Nurse Case Manager Specialist

4 weeks ago


Bloomfield Hills, Michigan, United States The Cigna Group Full time
About the Role

The Cigna Group is seeking a highly skilled Nurse Case Manager Specialist to join our team. As a key member of our healthcare team, you will be responsible for promoting the improvement of health outcomes to members through the case management process.

You will assess, plan, implement, coordinate, monitor, and evaluate options and services to meet an individual's health needs within case load assignments of a defined population.

The ideal candidate will have a strong background in nursing and case management, with excellent communication and interpersonal skills. You will work independently and effectively communicate to internal and external customers in a telephonic environment.

Key Responsibilities
  • Establish a collaborative relationship with clients, family, physicians, and other providers to determine medical history, current health status, and assess options for optimal outcomes.
  • Promote consumerism through education and health advocacy.
  • Assess member's health status and treatment plan and identifies any gaps or barriers to healthcare.
  • Establish a documented patient-centric case management plan involving all appropriate parties.
  • Implement, coordinate, monitor, and evaluate the case management plan on an ongoing basis.
Requirements
  • Active unrestricted Registered Nurse (RN) license in state or territory of the United States.
  • Two years full-time equivalent of direct clinical care to the consumer.
  • Ideal candidate would have previous case management experience with the Medicare/Medicaid population.
  • Excellent verbal and written communication and interpersonal skills.
  • Ability to learn new processes and systems quickly.
Benefits

The Cigna Group offers a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs.

We also offer 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.



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