Prolastin Nurse Navigator

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $38 - $64 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

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Logo of The Cigna Group

The Cigna Group

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

• Create a welcoming start for new program referrals by explaining services and setting clear expectations • Educate patients about their care and available resources • Serve as the primary clinical contact for patients • Coordinate with pharmacists, providers, and other care partners • Identify barriers, resolve concerns, and escalate complex issues • Support care coordination and utilization management processes • Document patient and provider interactions accurately • Identify trends and share insights to improve team performance and patient experience • Manage inbound and outbound calls in a fast-paced environment • Build expertise, welcome feedback, and contribute improvement ideas

🎯 Requirements

• Current, unencumbered Compact Registered Nurse license in your state of residence • At least 5 years of clinical experience in infusion, acute care, home care, specialty pharmacy, emergency care, or critical care • Strong clinical judgment, critical thinking, organization, and time-management skills • Clear verbal and written communication skills • Comfort handling inbound and outbound calls • Ability to work independently, manage several priorities, and respond calmly to changing needs • Proficiency with Windows-based programs, including Microsoft Word, Excel, Outlook, and PowerPoint • Preferred: Experience with Medicare, Medicaid, prior authorizations, or utilization management • Preferred: Bachelor’s degree in nursing or a related field • Home internet connection through cable broadband or fiber optic service with at least 10Mbps download and 5Mbps upload

🏖️ 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 • Work-from-home arrangement • Internet service requirement with at least 10Mbps download/5Mbps upload

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