The Cigna Group
Healthcare
CaseManagementSeniorAnalyst
“Case Management Senior Analyst at The Cigna Group. Skills: Case management, Care planning, Patient advocacy. Lead complex case planning. Align clinical needs”
What You'll Achieve.
Improving outcomes; Reducing avoidable costs; Better health outcomes
Industry & Context.
Solving tough problems
What They're Looking For.
Must Have
Active RN license, Associate's degree in nursing, 3 years clinical practice experience, Care planning skills, Care coordination skills, Patient advocacy skills, PC and Windows proficiency
Nice to Have
Compact license preferred, Previous case management experience, Certified Case Manager credential, Interpreting benefit plan documents, Quality improvement experience, Training/mentorship experience
What You'll Do.
Lead complex case planning
Coordinate services across settings
Use utilization review
Ensure services meet criteria
Coach members on condition
Coach members on treatment
Coach members on next steps
Escalate quality-of-care questions
Escalate complex clinical questions
Support quality reviews
Mentor new team members
How You'll Work.
Team & Collaboration
Internal teams; Medical Director; Providers; Members; Families; Plan partners
Communication Scope
Clear communication; Respectful communication; Written communication; Verbal communication
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