Field RN

20 hours ago


Philadelphia, Pennsylvania, United States The Cigna Group Full time
Job Summary

We are seeking a skilled Field RN to join our team in the Chronic Risk Field Nurse - At Home Care Program. As a Field RN, you will be responsible for conducting in-home visits, nursing assessments, patient triage, care coordination, and patient/family education for members assigned to the provider.

Key Responsibilities:
  • Conduct in-home visits with patients enrolled in the At Home Care Chronic Risk Program and/or Advanced Care Program (ACP)
  • Provide up-to-date health care advice/education regarding health promotion, illness prevention, and management of disease utilizing nursing assessment data, patient, family, and approved At Home Care Triage protocol
  • Systematically assess patients' actual or potential health care needs, prioritize their urgency, and use creative and effective problem solving/decision making while recommending an appropriate disposition per clinician and protocol direction
  • Document nursing assessment, planning, implementation in the electronic health record, and evaluate patients' and family's response to teaching
  • Make follow-up telephone calls to patients and referrals as appropriate
  • Provide telephonic nursing assessment and triage supported by triage protocols, including timely and accurate triage documentation, escalation, and follow-up
  • Initiate medication changes and other orders, as directed by provider in response to a triage call
Health Literacy Improvement:
  • Improve health literacy and coach consumers on chronic conditions, including disease process and trajectory, medication education, plan of care, and individualized care goals management in a culturally sensitive and acceptable manner for the patient or caregiver
  • Identify problems or gaps in care and offer opportunities for intervention
  • Coordinate services and referrals to health programs and participate in patient education and outreach tied to HEDIS initiatives
  • Work to improve access to care and manage healthcare cost and utilization
Provider Support:
  • Complete telephonic nursing assessments, including social determinants of health screenings, post-hospital discharge screenings, triage, and other assessments assigned by provider
  • Assist with organizing and running chronic care and/or interdisciplinary care team rounds where high-risk patients and care plans are identified
  • Participate in a team approach to create a care plan for the patient
  • Maintain and update spreadsheets and documents provided by health plan to prep weekly rounds of documentation
  • Post-Acute Management and Coordination
  • Participation in weekly care coordination with health plan case management as directed by market needs
  • Referral Management Care Coordination and tracking of hospice consults within 24 hours of order placement
Requirements:
  • Active, unrestricted RN license in Pennsylvania
  • Ability to obtain compact license and/or additional state licensure as needed
  • 3 or more years of experience as a Registered Nurse
  • Proficient level of experience with Microsoft Office applications and strong technical aptitude
  • EMR experience and proficiency
  • BSN or ADN degree
Preferences:
  • Previous experience working with the geriatric population/chronic condition experience
  • Home Health experience
  • Triage experience
  • Case management experience
  • Previous customer service experience
  • Previous experience in a telephonic role
  • Highly organized, self-directed worker with an ability to function in a high-volume environment
  • Strong verbal and written communication skills
  • Prior clinical experience in palliative care, end of life, hospice, oncology, ICU, geriatrics is preferred
  • Knowledge of STARS and Hedis metrics a plus

Cigna is committed to a healthy workforce. New hires must complete a background check, drug, and nicotine screen to be employed in this role.

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.


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