Pre-Service RN Care Coordinator

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $31 - $52 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

👻 Ghost score 0%

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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

• Support clinical and operational processes 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 needs • Review physician-ordered services and equipment to help coordinate timely, appropriate member care • Collaborate with members, providers, caregivers, and internal teams to support continuity of care and resolve service coordination issues • Apply clinical judgment and established guidelines to support appropriate care coordination decisions • Document case activities accurately and timely in accordance with clinical, operational, regulatory, and compliance requirements • Maintain productivity, quality, and service expectations while managing assigned work in a remote environment

🎯 Requirements

• 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. to 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 business needs require • Ability to use a computer, telephone, and standard office equipment throughout the workday • Ability to maintain a dependable and reliable work schedule • Strong time management and organizational skills • Effective verbal and written communication skills • Critical thinking and problem-solving skills • Ability to work independently with minimal supervision while meeting performance expectations • Proficiency with Microsoft Word, Excel, Outlook, and PowerPoint • Experience using virtual collaboration tools such as Webex, Microsoft Teams, or similar platforms • Bachelor of Science in Nursing preferred • Compact or 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 • Typing speed of 30 words per minute preferred • Cable broadband or fiber optic internet service with speeds of at least 10Mbps download/5Mbps upload for home working

🏖️ Benefits

• Annual bonus plan eligibility • Medical, vision, and dental benefits starting on day one • 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 environment • Cable broadband or fiber optic internet service with at least 10Mbps download/5Mbps upload required for home working