Pre-Service RN Care Coordinator

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $31 - $52 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

👻 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

• Support clinical and operational processes related to transition of care, care coordination, and case management for post-acute care services, including home health, durable medical equipment, and related care management needs • Review physician-ordered services and equipment to help coordinate timely, appropriate member care • Collaborate with members, providers, caregivers, and internal teams to support continuity of care and resolve service coordination issues • Apply clinical judgment and established guidelines to support appropriate care coordination decisions • Document case activities accurately and timely in accordance with clinical, operational, regulatory, and compliance requirements • Maintain productivity, quality, and service expectations while managing assigned work in a remote environment • Use a computer, telephone, and other standard office equipment throughout the workday • Manage priorities and meet deadlines while working independently with minimal supervision

🎯 Requirements

• Active, unrestricted Registered Nurse license in state of residence • Minimum of 2 years of clinical RN experience • Ability to work Monday through Friday, 9:00 a.m. to 6:00 p.m. Central Time, with flexibility to work any shift between 7:00 a.m. and 7:00 p.m. Central Time based on business needs • Availability for weekend, on-call, and holiday rotation as business needs require • Ability to use a computer, telephone, and standard office equipment throughout the workday • Ability to maintain a dependable and reliable work schedule • Bachelor of Science in Nursing preferred • Compact or multistate RN license preferred • 2 or more years of utilization management experience preferred • Experience in home health, skilled nursing facility, rehabilitation, post-acute care, or care coordination preferred • Experience with Medicare and/or Medicaid managed care programs preferred • Strong time management and organizational skills • Effective verbal and written communication skills • Critical thinking and problem-solving skills • Ability to work independently with minimal supervision while meeting performance expectations • Proficiency with Microsoft Word, Excel, Outlook, and PowerPoint • Experience using virtual collaboration tools such as Webex, Microsoft Teams, or similar platforms • Typing speed of 30 words per minute preferred

🏖️ 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 arrangement • Cable broadband or fiber optic internet requirement with at least 10Mbps download/5Mbps upload for home working