Nurse Case Management - Senior Analyst

3 days ago

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The Cigna Group

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10,000+

Description

• Manages/coordinates an active caseload of case management cases for Cigna Medicare. • Uses clinical knowledge to assess the treatment plan and goals, and identifies gaps in care or risks for readmission or complications. • Establishes patient centric goals and interventions to meet the member’s needs. • Interfaces with the member, family members/caregivers, and the healthcare team. • Promotes the improvement of health outcomes to members and assists those members experiencing the burdens of illness and injury.

Requirements

• Active, unrestricted Registered Nurse (RN) Multi-State License. • Must be willing to get licensed in non-Compact states as required by the business. • Two years full-time equivalent of direct clinical care to the consumer. • 1-2 year Case Management experience with Medicare patients preferred. • Excellent time management, organizational, research, analytical, negotiation, communication (oral and written) and interpersonal skills preferred. • Strong personal computer skills, MS Word, Excel, Outlook experience, and Internet research desired. • Experience in medical management and case management in a managed care setting is highly desirable. • Knowledge of managed care products and strategies. • Demonstrated sensitivity to culturally diverse situations, participants, and customers.

Benefits

• 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.