Current jobs related to Nurse Case Management Manager - Surprise - The Cigna Group

  • Case Aide

    3 weeks ago

    Surprise, United States Native American Connections Full time

    Case Aide Location: Surprise Schedule: Wednesday - Sunday 3:00 PM to 11:30 PM MISSION: Improving the lives of individuals and families through Native American culturally appropriate behavioral health, affordable housing, and community development services POSITION SUMMARY: The Home Base Youth Services Case Aide provides the necessary stability to the...

  • Admissions Manager

    1 month ago

    Surprise, United States PAM Health Full time

    Job DescriptionJob DescriptionAdmissions ManagerThis position works under the direction of the Director of Business Development for LTACH facilities and the Corporate Director of Admissions for rehabilitation facilities. Coordinates hospital activities concerned with admissions and registration. Supervises Intake Specialist(s) - inpatient and outpatient, if...

  • Registered Nurse or Licensed Practical Nurse

    4 weeks ago

    Surprise, United States Giving Home Health Care Full time

    We are looking for a compassionate and skilled Registered Nurse (RN) or Licensed Practical Nurse (LPN) in Surprise, AZ to administer patient care in accordance with a physician established care plan. This role is a 1099 contract opportunity, with care being provided at the patient’s residence.  Once our patients are accepted into the program, there is...

  • Registered Nurse or Licensed Practical Nurse

    4 weeks ago

    Surprise, United States Giving Home Health Care Full time

    We are looking for a compassionate and skilled Registered Nurse (RN) or Licensed Practical Nurse (LPN) in Surprise, AZ to administer patient care in accordance with a physician established care plan.This role is a 1099 contract opportunity, with care being provided at the patients residence.Once our patients are accepted into the program, there is no...

  • Registered Nurse or Licensed Practical Nurse

    4 weeks ago

    Surprise, United States Giving Home Health Care Full time

    We are looking for a compassionate and skilled Registered Nurse (RN) or Licensed Practical Nurse (LPN) in Surprise, AZ to administer patient care in accordance with a physician established care plan. This role is a 1099 contract opportunity, with care being provided at the patient's residence. Once our patients are accepted into the program, there is no...

  • Assistant Manager

    3 months ago

    Surprise, United States Desert Subway Full time

    Hours:  Minimum 32-hour workweek required; days and hours varyReports to:  Restaurant Manager / Director of OperationsPay Status:  Full time; Hourly pay rateObjective:  To run a successful, profitable restaurant operation while upholding Subway, DSI andBoard of Health standards in the manager’s absence. ...

  • Restaurant Manager

    3 weeks ago

    Surprise, United States Torchy's Tacos Full time

    Job DescriptionThis Position Requires Management Experience In Restaurants To Be ConsideredThe Torchy's legacy began in Austin, Texas in 2006 with an idea, a dedicated executive chef and a food trailer to now operating in dozens of locations across multiple states.  OUR MISSION: Be Damn Good. OUR VISION: Serve people the best damn tacos. OUR WHY: Passion....

  • Restaurant Manager

    3 months ago

    Surprise, United States Outback Steakhouse Full time

    Outback Steakhouse, the home of juicy steaks, spirited drinks, and Aussie hospitality. We’ve been ranked #1 in Customer Satisfaction within a Full-Service Restaurant 2023!If you are looking for a great place to work, have fun, and make money mate, click to apply.With limited supervision, the Restaurant Manager is responsible for the daily operations of...

  • Restaurant Manager

    3 months ago

    Surprise, United States Outback Steakhouse Full time

    Outback Steakhouse, the home of juicy steaks, spirited drinks, and Aussie hospitality. We’ve been ranked #1 in Customer Satisfaction within a Full-Service Restaurant 2023! If you are looking for a great place to work, have fun, and make money mate, click to apply. With limited supervision, the Restaurant Manager is responsible for the daily...

  • Restaurant Manager

    3 months ago

    Surprise, United States Subway Full time

    Job DescriptionJob DescriptionHours:  A minimum 45-hour workweek required; should anticipate working more hours in the event of staff shortages or when emergencies ariseReports to:  Director of OperationsPay Status: Full time; Salary pay rate Job Summary:Manage staff and operations of a single restaurant location. Responsible for successful...

  • Executive Chef Manager

    5 days ago

    Surprise, Arizona, United States Torchy's Tacos Full time

    About the RoleWe are seeking a highly skilled and experienced Executive Chef Manager to join our team at Torchy's Tacos. As a key member of our management team, you will be responsible for overseeing all aspects of our kitchen operations, ensuring that our high standards of quality and service are consistently met.Key ResponsibilitiesFood Cost Management:...

  • Safety Manager

    2 weeks ago

    Surprise, United States Wyyerd Fiber Full time $85,000 - $105,000

    Job DescriptionJob DescriptionWyyerd Fiber is looking for a skilled Safety Manager to help build and lead the safety program for the entire organization. This position will oversee safety operations for our Surprise, AZ and National City, CA locations.Responsibilities:Ensures adequate safety oversight is provided at all times during construction...

