Transplant Nurse (RN) Case Manager - Work at Home at Cigna in Memphis, Tennessee

Job Description:

Hours: Must be flexible to work a rotation of day shift positions and work until 6 p.m. or 7 p.m.

Responsibilities

The Transplant Case Manager interacts with benefit specialist and claims staff for claim payment direction to ensure correct interpretation of transplant contracts and to apply payments accurately.

Assists in service marketing and/or account management functions for service center-based customers, as assigned.

Assists Sales Account Executive in communicating status and/or resolving issues for service center-based customers, as assigned.

Participates on committees, task forces and other company projects, as assigned.

Supports training initiatives or audits of case files, as assigned.

Demonstrates sensitivity to culturally diverse situations, clients and customers.

Any other assigned tasks as deemed necessary to meet business needs.

Additionally the candidate will be responsible for the adoption and demonstration of the Consumer Health Engagement cultural beliefs. They will be responsible for role modeling the six cultural beliefs to drive personal accountability and organizational results.

Qualifications

• Unencumbered RN licensure required


• Minimum of three years clinical experience required


• Transplant, Dialysis, or Case Management specific exp. strongly preferred


• Clinical experience in case management strongly preferred


• Certification within a catastrophic specialty program preferred


• Demonstrated ability as a case manager and ability to assist supervisor with sales/training/account service management.


• Excellent time management, organizational, research, analytical, negotiation, communication (verbal and written) and interpersonal skills.


• Expert knowledge of the insurance industry and claims processing


• Must have high-speed broadband wired internet with a modem.


• Cigna does not allow hot spots or satellite-based internet

This position is not eligible to be performed in Colorado.

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: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.