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RN Telephonic Coach (Nurse Case Management Lead Analyst) at Cigna

Posted in General Business 30+ days ago.

Type: Full-Time
Location: Phoenix, Arizona





Job Description:

Requires flexibility to work varied shifts, including evening hours

Position Scope:

The Digital/Telephonic RN Coach uses digital technology and telephonic interactions to inspire and support customers through behavior change on their unique health journey.The coach is responsible for providing wellness coaching, medical decision support, information on potential gaps in care and risks for readmission or complications to customers through telephonic assessment, education, support, and referrals to various health and wellness programs

Major responsibilities and desired results:

Manages/coordinates an active caseload of digital and telephonic coaching cases.

Provides 1:1 digital/telephonic coaching to customers around behavior change to improve health status, reduce health risks and improve quality of life.

Assesses readiness to change and implements actions to assist customers in reaching their goals.

Works with customers to identify and set personalized health improvement plans and goals, supporting them along the way.

Identifies customer health education needs through health assessment activities.

Uses health prevention guidelines and general health and wellness strategies to achieve goals in the overall health of customers.

Researches relevant topics in health promotion and disease prevention, as required for specific customers.

Collaborates with nutritionist, pharmacist, behavioral clinician, MD and customer's provider and other Cigna Medical Management Programs as appropriate.

Provides decision support where multiple treatment options are available.

Empowers customers with skills to provide enhanced interaction with their providers.

Complies with all accreditation, State and Federal mandates.

Completes training as required per role and demonstrates evidence of continuing education to maintain clinical expertise and certification as appropriate.

Performs other related duties incidental to the work described herein.

Utilizes techniques such as motivational interviewing, behavior change, and shared decision making to help customers achieve optimal health and well-being.

Balances business needs with patient advocacy.

Builds solid working relationships with internal team members, matrix partners, key functional areas, customers and providers.

Cultural Beliefs:

Additionally the candidate will be responsible for the adoption and demonstration of the Care Coordination cultural beliefs. They will be responsible for role modeling the six cultural beliefs to drive personal accountability and organizational results.

1. Customer Strong: I make a wow difference for our customers

2. Me to We: I take accountability to trust, collaborate and partner

3. Listen to Advocate: What matters to you, matters to me

4. Be Bold: I know before I go and challenge the status quo

5. Own It: I see a need and act because I can

6. Think it Through: I proactively deliver solutions focused on doing the right thing

Minimum requirements :

Active unrestricted Registered Nurse (RN) license required

Two years full-time equivalent of direct clinical care to the consumer required

Preferred requirements:

A minimum of three (3) years of direct care clinical experience

Bilingual in English/Spanish a plus

RN with current licensure required

QUALIFICATIONS:

• RN
• Additional health and wellness certifications a plus (CHES, Nutrition/RD, Personal Training, Certified Health Coach,etc)
• 3 years' experience in health promotion, health education or wellness coaching
• Proficient with computers and ability to talk and type while on the phone
• Working knowledge of motivational strategies, materials development, training and consultation required.
• Thorough knowledge and understanding of health behavior change theories and their application.
• Proven administrative abilities, with strong computer and software application skills.
• Excellent interpersonal skills and the ability to work in a team environment
• Demonstrated ability to set priorities
• A high energy level and excellent written and oral communication skills are essential.
• Passion for health improvement of members
• Experience with direct member communication (written and verbal), experience in telephonic counseling/coaching preferred
• Experience in the use of applied behavior change theory such as cognitive behavior therapy

This role is WAH/Flex which allows most work to be performed at home. Employees must be fully vaccinated if they choose to come onsite.

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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