  • Senior Project Manager

    3 weeks ago

    Surprise, United States Americo Builders Full time

    About the Company: At Americo Builders, we are committed to delivering high-quality construction services to our clients. With years of experience in the industry, we have earned a reputation as a trusted partner for commercial construction projects. Our team of skilled professionals is dedicated to ensuring that every project we undertake is completed to...

  • Senior Project Manager

    4 weeks ago

    Surprise, United States Americo Builders Full time

    About the Company: At Americo Builders, we are committed to delivering high-quality construction services to our clients. With years of experience in the industry, we have earned a reputation as a trusted partner for commercial construction projects. Our team of skilled professionals is dedicated to ensuring that every project we undertake is completed to...

  • Automotive Manager in Training

    1 month ago

    Surprise, United States Big Brand Tire & Service Full time

    Job DescriptionJob DescriptionAs a Manager in Training, you will get experience working in multiple departments within the business. This will help you gain a deep understanding of our processes, best practices, and winning strategy; giving you an opportunity to become a manager in our company.Responsibilities include:Being a self-starter with strong work...

  • Inventory Management Specialist

    6 days ago

    Surprise, Arizona, United States National Indoor RV Centers Full time

    Job SummaryWe are seeking a highly skilled Parts Operations Manager to join our team at National Indoor RV Centers. As a key member of our organization, you will be responsible for managing parts operations to ensure the highest level of external and internal customer satisfaction, while maximizing return on investment through parts sales, inventory control,...

  • Parts Operations Manager

    6 days ago

    Surprise, Arizona, United States National Indoor RV Centers Full time

    Job SummaryNational Indoor RV Centers is seeking a highly skilled Parts Operations Manager to join our team. As a key member of our organization, you will be responsible for managing parts operations to ensure the highest level of external and internal customer satisfaction, while maximizing return on investment through parts sales, inventory control, and...

  • Assistant Kitchen Manager

    1 week ago

    Surprise, Arizona, United States Sun Health Full time

    Position Overview:Are you ready to be part of a compassionate organization as a Full-Time Assistant Kitchen Manager? Join our dynamic team at Sun Health.Purpose of the Role:In the absence of the Executive Kitchen Manager, you will serve as the acting leader. Your responsibilities will include overseeing all kitchen personnel in relation to the daily...

  • Restaurant Operations Manager

    3 days ago

    Surprise, Arizona, United States Southpaw Full time

    Job SummaryWe are seeking a highly skilled and experienced Restaurant Operations Manager to join our team at Southpaw. As a Restaurant Operations Manager, you will be responsible for providing strong leadership to your team, delivering exceptional guest experiences, and driving operational excellence in our Dunkin' Donuts restaurant.Key ResponsibilitiesTeam...

  • Pain Management Specialist

    3 days ago

    Surprise, Arizona, United States InSync Healthcare Recruiters Full time

    About the RoleWe are seeking a highly skilled Pain Management Physician to join our team at InSync Healthcare Recruiters. As a Pain Management Physician, you will be responsible for providing comprehensive care to patients suffering from chronic pain.Key ResponsibilitiesDiagnose and treat patients with chronic pain conditionsDevelop and implement...

Nurse Case Management Manager

2 months ago

Surprise, United States The Cigna Group Full time

Evernorth Care Group (ENCG) is a leader in integrated primary care and an industry pioneer in value-based care. We focus on providing high-quality, affordable and accessible care for our patients across Arizona.

The Care Management team works closely with the primary care team to support patients through their healthcare journey. The team works hand in hand with primary care providers to ensure the patient is cared for beyond the clinic walls. This position is a key partner implementing population health and care management capabilities across a network of primary care medical clinics. The goal of this work is to make care more affordable for ENCG’s patient population through the execution of best practice clinical programs that provide patient-centered care and improve the overall health of the patient population.

Through oversight, influence, and relationship-building, this role will ensure the implementation of consistent practices, processes, and protocols to achieve excellence in quality of care, service, resource utilization, employee/physician satisfaction, and workplace safety. This position will utilize data, sound operational processes, and shared goals to improve the performance of the care group and will effectively collaborate with Care Delivery and external partners.

The Care Management Manager executes initiatives for the Care Management team to improve operational effectiveness and financial outcomes. This position will oversee licensed and non-licensed staff working with vulnerable populations and offering holistic care management, care coordination, and disease management support to customers and physician practices located throughout the Phoenix metro area.

Critical to this position is the ability to promote an innovative and inclusive culture, with a primary focus on enabling support staff to embrace the ENCG strategy of promoting quality care and providing efficient services in a customer centric manner. Additionally, this position collaborates with the Quality Clinical Program Senior Manager to ensure all requirements of value-based and core contracts are met through the implementation of population health-based initiatives and programs.

Hours: Monday - Friday 8am - 5pm (flexibility with exact hours) Must live in Arizona

Reports to : Clinical Program Director

Direct Reports : Care Management RNs, Care Navigators and Social Workers

Responsibilities and Essential Functions

  • Accountable for directing case management activities and developing strategies to control the costs of high-risk, high-cost cases by mitigating hospital admissions, readmits, ED utilization and working closely with clinicians to meet MLR, ADK and EDK metrics.

