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
Efficiently navigate multiple systems and applications in a fast-paced, customer-focused environment
Complete required training and maintain clinical knowledge, licensure, and certifications

Active, unrestricted Registered Nurse (RN) license in CALIFORNIA
Minimum of two (2) years of full-time direct patient care experience as an RN
Specialty case management experience, with TRANSPLANT 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
Demonstrated ability to resolve conflict, collaborate across teams, and interact with diverse populations
Strong organizational skills, adaptability, and comfort managing multiple complex cases simultaneously

Comprehensive range of health-related benefits including medical, vision, and dental
Well-being and behavioral health programs
401(k)
Company paid life insurance
Tuition reimbursement
A minimum of 18 days of paid time off per year
Paid holidays

RN – Transplant Nurse Case Manager

Key skills