Nurse Case Management Lead Analyst

2 days ago

Apply Now

Receive Emails with Similar Jobs

The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+

Description

• 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. • Interfaces with the customer, family members/caregivers, providers, and internal partners to coordinate the needs of the customer. • Tracks daily activities to trend volume and outcomes. • Research relevant topics in health promotion and disease prevention, as required for specific customers. • Understands and adheres to Case Management performance measures to deliver on key results. • Completes training within the communicated time limit as required per role.

Requirements

• Active unrestricted Registered Nurse (RN) license in state or territory of the United States. • Minimum of two years full-time direct patient care setting as an RN required. • Must be flexible to work days or evenings based on business needs. • Available to work Evenings after 11:30 a.m. with a 12% shift differential (for non-standard shift). • Must have an active and unencumbered RN License in the State of Residence. • 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. • Ability to manage multiple, complex situations in a fast-paced environment collaborating with clinical and other business partners.

Benefits

• Comprehensive health-related benefits including medical, vision, dental, • Well-being and behavioral health programs • 401(k) with company match • Company paid life insurance • Tuition reimbursement • Minimum of 18 days of paid time off per year • Paid holidays