Nurse Case Manager

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The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🛡️ Insurance

Healthcare • Insurance

The Cigna Group is a global health services company that provides medical, dental, pharmacy, behavioral and supplemental insurance products and benefits to individuals, families, employers, brokers, providers and Medicare beneficiaries. It offers employer-sponsored group plans, individual and family plans (including Open Enrollment offerings), Medicare, international health insurance covering more than 200 countries, and digital member services through the myCigna platform (including telehealth and claims management). Its products are delivered through operating subsidiaries such as Cigna Health and Life Insurance Company and other regional affiliates.

📋 Description

• Partner with customers to develop, implement, and document individualized care plans • Use motivational interviewing, behavior change strategies, and shared decision-making to support health goals • Coordinate care with providers, caregivers, and internal clinical partners to support whole-person health • Engage customers through telephonic, digital, and written communication channels • Track and document activities, outcomes, and progress in medical management systems • Follow standard operating procedures and meet defined case management performance measures • Maintain clinical expertise through required training and continuing education • Serve as a customer advocate and support navigation of the healthcare system • Deliver high-quality, customer-centered outcomes aligned with Care Solutions cultural beliefs

🎯 Requirements

• Active, unrestricted Registered Nurse (RN) license in a U.S. state or territory • Minimum of two (2) years of full-time direct patient care experience as an RN • Nursing degree from an accredited nursing program • Ability to work an 8-hour shift between 9:00 a.m. and 9:00 p.m. EST, including evenings as business needs require • Strong communication skills across telephonic and digital platforms • Proficiency with Microsoft Word, Excel, Outlook, and clinical documentation systems • Cable broadband or fiber optic internet service with speeds of at least 10Mbps download/5Mbps upload when working at home • Case management certification (URAC-recognized) obtained within four (4) years of hire is preferred • Experience working in remote, telephonic, or digital care management environments is preferred • Strong organizational skills and ability to manage multiple priorities are preferred • Ability to work effectively with culturally diverse populations is preferred • Flexibility to support non-standard shifts or occasional on-site meetings or audits is preferred

🏖️ Benefits

• Annual bonus plan eligibility • Medical insurance • Vision insurance • Dental insurance • Well-being and behavioral health programs • 401(k) • Company-paid life insurance • Tuition reimbursement • Minimum of 18 days of paid time off per year • Paid holidays • Leaves of absence • Remote work/home working option • Cable broadband or fiber optic internet service with at least 10Mbps download/5Mbps upload for home working