RN- Transplant Nurse Case Manager

7 days ago

Bloomfield Hills, Michigan, United States The Cigna Group Full time
Job Summary

We are seeking a skilled RN- Transplant Nurse Case Manager to join our team at The Cigna Group. As a RN- Transplant Nurse Case Manager, you will play a critical role in coordinating and managing the care of our customers, families, and caregivers. Your expertise in transplant nursing and case management will enable you to provide world-class experiences for our customers.

Key Responsibilities
  • Collaborate with customers to create personalized care plans and document them in our medical management system.
  • Partner with customers to establish goals and interventions to meet their unique needs.
  • Establish plans of care in conjunction with customers and providers, then document them in our medical management system.
  • Utilize motivational interviewing, behavior change, and shared decision-making to help customers achieve optimal health and well-being.
  • Empower customers with skills to enhance their interactions with their providers.
  • Interface with customers, family members/caregivers, providers, and internal partners to coordinate their needs through telephonic, email, text, and chat interactions.
  • Collaborate with nutritionists, pharmacists, behavioral clinicians, Medical Directors, and customer providers to provide whole-person health support.
  • Track daily activities to trend volume and outcomes.
  • Follow standard operating procedures.
  • Toggle between multiple systems and applications.
  • Research relevant topics in health promotion and disease prevention as required for specific customers.
  • Prioritize work to meet commitments aligned with organizational goals.
  • Understand and adhere to Case Management performance measures to deliver on key results.
  • Complete training within the communicated time limit as required per role.
  • Demonstrate evidence of continuing education to maintain clinical expertise and certification as appropriate.
Requirements
  • Active unrestricted Registered Nurse (RN) license in state or territory of the United States.
  • Minimum of two years full-time direct patient care as an RN required.
  • Nursing experience in Transplant strongly preferred.
  • Must have an active and unencumbered RN License.
  • Within four (4) years of hire as a case manager will possess a URAC-recognized certification in case management.
  • Excellent communication skills including telephonic (verbal) and digital (messaging, emails).
  • Skilled in clinical acumen to form a judgment and act.
  • Strong computer skills in Microsoft Word, Excel, Outlook, and ability to perform thorough internet research.
  • Ability to recognize, address, and resolve conflicts in a professional, collaborative manner.
  • Demonstrates sensitivity to culturally diverse situations, participants, and customers.
  • Demonstrates effective organizational skills and flexibility to meet the business needs.
  • Adapts approach and demeanor in real time to match the shifting demands of different situations.
  • Ability to manage multiple, complex situations in a fast-paced environment collaborating with clinical and other business partners.
What We Offer
  • An annual salary of $75,300 - $125,500 USD, depending on relevant factors, including experience and geographic location.
  • Eligibility to participate in an annual bonus plan.
  • A comprehensive range of benefits, with a focus on supporting your whole health, including medical, vision, dental, and well-being and behavioral health programs.
  • 401(k) with company match.
  • Company-paid life insurance.
  • Tuition reimbursement.
  • A minimum of 18 days of paid time off per year and paid holidays.

We are an equal opportunity employer and welcome applications from qualified candidates without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions, 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.

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