PAC Care Coord - Remote - eviCore Work At Home

Cigna

United States Remote

Full time

Dec 15

This job is no longer accepting applications.

The Registered Nurse or Licensed Practical Nurse will 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.. The Nurse is responsible for ensuring the member is receiving all services or equipment as ordered by the physician. May assist with the coordination between providers and members.

Minimum Education and License Requirement:

Associate Degree in Nursing Required; Bachelor Degree in Nursing preferred; License Practical Nurse completion

Current unrestricted Registered Nurse or LPN license in state of residence. Multistate license status preferred.

Minimum Experience Required:

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

This role is Work At Home/Flex which allows most work to be performed at home. Employees MUST be fully vaccinated if they chose to come onsite.

Required Skills:

Time-management: Ability to effectively manage one’s time and resources to ensure that work is completed efficiently Excellent organizational skills

Communication: Ability to provide clear verbal and written information via in-person, email, and phone to customers, co-workers, and leadership

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

Experience using videoconferencing systems such as WebEx

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.

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Cigna

Community that highlights what Cigna is doing around the globe to help improve the health, well-being, and peace of mind of those we serve.

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