RN Collaborative Care Evernorth Houston TX

RN - Care Coordinator Evernorth Workplace Care

Evernorth Workplace Care offers health care delivery services along with population health and health coaching solutions conducted in person or virtually. Our mission is to deliver proactive personalized and holistic patient care and coaching by acting on health data and insights to improve the overall health and wellness of our clients employees and those they care about most by providing access to high quality affordable services where they work and live.

Our Evernorth Workplace Care solution isnt a one-size-fits-all model. Using data-driven insights well customize a solution that addresses your organizations most pressing needscreating a more affordable predictable and simple health care experience.

Evernorth Workplace Care - Personalized Care Where You Are

Sound like you Great! Heres more on how youll make a difference:

• Identifies and refers appropriate customers to eligible programs within CIGNA Healthcare (CHC) and all eligible client specific health and wellness programs.
• Supports Care Coordination of the individual customer. Coordinates the care of the high-risk targeted population in an appropriate efficient high quality and cost-effective manner. Refers to appropriate clinical partners (i.e. complex case management and / or Specialty Case management)
• Partners and functions as central conduit between employer provider (PCP Onsite Health Clinic) and all available Evernorth programs and resources.
• Supports established processes and procedures that ensures thorough review of patient level actionable data and reports used to support identification of customers for outreach and engagement.
• Assure and maintains timely compliant efficient documentation and information exchange to drive appropriate outreach engagement and positive clinical outcomes with aligned population.
• Communicates clearly with all matrix partners and refers to appropriate internal and external programs to support outcomes.
• Identifies cases appropriate for complex case management and follows process for referral.
• Works effectively with Evernorths internal team to support coordination of care and data analysis.
• Identifies and builds effective relationships with local network providers. Provides steerage to high quality network providers and referrals to the onsite health center.
• Identifies gaps in care and works with providers and/ or local community resources to close gaps in care.
• Establishes and maintains 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.
• Partners and coordinates with health management matrix partners for additional engagement and promotion opportunities
• Act as resource to direct customers with specific non-clinical questions to the appropriate resource.
• This position is with Evernorth a new business within the Cigna Corporation.

What we expect from you:

RNwith current unrestricted state licensure within home state.

Musthave three or more years of clinical practice experience
CaseManagement experience is preferred
Ahigh energy level with excellent oral and written communication skills.
ExcellentComputer skills specific software e.g. Word and Excel
Excellentinterpersonal skills. Must be able to work in a team environment and exhibit flexibility and enthusiasm in learning new information and developing new skills quickly.
Demonstratecommitment to ongoing education preferred.
Comfortablecommunicating with multiple clinical partners (direct care Onsite Health and telephonic coaching and case management teams).
Experienceworking with high-risk patients preferred.
Experiencein project development and working in a matrix environment preferred.
Self-directnessand the ability succeed in an independent role.

CurrentBLS/CPR/AED Certification
Passionfor assisting members with health improvement and navigation of the Health Care System.

Musthave strong problem-solving skills

Bonus points for:

CHES

Health Coaching experience including chronic disease management

High energy level with dynamic presentation skills is required.

Positive role model in demonstrating healthy behaviors

About Evernorth Health Services

Qualified applicants will be considered without regard to race color age disability sex childbirth (including pregnancy) or related medical conditions including but not limited to lactation sexual orientation gender identity or expression veteran or military status religion national origin ancestry marital or familial status genetic information status with regard to public assistance citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process please email: for support. Do not email for an update on your application or to provide your resume as you will not receive a response.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama Alaska Arizona Arkansas Delaware Florida Georgia Hawaii Idaho Iowa Kansas Maryland Massachusetts Michigan Nebraska Ohio Pennsylvania Texas Utah Vermont and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal state and local ordinances.