At Evernorth Direct Health, we listen to, advocate for, and collaborate with our customers to empower them to identify their health goals and own their solutions.
The RN Care Coordinator is an integral member of Evernorth's team supporting our customers in their journey to better health.
The RN Care Coordinator functions as an employer based clinical liaison between employee and all available Cigna resources and community programs or resources. The goal of the RN Care Coordinator role is to improve care delivery of aligned population through identification of risk and opportunity, collaboration and coordination with clinical and administrative partners, and promotion of available programs.
This position is with Evernorth, a new business within the Cigna Corporation.
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 process 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 Evernorth's 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
* Acts as resource to direct customers with specific non-clinical questions to the appropriate resource.
What we expect from you:
RN with current unrestricted state licensure in Kansas
Must have three or more years of clinical practice experience
Case Management experience is preferred
A high energy level with excellent oral and written communication skills.
Excellent Computer skills [specific software e.g. Word and Excel]
Excellent interpersonal skills. Must be able to work in a team environment and exhibit flexibility and enthusiasm in learning new information and developing new skills quickly.
Demonstrate commitment to ongoing education preferred.
Comfortable communicating with multiple clinical partners (direct care, Onsite Health, and telephonic coaching and case management teams).
Experience working with high-risk patients preferred.
Experience in project development and working in a matrix environment preferred.
Self-directness and the ability succeed in an independent role.
Current ACLS/BLS/CPR/AED Certification
Passion for assisting member with health improvement and navigation of the Health Care System.
Must have 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
This role will be based in an employer-based setting in Kansas City, KS.
Cigna is committed to a healthy work force. New hires must complete a background check, drug and nicotine screen to be employed in this role.
About Cigna
Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. We offer an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products. Together, with our 74,000 employees worldwide, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation.
When you work with Cigna, youll enjoy meaningful career experiences that enrich peoples lives while working together to make the world a healthier place. What difference will you make? To see our culture in action, search TeamCigna on Instagram.
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: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.
Bloomfield, CT
Cigna Corporation, a health service organization, provides insurance and related products and services in the United States and internationally. It operates through Integrated Medical, Health Services, International Markets, and Group Disability and Other segments. The Integrated Medical segment offers medical, pharmacy, dental, behavioral health and vision, health advocacy programs, and other products and services to insured and self-insured clients; Medicare Advantage, Medicare Supplement, and Medicare Part D plans to Medicare-eligible beneficiaries, as well as Medicaid plans; and health insurance coverage to individual customers on and off the public exchanges.
The Health Services segment provides clinical solutions, specialized pharmacy care, home delivery pharmacy, retail network pharmacy administration, benefit design consultation, drug utilization review, drug formulary management drug claim adjudication, digital consumer health and drug information, provider, and medical benefit management services. The International Markets segment offers supplemental health, life and accident insurance products, and health care coverage, as well as health care benefits to mobile employees of multinational organizations.
This segment offers health coverage, hospitalization, dental, critical illness, personal accident, term life, and variable universal life products. The Group Disability and Other segment provides group long-term and short-term disability, group life, accident, and voluntary and specialty insurance products and related services; and permanent insurance contracts to corporations to provide coverage on the lives of certain employees for the purpose of financing employer-paid future benefit obligations. The company distributes its products and services through insurance brokers and insurance consultants; and directly to employers, unions and other groups, or individuals. Cigna Corporation was founded in 1792 and is headquartered in Bloomfield, Connecticut.