Care Coordinator - Pre-Service - EviCore - Remote
The Cigna GroupUnited States Work at Home30+ days ago
Job type
- Full-time
- Remote
Job descriptionAssociate Degree in Nursing Required; Bachelor Degree in Nursing preferred; Current unrestricted Registered Nurse license in state of residence. Multistate license status preferred. Minimum 5 years clinical experience with at least 3 years managed care experience 2 – 4 years’ experience in utilization management required. Home health, DME experience desired Commercial / Medicare / Medicaid managed care programs preferred Position is remote Position is full-time; shift will vary Ability to sit at a desk 50% of the time and utilize the computer, telephone, and other office equipment, throughout the entire work day; walking and standing Dependable and reliable work schedule is essential Time-management : Ability to effectively manage one’s time and resources to ensure that work is completed efficiently Excellent organizational skills Critical-Thinking / Decision-making : Ability to choose a course of action or developing appropriate solutions by identifying and understanding issues, problems, and opportunities Autonomy : Ability to work independently with little to no supervision Proficient in computer literacy skills with ability to use and troubleshoot Microsoft Word, Excel, Outlook, and PowerPoint with ability to type 30 wpm preferred Experience using videoconferencing systems such as WebEx
The Registered Nurse responsibilities include but not limited to :
- Perform clinical and operational processes related to transition / coordination of care / case management of Post-Acute Care services including but not limited to Home Health, DME, Care Coordination / Care management.
- Ensure the member is receiving all services or equipment as ordered by the physician.
- Assist with the coordination between providers and members.
- Hours : Monday - Friday; Shift may vary. May be required to work any 8 hour shift between 7a-7p EASTERN time zone.
- Position is telephonic and remote
- Weekend rotation
- RN Only.
Minimum Education and License Requirement :
Minimum Experience Required :
Required Skills :
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Care Coordinator • United States Work at Home