RN Care Coordinator
1 week ago
We are seeking a highly skilled RN Care Coordinator to join our team at Evernorth Direct Health. As a key member of our care coordination team, you will play a critical role in ensuring the delivery of high-quality, patient-centered care to our members.
Key Responsibilities- Identify and refer appropriate customers to eligible programs within CIGNA Healthcare (CHC) and all eligible client-specific health and wellness programs.
- Support care coordination of the individual customer, coordinating the care of the high-risk targeted population in an appropriate, efficient, high-quality, and cost-effective manner.
- Partner with and function as a central conduit between employer, provider (PCP, Onsite Health Clinic), and all available Evernorth programs and resources.
- Support established process and procedures that ensure thorough review of patient-level actionable data and reports used to support identification of customers for outreach and engagement.
- Assure and maintain timely, compliant, efficient documentation and information exchange to drive appropriate outreach, engagement, and positive clinical outcomes with aligned population.
- Communicate clearly with all matrix partners and refer to appropriate internal and external programs to support outcomes.
- Identify cases appropriate for complex case management and follow process for referral.
- Work effectively with Evernorth's internal team to support coordination of care and data analysis.
- Identify and build effective relationships with local network providers, providing steerage to high-quality network providers and referrals to the onsite health center.
- Identify gaps in care and work with providers and/or local community resources to close gaps in care.
- Establish and maintain a positive, professional, and collaborative relationship with customer/employee, employer, providers of care, and Evernorth partners to support improved outcomes (clinical, quality, and cost) of aligned employee population.
- Partner and coordinate with health management matrix partners for additional engagement and promotion opportunities.
- Act as a resource to direct customers with specific non-clinical questions to the appropriate resource.
- RN with current unrestricted state licensure within home state.
- Must have three or more years of clinical practice experience.
- Case Management experience is preferred.
- A high energy level with excellent oral and written communication skills.
- Excellent computer skills, including specific software (e.g., Word and Excel).
- Excellent interpersonal skills, with the ability to work in a team environment and exhibit flexibility and enthusiasm in learning new information and developing new skills quickly.
- Demonstrate commitment to ongoing education preferred.
- Comfortable communicating with multiple clinical partners (direct care, Onsite Health, and telephonic coaching and case management teams).
- Experience working with high-risk patients preferred.
- Experience in project development and working in a matrix environment preferred.
- Self-directness and the ability to succeed in an independent role.
- Current BLS/CPR/AED certification.
- Passion for assisting members with health improvement and navigation of the healthcare system.
- Must have strong problem-solving skills.
- CHES.
- Health Coaching experience, including chronic disease management.
- High energy level, with dynamic presentation skills required.
- Positive role model in demonstrating healthy behaviors.
-
RN Care Coordinator- Evernorth- Maitland FL
2 days ago
Maitland, Florida, United States The Cigna Group Full timeAbout the RoleWe are seeking a highly skilled RN Care Coordinator to join our team at Evernorth Direct Health in Maitland, FL. As a RN Care Coordinator, you will play a critical role in coordinating care for our high-risk patients and ensuring they receive the best possible outcomes.Key ResponsibilitiesIdentify and refer patients to eligible programs within...
-
RN Care Coordinator- Evernorth- Maitland FL
7 days ago
Maitland, Florida, United States The Cigna Group Full timeAbout the RoleWe are seeking a highly skilled RN Care Coordinator to join our team at Evernorth Direct Health in Maitland, FL. As a RN Care Coordinator, you will play a critical role in coordinating care for our high-risk patients and ensuring they receive the best possible outcomes.Key ResponsibilitiesIdentify and refer patients to eligible programs within...
-
RN Care Coordinator
7 days ago
Maitland, Florida, United States The Cigna Group Full timeAbout the RoleWe are seeking a highly skilled RN Care Coordinator to join our team at Evernorth Direct Health. As a key member of our care coordination team, you will play a critical role in ensuring the delivery of high-quality, patient-centered care to our members.Key ResponsibilitiesIdentify and refer appropriate customers to eligible programs within...
-
RN Care Coordinator
2 weeks ago
Maitland, Florida, United States The Cigna Group Full timeAbout the RoleWe are seeking a highly skilled Registered Nurse to join our team as a Care Coordinator at Evernorth, a division of The Cigna Group. As a Care Coordinator, you will play a critical role in coordinating the care of high-risk patients and ensuring they receive the best possible outcomes.Key ResponsibilitiesIdentify and Refer Patients: Identify...
-
Managed Care Coordinator
5 days ago
Maitland, Florida, United States New Season Treatment Centers Full timeJob SummaryWe are seeking a highly skilled Managed Care Coordinator to join our team at New Season Treatment Centers.The successful candidate will be responsible for coordinating with state Medicaid entities, Medicare, and Commercial lines for our multi-state clinics.Key Responsibilities:Ensuring facilities are enrolled with relevant healthcare...
-
Medicaid Application Coordinator
4 weeks ago
Maitland, Florida, United States Compass Senior Solutions Care Manag Full timeJob OverviewThe Medicaid Application Coordinator plays a crucial role in ensuring the prompt and precise processing of Medicaid Pending applications. This position is essential for gathering and verifying all necessary documentation to facilitate timely submissions to the appropriate County offices. The Coordinator must adhere to established policies and...
-
Nurse Case Manager
5 days ago
Maitland, Florida, United States Team Select Home Care Full timeClinical Opportunities at Team Select Home CareWe are seeking a skilled RN Case Manager to join our team. As a RN Case Manager, you will play a vital role in providing high-quality patient care and coordinating services to meet the unique needs of our patients.Responsibilities:* Provide clinical care and support to patients in their homes* Develop and...
