Expert Home Healthcare Coordinator

1 day ago


Philadelphia, Pennsylvania, United States Cigna Full time
Care Coordination Specialist

At Cigna Healthcare, we advocate for better health through every stage of life. As a Care Coordination Specialist, you will be the key contact point for patients to coordinate and streamline all services offered within Evernorth Health Services. You will serve as the liaison between providers and their patient panel, directing and delegating tasks to team members. Your role will involve educating patients about their care options, making specific recommendations based on their goals, and reviewing paperwork to ensure it meets all requirements. Additionally, you will explain test results, diagnoses, and other medical outcomes. This position requires strong communication skills, the ability to manage ambiguity, and situational adaptability.

Responsibilities:

  • Be the point of contact for all aspects of the member in regard to their appointments, care, and overall health.
  • Act as the liaison between providers and their patient panel, directing and delegating tasks to team members.
  • Educate patients about their care options and make specific recommendations based on their goals.
  • Review paperwork to ensure it meets all requirements.
  • Explain test results, diagnoses, and other medical outcomes.

Health Literacy Improvement:

  • Improve health literacy and coach patients on chronic conditions, including disease process and trajectory, medication education, and plan of care.
  • 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 work as part of the team to manage healthcare costs and utilization.

Provider Support:

  • Complete telephonic nursing assessments, including social determinants of health screenings, post-hospital discharge screenings, triage, and other assessments assigned by providers.
  • Assist with organizing and running chronic care and/or interdisciplinary care team rounds where high-risk patients and care plans are identified.
  • Participate using a team approach to create a care plan for the patient.
  • Maintain and update spreadsheets and documents provided by the health plan to prep weekly rounds of documentation.

Estimated Salary: $60,000 - $80,000 per year, depending on experience and qualifications. Benefits include comprehensive health insurance, retirement savings plan, and paid time off. If you require reasonable accommodation in completing the online application process, please email [support] for assistance. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state, and local ordinances. 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.


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