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[Hiring] Nurse Case Manager @The Cigna Group
Role Description
The Nurse Case Manager serves as a customer advocate, partnering with members, families, and providers to coordinate care and support navigation of the healthcare system. This role focuses on whole-person health, behavior change, and delivering high-quality, customer-centered outcomes aligned with Care Solutions cultural beliefs.
Position Scope
- Hours for the position: Must be able to work an 8-hour shift between the business hours of 9a-9p EST.
- Flexibility is required to meet business needs.
- Must be open to work evenings.
Key Responsibilities
- Partner with customers to develop, implement, and document individualized care plans.
- Use motivational interviewing, behavior change strategies, and shared decision-making to support health goals.
- Coordinate care with providers, caregivers, and internal clinical partners to support whole-person health.
- Engage customers through telephonic, digital, and written communication channels.
- Track and document activities, outcomes, and progress in medical management systems.
- Follow standard operating procedures and meet defined case management performance measures.
- Maintain clinical expertise through required training and continuing education.
Qualifications
- Active, unrestricted Registered Nurse (RN) license in a U.S. state or territory.
- Minimum of two (2) years of full-time direct patient care experience as an RN.
- Nursing degree from an accredited nursing program.
- Ability to work an 8-hour shift between 9:00 a.m. and 9:00 p.m. EST, including evenings as business needs require.
- Strong communication skills across telephonic and digital platforms.
- Proficiency with Microsoft Word, Excel, Outlook, and clinical documentation systems.
Preferred Qualifications
- Case management certification (URAC-recognized) obtained within four (4) years of hire.
- Experience working in remote, telephonic, or digital care management environments.
- Strong organizational skills with the ability to manage multiple priorities in a fast-paced setting.
- Demonstrated ability to work effectively with culturally diverse populations.
- Flexibility to support non-standard shifts or occasional on-site meetings or audits.
Requirements
- If working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
Benefits
- Comprehensive range of benefits focused on supporting whole health.
- Health-related benefits including medical, vision, dental, and well-being and behavioral health programs starting on day one of employment.
- 401(k) plan.
- Company paid life insurance.
- Tuition reimbursement.
- A minimum of 18 days of paid time off per year and paid holidays.
- Annual salary range of 77,500 - 129,100 USD, depending on relevant factors.
- Eligibility to participate in an annual bonus plan.