Transplant Nurse Case Manager

🔥 0 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $40 - $67 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 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

• Assess customer needs, develop individualized care plans, and document interventions and outcomes in Cigna medical management systems • Collaborate with customers and providers to establish goals, interventions, and evidence-based plans of care • Apply motivational interviewing, behavior change strategies, and shared decision-making to improve engagement and health outcomes • Help customers navigate the healthcare system and communicate with providers • Coordinate care across customers, caregivers, providers, and internal partners via phone and digital channels • Collaborate with interdisciplinary teams including pharmacists, nutritionists, behavioral clinicians, Medical Directors, and Medical Management programs • Track, analyze, and document daily activity, volume, and outcomes • Follow established policies, procedures, and Case Management performance measures • Navigate multiple systems and applications in a fast-paced, customer-focused environment • Complete required training and maintain clinical knowledge, licensure, and certifications

🎯 Requirements

• Active, unrestricted Registered Nurse (RN) license in your state of residency • Minimum of two (2) years of full-time direct patient care experience as an RN • Specialty case management experience preferred; transplant experience preferred for specialty roles • Ability to obtain a URAC-recognized Case Management certification within four (4) years of hire • Strong clinical judgment and ability to assess risk, prioritize care, and act decisively • Excellent verbal and written communication skills across phone and digital platforms • Proficiency in Microsoft Word, Excel, Outlook, and online research tools • Ability to resolve conflict, collaborate across teams, and interact with diverse populations • Strong organizational skills, adaptability, and ability to manage multiple complex cases simultaneously • Home internet connection, when working from home, through cable broadband or fiber optic service with at least 10 Mbps download and 5 Mbps upload

🏖️ 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