Pre-Service RN Care Coordinator

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $31 - $52 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

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Logo of The Cigna Group

The Cigna Group

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

• Perform clinical and operational activities 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 services • Review and coordinate services or equipment ordered by the physician to support timely, appropriate member care • Collaborate with providers, members, and internal teams to support continuity of care and resolve service coordination needs • Document activities accurately and follow established clinical, operational, and compliance guidelines

🎯 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.–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 needed • Ability to use a computer, telephone, and other standard office equipment throughout the workday • Ability to maintain a dependable and reliable work schedule • Bachelor of Science in Nursing (preferred) • 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)

🏖️ Benefits

• medical • vision • dental • well-being and behavioral health programs • 401(k) • company paid life insurance • tuition reimbursement • a minimum of 18 days of paid time off per year • paid holidays • leaves of absence

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