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Nurse Case Manager Specialist - Georgia at Cigna in Dalton, Georgia

Posted in Health Care 30+ days ago.

Type: Full-Time





Job Description:

Nurse Case Manager Specialist - Evernorth Direct Health

• Provide advanced professional input to complex Nurse Case Management assignments/projects.

• Plan, implement, and evaluate appropriate health care services in conjunction with the physician treatment plan.

• Handle more complex, high acuity cases, and/or account sensitive cases involving largest reserves.

• Utilize clinical skills to assess, plan, implement, coordinate, monitor and evaluate options and services in order to facilitate appropriate healthcare outcomes for members.

• Perform prospective, concurrent, and retrospective reviews for inpatient acute care, rehabilitation, referrals, and select outpatient services.

• Perform leadership role on team when implementing new tools or case management programs/initiatives.

• Manage own caseload and coordinates all assigned cases.

• Utilize in-depth professional knowledge and acumen to develop models and procedures, and monitor trends, within Nurse Case Management.

What we expect from you :

• Active and unrestricted RN license in respective state, with ability to maintain active licensure is required.

• Strong Clinical skills with at least 3 or more years of nursing experience in bedside nursing

• At least 1 or more years of Case Management experience

• Current ACLS/BLS/CPR/AED Certification

• Passion for health improvement

• Ability to work autonomously, only requiring "expert" level technical support from others.

• Proven administrative abilities, with strong computer and software application skills.

Bonus points for :

• Chronic Disease Management experience

• Certified Case Manager

• Customer-centric focus

Cigna is committed to a healthy work force. New hires must complete a background check, drug and nicotine screen to be employed in this role.

About Evernorth

Evernorth, Cigna Corporation's health services segment, exists to elevate health for all. We're building on our legacy and redefining health care as we know it. Unbiased in how we think, we create without limitation. We partner without constraints, deliver value differently and act in the interest of humanity. Solving across silos, closing gaps in care, and empowering clients, customers, and people everywhere to move onward and upward. When you work with us, you'll be empowered to solve the problems others don't, won't or can't. Join us. 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.





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