RN - Oncology Nurse Care Manager - NW Georgia (cigna)

Job Description

The RN Oncology Nurse Case Manager must reside in Northwest Georgia and possess a current RN license in Georgia.

This role supports our Evernorth Workplace Care division.

Evernorth Workplace Care offers health care delivery services along with population health and health coaching solutions, conducted in person or virtually.  Our mission is to deliver proactive, personalized, and holistic patient care and coaching by acting on health data and insights to improve the overall health and wellness of our clients’ employees, and those they care about most, by providing access to high quality, affordable services where they work and live.

• Collaborates with customer in creation of care plan and documents plan in medical management system.

• Partners with each customer to establish goals and plan interventions to meet the customer’s needs.

• Establishes plan of care in conjunction with the customer and provider, then document into medical management system.

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

• Empowers customers with skills to enhance interaction with their providers.

• Interfaces with the customer, family members/caregivers, providers, and internal partners to coordinate the needs of the customer through telephonic, email, text, and chat interactions.

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• Collaborates with nutritionist, pharmacist, behavioral clinician, Medical Director and customer's provider and other Cigna Medical Management programs to provide whole-person health support.

• Identifies gaps in care and works with customer, providers, and/or local community resources to close gaps in care.

• Provides steerage and referrals to high quality in-network providers

• Acts as a primary liaison for the customer, partnering with internal programs, external programs, and all matrix partners to support positive outcomes.

• Identifies and builds effective relationships with local in-network providers.

• Tracks daily activities to trend volume and outcomes.

• Follows standard operating procedures.

• Toggles between multiple systems and applications.

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

• Prioritizes work to meet commitments aligned with organizational goals.

• Understands and adheres to Case Management performance measures to deliver on key results.

• Completes training within the communicated time limit as required per role.

• Demonstrates evidence of continuing education to maintain clinical expertise, licensure, and certification as appropriate.

Qualifications:

• Active unrestricted Registered Nurse (RN) license in Georgia

• At least 3 or more years of full-time direct patient care as an RN

• At least 1 or more years Oncology experience is required

• Ability to obtain URAC-recognized certification in Case Management within four (4) years of hire

• Excellent communication skills including telephonic (verbal) and digital (messaging, emails).

• Skilled in clinical acumen to form a judgement and act.

• Strong computer skills in Microsoft word, Excel, Outlook, and ability to perform thorough internet research.

• Ability to recognize, address and resolve conflicts in a professional, collaborative manner.

• Demonstrates sensitivity to culturally diverse situations, participants, and customers.

• Demonstrates effective organizational skills and flexibility to meet the business needs.

• Adapts approach and demeanor in real time to match the shifting demands of different situations.

• Ability to manage multiple, complex situations in a fast-paced environment collaborating with clinical and other business partners

This is a work at home role but the RN Oncology Case Manager must possess an active, unrestricted RN license in the state of Georgia AND reside local to Northwest Georgia for regular onsite trainings, meetings and networking with Oncology team.

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an annual salary of 76,600 - 127,600 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group.

About Evernorth Health Services

Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.

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.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.