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RN - Care Coordinator - Orlando FL at Cigna

Posted in Nurse 30+ days ago.

Type: Full-Time
Location: Orlando, Florida





Job Description:

At Cigna, we listen to, advocate for, and collaborate with our customers to empower them to identify their health goals and own their solutions. 

CIGNA Onsite Health (COH) is part of Cigna's Consumer Health Engagement (CHE) division. The Integrated Healthcare Coordinator is an integral member of Cigna’s Health team supporting our customers in their journey to better health.  The Personal Healthcare ICC Advocate functions as an employer based clinical liaison between employee and all available Cigna resources and community programs or resources.   The goal of the Integrated Healthcare Coordinator role is to improve care delivery of aligned population through identification of risk and opportunity, collaboration and coordination with clinical and administrative partners, and promotion of available programs.      

Sound like you? Great! Here’s more on how you’ll make a difference:

          


  • 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 Cigna 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 Cigna’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 Cigna 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:

•    RN with current unrestricted state licensure required with three or more years of clinical practice experience 
•     Case Management experience is preferred
•    A high energy level with excellent oral and written communication skills.
•    Excellent Computer skills (specific software e.g. Word and Excel)
•    Excellent interpersonal skills. Must be able to work in a team environment and exhibit flexibility and enthusiasm in learning new information and developing new skills quickly.
•    Demonstrate commitment to ongoing education preferred.
•    Comfortable communicating with multiple clinical partners (direct care, Onsite Health, and telephonic coaching and case management teams).
•    Experience working with high-risk patients preferred.
•    Experience in project development and working in a matrix environment preferred.
•    Self-directness and the ability succeed in an independent role.

•    Current ACLS/BLS/CPR/AED Certification
•    Passion for assisting member with health improvement and navigation of the Health Care System.  

•    Must have strong problem solving skills
•    Embrace Consumer Health Engagement cultural beliefs of:  Think it Through, Customer Strong, Me to We, Listen to Advocate, Be Bold, and Own it! 

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

• Bilingual English/Spanish

This role will be based in an office setting in Orlando FL.

Cigna is committed to a healthy work force. New hires must complete a background check, drug and nicotine screen to be employed in this role.

About Cigna

Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. We offer an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products. Together, with our 74,000 employees worldwide, 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 Cigna, you’ll enjoy meaningful career experiences that enrich people’s lives while working together to make the world a healthier place. What difference will you make?  To see our culture in action, search #TeamCigna on Instagram.

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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