RN Nurse Case Management Lead Analyst - Evernorth Health Services -Remote

Position Scope

Hours for the Position: Must be able to work an 8hourshift between the business hours of 9a9p EST. Flexibility is required to meet business needs. Must be open to work evenings.

Nurse Case managers are healthcare professionals who serve as customer advocates to coordinate support and guide care for our customers families and caregivers to assist with navigating through the healthcare journey.

Additionally the candidate will be responsible for the adoption and demonstration of the Care Solutions cultural beliefs. They will be responsible for role modeling the six cultural beliefs to drive personal accountability and organizational results.

• Customer Strong: I deliver worldclass experiences for all my customers.

• Me to We: I take accountability to trust partner and deliver.

• Own It: I see a need and deliver value because I care.

• Evolve and Adapt: I learn and adapt to meet evolving business needs.

• Be Bold: I pioneer and think broadly to solve challenges.

• Take Care: I prioritize selfcare and act with compassion toward colleague.

Day in the Life Responsibilities

• Collaborates with customer in creation of care plan and documents plan in medical management system.

• Partners with each customer to establish goals and interventions to meet the customers needs.

• Establishes plan of care in conjunction with the customer and provider then document into a medical management system.

• Utilizes motivational interviewing behavior change and shared decision making to help customers achieve optimal health and wellbeing.

• Empowers customers with skills to enhance interaction with their providers.

• Interfaces with the customer family members/caregivers providers and internal partners to coordinate the needs of the customer through telephonic email text and chat interactions.

• Collaborates with nutritionist pharmacist behavioral clinician Medical Director and customers provider and other Cigna Medical Management programs to provide wholeperson health support.

• Tracks daily activities to trend volume and outcomes.

• Follows standard operating procedures.

• Toggles between multiple systems and applications.

• Research relevant topics in health promotion and disease prevention as required for specific customers.

• Prioritizes work to meet commitments aligned with organizational goals.

• Understands and adheres to Case Management performance measures to deliver on key results.

• Completes training within the communicated time limit as required per role.

• Demonstrates evidence of continuing education to maintain clinical expertise and certification as appropriate.

Minimum requirements

• Active unrestricted Registered Nurse (RN) license in state or territory of the United States.

• Minimum of two years fulltime direct patient care setting as an RN required.

• Must be flexible to work days or evenings based on business needs

Preferred requirements

• For nonstandard shift positions/State License Requirements: Available to work Evenings after 11:30 a.m. with a 12 shift differential.

• Must have an active and unencumbered RN License in the State of Residence

• Within four 4 years of hire as a case manager will possess a URACrecognized certification in case management.

• Excellent communication skills including telephonic (verbal) and digital (messaging emails).

• Skilled in clinical acumen to form a judgement and act.

• Strong computer skills in Microsoft word Excel Outlook and ability to perform thorough internet research.

• Ability to recognize address and resolve conflicts in a professional collaborative manner.

• Demonstrates sensitivity to culturally diverse situations participants and customers.

• Demonstrates effective organizational skills and flexibility to meet the business needs.

• Adapts approach and demeanor in real time to match the shifting demands of different situations.

• Ability to manage multiple complex situations in a fastpaced environment collaborating with clinical and other business partners.

• Some roles may require onsite meetings or audits twice a year required

This role is also anticipated to be eligible to participate in an annual bonus plan.

We want you to be healthy balanced and feel secure. Thats why youll enjoy a comprehensive range of benefits with a focus on supporting your whole health. Starting on day one of your employment youll be offered several healthrelated benefits including medical vision dental and wellbeing 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. For more details on our employee benefits programs visit Life at Cigna Group.

About Cigna Healthcare