Care Coordinator - Pre-service Team - eviCore - Telephonic @ Cigna - Hartford, CT

Job Overview

8 days ago

Care Coordinator - Pre-service Team - eviCore - Telephonic

Cigna - Hartford, CT

The Registered Nurse or Licensed Practical Nurse will perform clinical and operational processes related to transition / coordination of care/case management of Post-Acute Care services including but not limited to Home Health, DME, Care Coordination/Care management. The Nurse is responsible for ensuring the member is receiving all services or equipment as ordered by the physician. May assist with the coordination between providers and members.

Minimum Education and License Requirement:
Associate Degree in Nursing Required; Bachelor Degree in Nursing preferred; License Practical Nurse completion
Current unrestricted Registered Nurse or LPN license in state of residence. Multistate license status preferred. Minimum Experience Required:
Minimum 5 years clinical experience with at least 3 years managed care
experience
2 – 4 years’ experience in utilization management required.
Home health, DME experience desired
Commercial/Medicare/Medicaid managed care programs preferred
Position is remote
Position is full-time; 9:00a-6:00p CENTRAL. Dedicated weekend shift with days off during the week also available.
Ability to sit at a desk 50% of the time and utilize the computer, telephone, and other office equipment, throughout the entire work day; walking and standing
Dependable and reliable work schedule is essential

Required Skills:
Time-management : Ability to effectively manage one’s time and resources to ensure that work is completed efficiently Excellent organizational skills
Communication : Ability to provide clear verbal and written information via in-person, email, and phone to customers, co-workers, and leadership
Critical-Thinking/Decision-making : Ability to choose a course of action or developing appropriate solutions by identifying and understanding issues, problems, and opportunities
Autonomy : Ability to work independently with little to no supervision
Proficient in computer literacy skills with ability to use and troubleshoot Microsoft Word, Excel, Outlook, and PowerPoint with ability to type 30 wpm preferred
Experience using videoconferencing systems such as WebEx

For this position, we anticipate offering an hourly rate of $25 - $38, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

Helping our customers achieve healthier, more secure lives is at the heart of what we do. While you take care of our customers, we’ll take care of you through a comprehensive benefits program that helps you be at your best. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and best in class well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and dozens of corporate discounts on essentials you use every day. For more details on our employee benefits programs, please visit the “Life at Cigna” tab on our careersite: www.cigna.com/careers

About Cigna
Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, 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 us, or one of our subsidiaries, you’ll enjoy meaningful career experiences that enrich people’s lives. What difference will you make?

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: [email protected] for support. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response.

Cigna 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.

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