Nurse Case Management Supervisor

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $92.1k - $153.5k / year

⏰ Full Time

🟢 Junior

👻 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.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

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

• Lead, coach, and develop direct reports, including case managers, health coaches, and other clinical team members • Manage day-to-day team activities and provide guidance, feedback, conflict resolution, and support for escalated issues • Monitor and evaluate performance against KPIs, quality standards, financial targets, and URAC and NCQA accreditation requirements • Conduct performance discussions and support compensation decisions through performance evaluations • Promote career development through coaching, mentoring, continuing education, and succession planning • Improve service delivery, outcomes, and team effectiveness using available tools and resources • Collaborate with matrix partners to develop work plans, remove barriers, and implement corrective actions • Align team priorities with strategic, corporate, customer, product, and business initiatives • Lead or participate in projects, work groups, national teams, and committees; communicate progress, risks, and barriers to leadership • Serve as liaison and escalation point between frontline staff, customers, and internal matrix partners • Resolve service delivery concerns and ensure adherence to customer-specific requirements • Support customer meetings, presentations, visits, and audits • Build relationships with internal teams and external stakeholders • Maintain clinical knowledge and provide coaching informed by clinical expertise • Partner with quality teams to identify improvement opportunities and implement actions • Support corporate and national quality and certification initiatives, including URAC and NCQA • Communicate changes in customer requirements, protocols, and processes to staff • Recruit and hire qualified case managers, health coaches, and other team members • Demonstrate inclusive leadership and cultural sensitivity across diverse teams and customer populations

🎯 Requirements

• Active, unrestricted Registered Nurse (RN) license in a U.S. state or territory • Current proven track record in a supervisor role • Intermediate technical proficiency and sound judgment • Knowledge of case management and health coaching programs • Excellent written and verbal communication skills • Demonstrated leadership ability and strategic thinking • Working knowledge of quality management principles, standards, and continuous improvement processes • Ability to collaborate across teams and build effective stakeholder relationships • One to two years of leadership or management experience in clinical operations, care management, or healthcare services • Experience partnering with sales teams and external consultants • Experience supporting or participating in clinical audits, customer presentations, or client visits • Experience with staff training, onboarding, professional development, or succession planning • Knowledge of benefit plan design, insurance operations, claims processing, or healthcare benefits • Strong analytical, organizational, research, negotiation, and time-management skills • Experience leading or contributing to process improvement initiatives • Ability to succeed in a fast-paced, changing business environment • Proficiency in Microsoft Word, Excel, and PowerPoint • Demonstrated ability to build and maintain relationships with staff, customers, and providers • Home internet connection through cable broadband or fiber optic service with at least 10 Mbps download/5 Mbps upload

🏖️ Benefits

• Annual bonus plan eligibility • Medical benefits starting on day one • Vision benefits starting on day one • Dental benefits starting on day one • Well-being and behavioral health programs starting on day one • 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 for home working