Case Management Lead Representative

🔥 0 minutes ago

🐊 Florida, New Jersey, +4 more states – Remote

🐊 Florida – Remote 🏖️ New Jersey – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote

💵 $19 - $29 / hour

⏰ Full Time

🟠 Senior

👻 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

Founded 1982

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare • Healthcare Insurance • Pharmaceuticals

The Cigna Group is a global health company committed to improving the health and vitality of its clients, customers, and patients. With its two divisions, Cigna Healthcare and Evernorth Health Services, the company focuses on enhancing quality of life through healthcare services and pharmacy benefits management. The Cigna Group is dedicated to ethical practices in healthcare and artificial intelligence, and strives to create positive change in the healthcare system. It also emphasizes its Environmental, Social, and Governance (ESG) responsibilities, aiming to impact health equity and foster innovation in healthcare delivery.

📋 Description

• Provide day-to-day guidance to teammates on processes, systems, patient referrals, and care coordination steps. • Support complex patient cases and operational questions by identifying next steps and timely solutions. • Assist with partner inquiries and escalations in coordination with the supervisor or leader. • Share best practices that improve consistency, quality, and confidence across the team. • Participate in partner huddles and team discussions focused on referrals, patient status, and workflow priorities. • Monitor patient referral activity and follow up on items affecting access to care. • Support patient cases, calls, and workflow tasks during high-volume periods or team absences. • Promote clear, compassionate communication supporting positive patient and partner experiences. • Assist with onboarding and training new team members through job shadowing, screen sharing, and process education. • Provide peer coaching and practical guidance to build teammates’ skills, accuracy, and confidence. • Monitor team communication channels and respond to questions as a knowledgeable resource. • Share updates, process changes, reminders, and key information through team chats or emails. • Identify workflow improvement opportunities, reduce barriers, and strengthen service delivery. • Maintain readiness to support coverage across shifts, including weekends or holidays when business needs require it.

🎯 Requirements

• High School Diploma or GED. • Minimum 2 years of experience in patient care coordination, case management support, healthcare operations, or a related healthcare or pharmacy setting. • Experience serving as a senior resource, mentor, trainer, peer coach, or subject matter expert for team members. • Strong communication, organization, and problem-solving skills. • Proficiency with Microsoft Office applications and patient care coordination systems. • Ability to manage multiple priorities while maintaining accuracy, professionalism, and attention to detail. • If working at home, internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

🏖️ 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 • Cable broadband or fiber optic internet service with minimum speeds of 10Mbps download/5Mbps upload for home working