Partner with customers to assess needs, develop individualized care plans, and document interventions and outcomes in Cigna medical management systems
Collaborate with customers and providers to establish goals, interventions, and evidence-based plans of care
Apply motivational interviewing, behavior change strategies, and shared decision-making to drive engagement and improved health outcomes
Empower customers to effectively navigate the healthcare system and communicate with providers
Coordinate care across customers, caregivers, providers, and internal partners via phone and digital channels (email, text, chat)
Collaborate with interdisciplinary teams—including pharmacists, nutritionists, behavioral clinicians, Medical Directors, and Medical Management programs—to support whole-person health
Track, analyze, and document daily activity, volume, and outcomes to support performance and quality goals
Follow established policies, procedures, and Case Management performance measures
Requirements
Active, unrestricted Registered Nurse (RN) license in a U.S. state or territory
Minimum of two (2) years of full-time direct patient care experience as an RN
Specialty case management experience, with Oncology experience preferred for specialty roles
Ability to obtain a URAC-recognized Case Management certification within four (4) years of hire
Strong clinical judgment with the ability to assess risk, prioritize care, and act decisively
Excellent verbal and written communication skills across phone and digital platforms
Proficiency in Microsoft Word, Excel, Outlook, and online research tools