Pre-Service RN Care Coordinator
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Job Description
RN care coordinator supporting post-acute care, equipment, and transitions for Cigna’s health services business. Coordinating members, providers, and internal teams remotely.
Responsibilities:
- Support clinical and operational processes related to transition of care, care coordination, and case management for post-acute care services, including home health, durable medical equipment, and related care management needs
- Review physician-ordered services and equipment to help coordinate timely, appropriate member care
- Collaborate with members, providers, caregivers, and internal teams to support continuity of care and resolve service coordination issues
- Apply clinical judgment and established guidelines to support appropriate care coordination decisions
- Document case activities accurately and timely in accordance with clinical, operational, regulatory, and compliance requirements
- Maintain productivity, quality, and service expectations while managing assigned work in a remote environment
Requirements:
- Active, unrestricted Registered Nurse license in state of residence
- Minimum of 2 years of clinical RN experience
- Ability to work Monday through Friday, 9:00 a.m. to 6:00 p.m. Central Time, with flexibility to work any shift between 7:00 a.m. and 7:00 p.m. Central Time based on business needs
- Availability for weekend, on-call, and holiday rotation as business needs require
- Ability to use a computer, telephone, and standard office equipment throughout the workday
- Ability to maintain a dependable and reliable work schedule
- Strong time management and organizational skills
- Effective verbal and written communication skills
- Critical thinking and problem-solving skills
- Ability to work independently with minimal supervision while meeting performance expectations
- Proficiency with Microsoft Word, Excel, Outlook, and PowerPoint
- Experience using virtual collaboration tools such as Webex, Microsoft Teams, or similar platforms
- Bachelor of Science in Nursing preferred
- Compact or multistate RN license preferred
- 2 or more years of utilization management experience preferred
- Experience in home health, skilled nursing facility, rehabilitation, post-acute care, or care coordination preferred
- Experience with Medicare and/or Medicaid managed care programs preferred
- Typing speed of 30 words per minute preferred
- Cable broadband or fiber optic internet service with speeds of at least 10Mbps download/5Mbps upload for home working
Benefits:
- Annual bonus plan eligibility
- Medical, vision, and dental benefits starting on day one
- 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 environment
- Cable broadband or fiber optic internet service with at least 10Mbps download/5Mbps upload required for home working
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