RN- Complex Nurse Case Manager

Welcome to Cigna, where we are dedicated to helping individuals achieve their best health and well-being. We are currently seeking a compassionate and experienced Registered Nurse to join our team as a Complex Nurse Case Manager. In this role, you will have the opportunity to utilize your clinical expertise and strong critical thinking skills to provide comprehensive care management for our members with complex medical needs. We are looking for a candidate who is passionate about making a positive impact on the lives of others and is committed to delivering high-quality, patient-centered care. If this sounds like you, read on to learn more about the qualifications and responsibilities of this exciting opportunity.

1. Provide comprehensive care management for members with complex medical needs.
2. Utilize clinical expertise and critical thinking skills to develop and implement individualized care plans.
3. Collaborate with healthcare team members to ensure coordinated and effective care for members.
4. Conduct thorough assessments of members' health status and needs.
5. Monitor and evaluate the effectiveness of care plans and make necessary adjustments.
6. Educate members and their families about their health conditions and treatment options.
7. Advocate for members' needs and rights, ensuring they receive appropriate and timely care.
8. Communicate with healthcare providers and insurance companies to coordinate services and obtain necessary authorizations.
9. Utilize evidence-based practices and resources to improve health outcomes for members.
10. Maintain accurate and up-to-date documentation of all interactions and interventions.
11. Adhere to all ethical and legal standards in the delivery of care.
12. Participate in ongoing training and education to stay informed about current healthcare practices and policies.
13. Collaborate with community resources to provide additional support and resources for members.
14. Act as a liaison between members, their families, and healthcare providers.
15. Serve as an advocate for Cigna's mission and values, striving to improve the overall health and well-being of our members.

According to JobzMall, the average salary range for a RN- Complex Nurse Case Manager is between $67,000 and $92,000 per year. However, factors such as location, experience, and employer can impact salary potential. In some cases, RN- Complex Nurse Case Managers can earn over $100,000 per year.

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.