Onsite Registered Nurse Care Coordinator - Evernorth - Springfield IL at Cigna in Springfield, Illinois

Job Description:

• Identifies and refers appropriate customers to eligible programs within CIGNA Healthcare (CHC) and all eligible client specific health and wellness programs.
  
  


• Supports Care Coordination of the individual customer. Coordinates the care of the high-risk targeted population in an appropriate, efficient, high quality and cost-effective manner. Refers to appropriate clinical partners (i.e. complex case management and / or Specialty Case management)
  
  


• Partners, and functions as central conduit between employer, provider (PCP, Onsite Health Clinic) and all available Evernorth programs and resources.
  
  


• Supports established process and procedures that ensures thorough review of patient level actionable data and reports used to support identification of customers for outreach and engagement.
  
  


• Assure and maintains timely, compliant, efficient documentation and information exchange to drive appropriate outreach, engagement and positive clinical outcomes with aligned population.
  
  


• Communicates clearly with all matrix partners, and refers to appropriate internal and external programs to support outcomes.
  
  


• Identifies cases appropriate for complex case management and follows process for referral.
  
  


• Works effectively with Evernorth's internal team to support coordination of care and data analysis.
  
  


• Identifies and builds effective relationships with local network providers. Provides steerage to high quality network providers and referrals to the onsite health center.
  
  


• Identifies gaps in care and works with providers and/ or local community resources to close gaps in care.
  
  


• Establishes and maintains a positive, professional, and collaborative relationship with customer/employee, employer, providers of care, and Evernorth partners to support improved outcomes (clinical, quality and cost) of aligned employee population.
  
  


• Partners and coordinates with health management matrix partners for additional engagement and promotion opportunities
  
  


• Acts as resource to direct customers with specific non-clinical questions to the appropriate resource.
  
  

What we expect from you:

•RNwith current unrestricted state licensure in IL

•Musthave three or more years of clinical practice experience
•CaseManagement experience is preferred
•Ahigh energy level with excellent oral and written communication skills.
•ExcellentComputer skills (specific software e.g. Word and Excel)
•Excellentinterpersonal skills. Must be able to work in a team environment and exhibit flexibility and enthusiasm in learning new information and developing new skills quickly.
•Demonstratecommitment to ongoing education preferred.
•Comfortablecommunicating with multiple clinical partners (direct care, Onsite Health, and telephonic coaching and case management teams).
•Experienceworking with high-risk patients preferred.
•Experiencein project development and working in a matrix environment preferred.
•Self-directnessand the ability succeed in an independent role.

•CurrentBLS/CPR/AED Certification
•Passionfor assisting member with health improvement and navigation of the Health Care System.

•Musthave strong problem solving skills

Bonus points for:

• CHES

• Health Coaching experience including chronic disease management

• High energy level, with dynamic presentation skills is required.

• Positive role model in demonstrating healthy behaviors

This role will be based in an employer-based setting in Springfield IL.

If you will be 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.

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.

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.