RN Quality Specialist

Job not on LinkedIn

🔥 15 minutes ago

🇺🇸 United States – Remote

💵 $33 - $56 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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

• Provide remote, patient-centered case management support and education to assigned patients • Build and maintain therapeutic relationships with assigned patients throughout the program • Deliver patient-centric education regarding treatments, disease states, and prescribed products • Manage a designated caseload through scheduled outreach and adherence monitoring • Accurately document activities in program databases • Coordinate interactions between patients and internal or external clinical partners • Customize interactions based on individual patient needs, health literacy, and program requirements • Adhere to program-specific contractual agreements, company policies, quality standards, and compliance requirements • Participate in program-specific customer meetings, training sessions, and orientations • Demonstrate clinical competency and system proficiency through required assessments • Support special projects and additional duties aligned to contract performance and business needs

🎯 Requirements

• Active, unrestricted Registered Nurse (RN) license in primary state of residence • Compact license required • Minimum of two (2) years of RN clinical experience • Proficiency with Microsoft Office applications • Basic database navigation proficiency • Strong verbal and written communication skills • Ability to manage multiple priorities and meet deadlines • Ability to work independently in a remote environment • Internet connection through cable broadband or fiber optic service with at least 10Mbps download/5Mbps upload when working from home • Bachelor of Science in Nursing (BSN) or active enrollment in a BSN program preferred • Case management or care coordination experience preferred • Knowledge of pharmacy operations, pharmaceuticals, life sciences, or healthcare business environments preferred

🏖️ Benefits

• Annual bonus plan eligibility • Medical benefits • Vision benefits • Dental benefits • 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 arrangement • Cable broadband or fiber optic internet requirement with speeds of at least 10Mbps download/5Mbps upload for home workers