Nurse Case Manager
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Job Description
Cigna Healthcare Nurse Case Manager coordinating individualized, whole-person care plans for U.S. members remotely. Supporting health goals through care coordination, motivational interviewing, and digital and telephonic engagement.
Responsibilities:
- Partner with customers to develop, implement, and document individualized care plans
- Use motivational interviewing, behavior change strategies, and shared decision-making to support health goals
- Coordinate care with providers, caregivers, and internal clinical partners to support whole-person health
- Engage customers through telephonic, digital, and written communication channels
- Track and document activities, outcomes, and progress in medical management systems
- Follow standard operating procedures and meet defined case management performance measures
- Maintain clinical expertise through required training and continuing education
- Serve as a customer advocate and support navigation of the healthcare system
- Deliver high-quality, customer-centered outcomes aligned with Care Solutions cultural beliefs
Requirements:
- Active, unrestricted Registered Nurse (RN) license in a U.S. state or territory
- Minimum of two (2) years of full-time direct patient care experience as an RN
- Nursing degree from an accredited nursing program
- Ability to work an 8-hour shift between 9:00 a.m. and 9:00 p.m. EST, including evenings as business needs require
- Strong communication skills across telephonic and digital platforms
- Proficiency with Microsoft Word, Excel, Outlook, and clinical documentation systems
- Cable broadband or fiber optic internet service with speeds of at least 10Mbps download/5Mbps upload when working at home
- Case management certification (URAC-recognized) obtained within four (4) years of hire is preferred
- Experience working in remote, telephonic, or digital care management environments is preferred
- Strong organizational skills and ability to manage multiple priorities are preferred
- Ability to work effectively with culturally diverse populations is preferred
- Flexibility to support non-standard shifts or occasional on-site meetings or audits is preferred
Benefits:
- Annual bonus plan eligibility
- Medical insurance
- Vision insurance
- Dental insurance
- Well-being and behavioral health programs
- 401(k)
- Company-paid life insurance
- Tuition reimbursement
- Minimum of 18 days of paid time off per year
- Paid holidays
- Leaves of absence
- Remote work/home working option
- Cable broadband or fiber optic internet service with at least 10Mbps download/5Mbps upload for home working
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