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Pre-Service RN Care Coordinator
Location
United States
Posted
11 days ago
Salary
$31 - $52 / hour
Seniority
Mid Level
No structured requirement data.
Job Description
Pre-Service RN Care Coordinator
The Cigna Group
Role Description The Pre-Service RN Care Coordinator is responsible for clinical and operational processes related to transition of care, care coordination, and case management for post-acute care services. This role helps ensure members receive services and equipment ordered by their physician and supports coordination between members, providers, and internal partners. - Perform clinical and operational activities related to transition of care, care coordination, and case management for post-acute care services, including home health, durable medical equipment, and related care management services. - Review and coordinate services or equipment ordered by the physician to support timely, appropriate member care. - Collaborate with providers, members, and internal teams to support continuity of care and resolve service coordination needs. - Document activities accurately and follow established clinical, operational, and compliance guidelines. Qualifications - Active, unrestricted Registered Nurse license in state of residence. - Minimum of 2 years of clinical RN experience. - Ability to work Monday through Friday, 9:00 a.m.–6:00 p.m. Central Time, with flexibility to work any shift between 7:00 a.m. and 7:00 p.m. Central Time based on business needs. - Availability for weekend, on-call, and holiday rotation as needed. - Ability to use a computer, telephone, and other standard office equipment throughout the workday. - Ability to maintain a dependable and reliable work schedule. Requirements - Bachelor of Science in Nursing (preferred). - Multistate RN license (preferred). - 2 or more years of utilization management experience (preferred). - Experience in home health, skilled nursing facility, rehabilitation, post-acute care, or care coordination (preferred). - Experience with Medicare and/or Medicaid managed care programs (preferred). Work Environment - This is a remote position. - This role requires prolonged use of a computer, telephone, and other office equipment throughout the workday. - The position may require sitting for extended periods, as well as occasional walking and standing. Required Skills - Time management and organization: Ability to manage time and resources effectively to complete work efficiently and meet deadlines. - Communication: Ability to communicate clearly and professionally with members, providers, coworkers, and leadership through verbal and written channels. - Critical thinking and decision-making: Ability to identify issues, evaluate information, and develop appropriate solutions. - Autonomy: Ability to work independently with minimal supervision while meeting role expectations. - Technology proficiency: Proficiency with Microsoft Word, Excel, Outlook, and PowerPoint; ability to type 30 words per minute preferred. - Virtual collaboration: Experience using videoconferencing tools such as Webex or similar platforms. Benefits - Hourly rate of 31 - 52 USD / hourly, depending on relevant factors, including experience and geographic location. - Eligible to participate in an annual bonus plan. - Comprehensive range of benefits starting on day one, including medical, vision, dental, and well-being and behavioral health programs. - 401(k) and company paid life insurance. - Tuition reimbursement. - A minimum of 18 days of paid time off per year, paid holidays, and leaves of absence.
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