Cigna

Nurse Case Manager Specialist

Cigna
Nashville, TN, USA
Full-TimeDepends on ExperienceSenior LevelMasters
Job Description

Are you a compassionate and highly skilled healthcare professional looking to make a meaningful impact in the lives of patients? Cigna is seeking a dedicated Nurse Case Manager Specialist to join our team and provide exceptional care and support to our members. As a Nurse Case Manager Specialist at Cigna, you will have the opportunity to utilize your clinical expertise and collaboration skills to help individuals navigate their healthcare journey. Join us in our mission to improve the health and well-being of our members by utilizing your knowledge and skills in a rewarding and fulfilling career.

  1. Provide compassionate and high-quality care to patients, utilizing clinical expertise and collaboration skills.
  2. Assist patients in navigating their healthcare journey and making informed decisions about their care.
  3. Utilize knowledge and skills to improve the health and well-being of Cigna members.
  4. Work closely with patients, healthcare providers, and other members of the care team to develop and implement comprehensive care plans.
  5. Conduct thorough assessments of patients' medical, social, and emotional needs to ensure holistic care.
  6. Monitor and evaluate patient progress and make necessary adjustments to care plans.
  7. Educate patients and their families about treatment options, medications, and self-care techniques.
  8. Advocate for patients to ensure they receive appropriate and timely care.
  9. Collaborate with insurance companies and other healthcare organizations to coordinate and optimize patient care.
  10. Maintain accurate and up-to-date patient records and documentation.
  11. Stay informed about current healthcare trends, policies, and regulations.
  12. Participate in ongoing training and professional development opportunities.
  13. Adhere to ethical and legal standards in all aspects of job responsibilities.
  14. Foster a positive and collaborative work environment within the team.
  15. Represent Cigna in a professional and positive manner.
Where is this job?
This job is located at Nashville, TN, USA
Job Qualifications

  • A Valid Nursing License: The Nurse Case Manager Specialist Must Hold A Current And Valid Nursing License In The State They Will Be Working In.

  • Clinical Experience: Candidates For This Role Should Have A Minimum Of 3-5 Years Of Clinical Nursing Experience, Preferably In A Hospital Or Healthcare Setting.

  • Case Management Certification: A Certification In Case Management, Such As The Certified Case Manager (Ccm) Or Accredited Case Manager (Acm), Is Highly Preferred.

  • Knowledge Of Healthcare Regulations And Policies: The Nurse Case Manager Specialist Should Have A Strong Understanding Of Healthcare Regulations And Policies, Including Hipaa, Medicare/Medicaid, And Other Insurance Guidelines.

  • Strong Communication And Interpersonal Skills: This Role Requires Frequent Communication With Patients, Healthcare Providers, And Insurance Companies, So Strong Communication And Interpersonal Skills Are Essential. The Ability To Effectively Collaborate And Build Relationships Is Also Important.

Required Skills

  • Quality Improvement

  • Chronic disease management

  • Health education

  • Utilization management

  • Medical coding

  • Interdisciplinary Collaboration

  • Patient assessment

  • Behavioral Health

  • Care Coordination

  • Insurance Knowledge

  • Case Planning

Soft Skills

  • Communication

  • Conflict Resolution

  • Emotional Intelligence

  • Leadership

  • Time management

  • creativity

  • Teamwork

  • Active Listening

  • Adaptability

  • Problem-Solving

Compensation

According to JobzMall, the average salary range for a Nurse Case Manager Specialist in Nashville, TN, USA is $69,000 - $90,000 per year. This can vary depending on factors such as education, experience, and industry. Additionally, location, employer, and job responsibilities can also affect salary.

Additional Information
Cigna is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedJuly 18th, 2024
Apply BeforeAugust 19th, 2025
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About Cigna

Cigna Corp. provides medical, dental, disability, life and accident insurance and related products and services to businesses, governmental and non-governmental organizations and individuals. It operates through following segments: Global Health Care; Global Supplemental Benefits; Group Disability and Life; Other Operations; and Corporate.

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