone tasks

Benefits

Comp & perks

Medical, vision, dental
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

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

Nurse Case Managementhealth care services planningclinical assessmentprospective reviewsconcurrent reviewsretrospective reviewscase management program evaluationmedical condition assessmentmultitasking

Soft Skills

leadershipcoordinationcommunicationdirection providing

Certifications

Registered Nurse (RN) licenseBSNCompact nursing license