Nurse Navigator

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $38 - $64 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

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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

• Create a welcoming start for new program referrals by explaining services, setting clear expectations, and helping patients take the next step • Educate patients in clear, practical language about their care and available resources • Serve as the primary clinical contact for patients • Coordinate with pharmacists, providers, and other partners to promote timely, connected care • Use clinical judgment to identify barriers, resolve concerns, and escalate complex issues • Support care coordination and utilization management processes • Document patient and provider interactions accurately • Identify trends and share insights to help the team improve • Manage inbound and outbound calls while balancing priorities in a fast-paced, patient-focused environment • Build expertise, welcome feedback, and contribute ideas that strengthen team performance and patient experience

🎯 Requirements

• Current, unencumbered Compact Registered Nurse license in your state of residence • At least 5 years of clinical experience in infusion, acute care, home care, specialty pharmacy, emergency care, or critical care • Strong clinical judgment, critical thinking, organization, and time-management skills • Clear verbal and written communication skills and comfort handling inbound and outbound calls • Ability to work independently, manage several priorities, and respond calmly to changing needs • Proficiency with Windows-based programs, including Microsoft Word, Excel, Outlook, and PowerPoint • Preferred: Experience with Medicare, Medicaid, prior authorizations, or utilization management • Preferred: Bachelor’s degree in nursing or a related field • Home internet 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, vision, and dental benefits starting on day one • 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 at home • Cable broadband or fiber optic internet requirement with at least 10Mbps download/5Mbps upload for home workers