Job Responsibilities : Nurse Case Management Lead Analyst – Work from home
Salary : $68,000 – $113,300 a year
Company : Cigna
Location : Remote
- Uses clinical knowledge to assess the treatment plan and goals and identifies gaps in care or risks for readmission or complications.
- Establishes patient centric goals and interventions to meet the member’s needs
- Interfaces with the member family members/caregivers and the healthcare team/provider as well as internal matrix partners.
- Balances business needs with patient advocacy by avoiding non-medically necessary tests and procedures to our customers.
- Build solid working relationships with internal staff matrix partners key functional areas customers and providers
- Based on experience may provide leadership preceptor/mentorship support and coverage to other case management staff and assist case managers in achieving positive outcomes and savings
- English and a second of the following languages required: Spanish Portuguese French German Arabic Japanese Mandarin or any Indian language preferred
- Demonstrated strong organizational and leadership skills
- Strong interpersonal and communication skills
- Demonstrates problem-solving and analytical skills.
- Knowledge of utilization or case management cost containment services managed care insurance coverage and financial management