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United States Work at Home; Pennsylvania Work at Home
Source: The Cigna Group careers · View original posting
From The Cigna Group's posting. “We” and “our” refer to the employer.
The RN Case Manager plays a critical role in delivering Cigna’s whole‑person health strategy by serving as a trusted advocate and clinical partner for customers, families, and caregivers. This role focuses on care coordination, customer engagement, and health navigation to improve outcomes and deliver exceptional customer experience.
The Case Manager demonstrates Cigna’s Care Solutions cultural beliefs , acting with accountability, collaboration, compassion, and innovation in support of both customer needs and business objectives.
Partner with customers to assess needs, develop individualized care plans, and document interventions and outcomes in Cigna medical management systems.
Collaborate with customers and providers to establish goals, interventions, and evidence‑based plans of care.
Apply motivational interviewing, behavior change strategies, and shared decision‑making to drive engagement and improved health outcomes.
Empower customers to effectively navigate the healthcare system and communicate with providers.
Coordinate care across customers, caregivers, providers, and internal partners via phone and digital channels (email, text, chat).
Collaborate with interdisciplinary teams—including pharmacists, nutritionists, behavioral clinicians, Medical Directors, and Medical Management programs—to support whole‑person health.
Track, analyze, and document daily activity, volume, and outcomes to support performance and quality goals.
Follow established policies, procedures, and Case Management performance measures.
Efficiently navigate multiple systems and applications in a fast‑paced, customer‑focused environment.
Complete required training and maintain clinical knowledge, licensure, and certifications.
Required Qualifications
Active, unrestricted Registered Nurse (RN) license in your state of residency.
Minimum of two (2) years of full‑time direct patient care experience as an RN.
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.
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 need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
The Cigna Group 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.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
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