Nurse Case Manager

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🔥 0 minutes ago

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

💵 $77.5k - $129.1k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

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The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1982

⚕️ Healthcare Insurance

💊 Pharmaceuticals

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

• Serve as a customer advocate, partnering with members, families, and providers to coordinate care • Focus on whole-person health, behavior change, and delivering high-quality, customer-centered outcomes • Partner with customers to develop, implement, and document individualized care plans • Use motivational interviewing, behavior change strategies, and shared decision-making to support health goals • Coordinate care with providers, caregivers, and internal clinical partners • Engage customers through telephonic, digital, and written communication channels • Track and document activities, outcomes, and progress in medical management systems • Follow standard operating procedures and meet defined case management performance measures • Maintain clinical expertise through required training and continuing education

🎯 Requirements

• Active, unrestricted Registered Nurse (RN) license in a U.S. state or territory • Minimum of two (2) years of full-time direct patient care experience as an RN • Nursing degree from an accredited nursing program • Ability to work an 8-hour shift between 9:00 a.m. and 9:00 p.m. EST, including evenings as business needs require • Strong communication skills across telephonic and digital platforms • Proficiency with Microsoft Word, Excel, Outlook, and clinical documentation systems • Case management certification (URAC-recognized) obtained within four (4) years of hire (preferred) • Experience working in remote, telephonic, or digital care management environments (preferred) • Strong organizational skills with the ability to manage multiple priorities in a fast-paced setting (preferred) • Demonstrated ability to work effectively with culturally diverse populations (preferred)

🏖️ Benefits

• Comprehensive range of health-related benefits including medical, vision, and dental • 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