RN – Maternity / NICU Case Manager
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Job Description
RN Case Manager coordinating care for Cigna’s maternity and NICU clients. Engaging with customers to improve health outcomes and deliver exceptional service remotely.
Responsibilities:
- Partner with customers to assess needs, develop individualized care plans, and document interventions and outcomes in Cigna medical management systems
- Collaborate with customers and providers to establish goals, interventions, and evidence‑based plans of care
- Apply motivational interviewing, behavior change strategies, and shared decision‑making to drive engagement and improved health outcomes
- Empower customers to effectively navigate the healthcare system and communicate with providers
- Coordinate care across customers, caregivers, providers, and internal partners via phone and digital channels (email, text, chat)
- Collaborate with interdisciplinary teams—including pharmacists, nutritionists, behavioral clinicians, Medical Directors, and Medical Management programs—to support whole‑person health
- Track, analyze, and document daily activity, volume, and outcomes to support performance and quality goals
- Follow established policies, procedures, and Case Management performance measures
- Efficiently navigate multiple systems and applications in a fast‑paced, customer‑focused environment
- Complete required training and maintain clinical knowledge, licensure, and certifications
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
- Specialty case management experience, with Maternity / NICU experience preferred for specialty roles
- Ability to obtain a URAC‑recognized Case Management certification within four (4) years of hire
- Strong clinical judgment with the ability to assess risk, prioritize care, and act decisively
- Excellent verbal and written communication skills across phone and digital platforms
- Proficiency in Microsoft Word, Excel, Outlook, and online research tools
- Demonstrated ability to resolve conflict, collaborate across teams, and interact with diverse populations
- Strong organizational skills, adaptability, and comfort managing multiple complex cases simultaneously
Benefits:
- Health insurance
- Professional development opportunities
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