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Nurse Case Manager

ManagerManagerOtherRemoteMid LevelTeam 10,001+Since 1982H1B No SponsorCompany SiteLinkedIn

Location

Pennsylvania

Posted

114 days ago

Salary

$77.5K - $129.1K / year

Seniority

Mid Level

Professional Certificate2 yrs expEnglish

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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