-
Nurse Case Manager
2 days ago
Maitland, Florida, United States Team Select Home Care Full timeOverviewTeam Select Home Care is a dynamic and expanding home health care company seeking a skilled Registered Nurse Case Manager to join our team. As a RN Case Manager, you will play a vital role in providing high-quality patient care and coordinating services to meet the unique needs of our patients.ResponsibilitiesPrepare and implement individualized...
-
Client Coordinator
2 weeks ago
Maitland, Florida, United States Maxim Healthcare Services Full time{"title": "Client Coordinator", "content": "Maxim Healthcare Services: A Leader in Healthcare SolutionsAt Maxim Healthcare Services, we are committed to providing exceptional care and support to our patients, caregivers, and clients. We are seeking a highly motivated and organized Client Coordinator to join our team.Key Responsibilities:Build strong...
-
Logistics Coordinator
7 days ago
Maitland, Florida, United States Nebula Ventures Full timeJob Title: Dispatcher/Production PlannerWe are Nebula Ventures, a leading staffing agency dedicated to providing top talent to our clients. Our team of experts has extensive experience in temporary staffing, recruitment, sales, customer service, and employee care.Job Summary:We are seeking a highly skilled Dispatcher/Production Planner to join our team. As a...
-
Radiology Procedure Coordinator Part-time
1 week ago
Maitland, Florida, United States AdventHealth Full timeAbout the RoleWe are seeking a highly skilled Radiology Procedure Coordinator to join our team at AdventHealth Medical Group Central FL. As a key member of our imaging services team, you will play a critical role in ensuring the smooth operation of our radiology department.Key ResponsibilitiesCoordinate and schedule imaging procedures with radiologists and...
-
Care Management System Educator Lead
2 weeks ago
Maitland, Florida, United States AdventHealth Full timeAbout the RoleWe are seeking a highly skilled and experienced Care Management System Educator Lead to join our team at AdventHealth. As a key member of our Care Management team, you will play a critical role in developing and implementing education for our Care Management system.Key ResponsibilitiesDevelop and deliver New Hire Care Management training to...
-
Primary Care Provider
3 weeks ago
Maitland, Florida, United States HarmonyCares Full timeAbout HarmonyCaresHarmonyCares is a leading provider of home-based primary care services, dedicated to delivering high-quality, coordinated healthcare to patients in the comfort of their own homes.Job SummaryWe are seeking a skilled and compassionate Nurse Practitioner to join our team of healthcare professionals. As a Nurse Practitioner with HarmonyCares,...
-
Primary Care Nurse Practitioner
3 weeks ago
Maitland, Florida, United States HarmonyCares Full timeJob DescriptionJob Title: Primary Care Nurse PractitionerJob Summary:We are seeking a highly skilled and compassionate Primary Care Nurse Practitioner to join our team at HarmonyCares. As a Primary Care Nurse Practitioner, you will be responsible for providing high-quality, patient-centered care to our patients in the comfort of their own...
-
Primary Care Nurse Practitioner
2 weeks ago
Maitland, Florida, United States HarmonyCares Full timeJob DescriptionJob Title: Primary Care Nurse PractitionerJob Summary:We are seeking a skilled and compassionate Primary Care Nurse Practitioner to join our team at HarmonyCares. As a Primary Care Nurse Practitioner, you will be responsible for providing high-quality, patient-centered care to our patients in the comfort of their own...
-
Primary Care Nurse Practitioner
2 weeks ago
Maitland, Florida, United States HarmonyCares Full timeJob DescriptionJob Title: Primary Care Nurse PractitionerJob Summary:We are seeking a highly skilled and compassionate Primary Care Nurse Practitioner to join our team at HarmonyCares. As a Primary Care Nurse Practitioner, you will be responsible for providing high-quality, patient-centered care to our patients in the comfort of their own...
-
Primary Care Nurse Practitioner
3 weeks ago
Maitland, Florida, United States HarmonyCares Full timeJob DescriptionJob Title: Primary Care Nurse PractitionerJob Summary:We are seeking a skilled and compassionate Primary Care Nurse Practitioner to join our team at HarmonyCares. As a Primary Care Nurse Practitioner, you will be responsible for providing high-quality, patient-centered care to our patients in the comfort of their own...
-
Primary Care Nurse Practitioner
3 weeks ago
Maitland, Florida, United States HarmonyCares Full timeJob DescriptionJob Title: Primary Care Nurse PractitionerJob Summary:We are seeking a highly skilled and compassionate Primary Care Nurse Practitioner to join our team at HarmonyCares. As a Primary Care Nurse Practitioner, you will be responsible for providing high-quality, patient-centered care to our patients in the comfort of their own...
-
Patient Services Coordinator
4 weeks ago
Maitland, Florida, United States AdventHealth Ambulatory Services Full timePosition Overview:The role of the Patient Services Coordinator at AdventHealth Ambulatory Services is crucial in delivering exceptional care to our patients. This position is responsible for ensuring a seamless experience for patients, referring physicians, and visitors.Key Responsibilities:Warmly welcomes and registers patients arriving for imaging...
-
Patient Registration Specialist
4 weeks ago
Maitland, Florida, United States AdventHealth Centra Care Full timePosition Overview:The Patient Registration Coordinator plays a crucial role in establishing the initial connection between patients and our healthcare services. This position emphasizes the importance of customer service, ensuring that patients feel welcomed, secure, and valued from their very first interaction.Key Responsibilities:Manage the complete...
