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Nurse Case Manager
Location
Pennsylvania
Posted
114 days ago
Salary
$77.5K - $129.1K / year
Seniority
Mid Level
Job Description
Nurse Case Manager
The Cigna Group
• 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.
Job 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
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