Job Description

Job Responsibilities

* Conducting all social responsibilities to meet URAC requirements
* Telephonic outreach and customer engagement, support and assistance
* Support and coordination of complex situations - leveraging community resources
* Educate and refer customers to available social and health resources
* Assist in the creation, execution, and management of the Rare Disease (RD)-licensed social worker program, implementing and adjusting the program as needed to best meet the needs of the patient population
* Consultation with Cigna Medical Management teams and Cigna Behavioral Health teams and programs as appropriate
* Identifies and educates appropriate client specific programs
* Empowers customers with skills to provide enhanced interaction with their providers
* Documents customer interactions and interventions as directed
* Consult with and assist team members in cases where a customers medical and behavioral issues are impacting their ability to set and/or achieve goals
* Collaboration with team members such as nutritionist, pharmacist, case management nurses, specialty team member, Medical Director and other internal partners across Cigna's programs as appropriate
* Provide ongoing consultation and training to the team on relevant social topics, resources available
* Provide connection and assistance to agencies where alternative funding may be needed (i.e. SSI, SSDI benefits, state victim assistance, VA state funded rehab or community resources
* Life planning needs such as end of life, home/financial management and accessible housing
* Resources for community resources for conditions and bereavement
* Assumes lead role with customer when appropriate but integrates with warm connection with Cigna team members to support ongoing care and needs

Shift: Monday-Friday; 8-5pm CST/10-7pm CST

Location: Primarily Work at Home

Qualifications

* Masters Degree
* Licensed Clinical Social Worker (LCSW)
* A minimum of five (5) years clinical experience in behavioral health/social work field
* Experience with crisis intervention and psychosocial assessments
* Experience in health education and wellness coaching preferred
* Experience with direct customer communication (written and verbal), experience in telephonic counseling/coaching required
* Working knowledge of motivational strategies, training and consultation required
* Thorough knowledge and understanding of health behavior change theories and their application
* Proven administrative abilities, with strong computer and software application skills
* Excellent interpersonal skills and the ability to work in a team environment
* Demonstrated ability to set priorities
* A high energy level and excellent written and oral communication skills are essential
* Passion for health improvement of customers

Preferred Competencies

* Excellent time management, organizational, research, analytical, negotiation, communication (oral and written) and interpersonal skills
* Strong personal computer skills, MS word, Excel, Outlook experience, and Internet research desired
* Experience creating and managing social work programs a plus
* Knowledge of the insurance industry and claims processing
* Service marketing/sales and business acumen experience a plus
* Strong skills in the following areas: teamwork, conflict management, assessment complex issues, ability to recommend changes and resolve problems through effective decision making
* Experience in medical management and case management in a managed care setting is highly desirable
* Knowledge of managed care products and strategies
* Demonstrated sensitivity to culturally diverse situations, customers and clients
* Ability to work within changing business environment and balance business needs with patient advocacy
* Experience managing multiple projects in a fast paced matrix driven environment
* Demonstrated ability to coach and educate other case management staff
* Demonstrate effective organizational skills and flexibility to meet the business needs

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.