  • Identify cost-effective protocols and initiatives for high-risk, high-cost diagnoses; and, developing and administering guidelines for working with employees, employers, policyholders, healthcare providers, patients, and families to determine appropriate, cost-effective care plans.

  • Ensures quality patient care by Care Management staff through transitional care management, care planning, chronic disease management, targeted outreach initiatives, and connections to community resources.

  • Responsible for the strategic and operational leadership of ENCG Population Health efforts. This role will partner with VBC lead to create and execute on strategy to deliver on care co-ordination performance metrics on VBC contracts. Collaborate as a thought leader in developing and/or improving clinical strategy that enables stronger coordination of care, affordability, customer/clinician experience and transparency.

  • Ensures the Care Management team coordinates care between the primary care physician, community resources, family and patient.

  • Provides direct and remote oversight of staff and assures achievement of individual and team performance and productivity standards; monitors work product and division of work between team members to promote staff working at the top of their licensure.

  • Monitors and analyzes routine and ad hoc reports, case loads, and care coordination management efforts for the team; routinely rounds on staff to communicate key messages and identify concerns and issues.

  • Manage and execute Care Management programs (Transitions of Care, Chronic Disease Management – such as diabetes); ensure consistent, efficient and cost-effective processes, procedures and appropriate accountability.

  • Participates in joint operating committee meetings with health plans. Meets value-based contract metrics and outcomes as determined by ENCG contracted health plans, CMS, State of Arizona (AHCCCS) and contractual obligations for commercial customers.

  • Partner with clinical and operational leadership to align initiatives and prioritize interventions for greatest impact; properly utilize technology to standardize assessments, workflows, and care planning to build initiatives to scale.

  • Drive the development and practice implementation of population health initiatives and continue optimizing as needed to achieve the desired clinical and business outcomes.

  • Facilitate dissemination of best practices and development of new tools to support standardization of roles and more effective outputs.

  • Directly responsible for personnel actions including hiring, training, coaching, evaluating performance, monitoring time and attendance, and scheduling of team members.

  • Provide constructive feedback and effectively manage conflict within the Care Management team. Ensure patient and provider satisfaction with Care Management services and demonstrates service recovery when needed.

  • Promotes effective communication between Care Management and other ENCG departments and entities, acting as a liaison to facilitate information sharing, collaborative problem solving and adequate provision of services; fosters and maintains collaborative relationships within the clinician practices, hospitals and external agencies related to quality performance and day-to-day issues that may arise.

  • Leads the team effectively through change; regularly and proactively communicating with team leads and staff regarding impending external and internal change. Include other impacted staff whenever possible in designing solutions to effectively navigate change.

  • Perform all other duties and special projects as needed to support the overarching goals of the Care Management team and/or key business unit partners.

Skills & Competencies

  • Clinical expertise with a mindset and focus on achieving results with and through others

  • A talent for balancing critical thinking with hands-on execution to successfully implement strategies within team to accomplish organizational goals

  • The ability to validate data directly tied to population health and value-based care

  • The ability to effectively performance manage, coach, and develop staff

  • Excellent presentation, interpersonal and relationship-building skills

  • Personal influence and credibility with clinical staff, non-clinical staff, clinicians and ENCG leadership

  • Excellence in customer service, service recovery, and complaint resolution skills

  • The ability to lead and manage interdisciplinary teams including nurses, care navigators/community health workers and social workers

Core Competencies

  • Drives Results: Consistently achieving results, even under tough circumstances

  • Manages Complexity: Making sense of complex, high quantity, and sometimes contradictory information to effectively solve problems.

  • Communicates: Developing and delivering multi-mode communications that convey a clear understanding of the unique needs of different audiences.

  • Being Resilient: Rebounding from setbacks and adversity when facing difficult situations.

  • Manages Ambiguity: Operating effectively, even when things are not certain or the way forward is not clear.

  • Optimizes Work Processes: Knowing the most effective and efficient processes to get things done, with a focus on continuous improvement.

  • Builds Networks: Effectively building formal and informal relationship networks inside and outside the organization.

  • Situational Adaptability: Adapting approach and demeanor in real time to match the shifting demands of different situations.

Qualifications

  • RN with current Arizona license

  • Master's Degree in health care related field preferred

  • Minimum three (3) years of supervisory or management experience as a director, manager, supervisor or other leadership role, such as lead or program/project management experience or related consulting experience where responsibilities would include managing teams of people, timelines, budget, etc.

  • Minimum of five (5) years related clinical experience, preferably in value-based care, population health, ambulatory care, community public health, case or care management, or coordinating care across multiple settings and with multiple providers.

  • Proficiency with Microsoft Excel, PowerPoint, and Word

  • Experience with EPIC Electronic Health Record and Tableau preferred

  • Certification in related field (Ex: Certified Case Management, Six Sigma, Project Management) preferred

  • Case Management/Care Coordination/Disease Management experience required

  • Excellent oral and written communication skills

  • Experience with cross-functional team collaborations, workflows, and process improvement

  • Bilingual (Spanish) preferred

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

About Evernorth Health Services

Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.