Delivers professional activities in the Case Management job family. Coordinates enrollee care needs across the continuum for assigned members who are medically stable, but require primary psychosocial support and acute intermittent medical support. Interviews members and relatives to obtain social history relevant to medical problems and care planning. Assists members with environmental difficulties that interfere with obtaining maximum benefits from medical care. Serves as a liaison between primary care team, members, relatives and appropriate outside agencies. Applies standard techniques and procedures to routine instructions that require professional knowledge in specialist areas. Provides standard professional advice and creates initial reports/analyses for review. May provide guidance, coaching, and direction to more junior members of the team in Case Management. May require a LPN.

This role is Work from Home which allows most work to be performed at home or on occasion at a Cigna office location. Employees must be fully vaccinated if they choose to come onsite.

Primary Duties and Responsibilities:

• Works with member, member's family, and providers to facilitate a comprehensive individualized service plan.


• Conducts telephonic member screenings utilizing internal forms.


• Conducts health risk and other member screenings.


• Uses clinical judgment to identify physical and behavioral health needs, works with the member and caregiver, and making appropriate referrals.


• Works with member to close clinical and pharmacy gaps and to mitigate non-clinical barriers to care.


• Acts as a liaison and facilitates the coordination of benefits, resources, healthcare providers, and institutions.


• Completes and files all screenings and implements the care plans within the timelines outlined by the state.

Required Qualifications:

• Requires current licensure as a Licensed Vocational Nurse (LVN)


• Minimum 2 years employment clinical experience. Home Health experience a plus.


• Strong organizational and time management skills


• Requires exceptional customer service skills


• Must have strong computer skills using MS office products including Word, Excel, and Outlook


• Excellent verbal and written communication skills


• Must be a current contractor with Cigna, Express Scripts, or Evernorth. Evernorth is a new business within the Cigna Corporation.

Preferred Qualifications:

• Previous STAR+PLUS experience.


• Case Management experience with Medicare or Medicaid populations a plus


• Experience managing members with chronic disease processes


• Experience working with community resource organizations preferred


• Experience with care management software applications preferred.

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.