Float Pool (RN) Case Management Lead Analyst - Evernorth Health Services - Remote

Cigna • Austin, TX

408d • Hybrid

About The Position

The Float Pool (RN) Case Management Lead Analyst role at Evernorth Health Services is a full-time telephonic/digital position focused on managing healthcare needs for clients. The role requires a Registered Nurse (RN) to work collaboratively with clients, families, and healthcare providers to assess medical histories, establish care plans, and ensure quality outcomes. The analyst will be responsible for managing a high volume of calls, documenting case management interventions, and adhering to quality assurance standards while promoting effective communication and customer advocacy.

Requirements

• Active unrestricted Registered Nurse (RN) license in State of Residence.
• High-performing candidate with Premium Case Management experience.
• Excellent time management, organizational, research, analytical, negotiation, and communication skills.
• Proficient with computer and case management systems.
• Access to high-speed broadband internet and a private workspace.

Nice To Haves

• Experience in Pediatric Nursing (PDN).
• Case Management certification.
• Experience with TruCare and ICMS systems.
• Excellent telephonic and digital communication skills.
• Strong computer skills in Microsoft Office Suite.

Responsibilities

• Obtain informed verbal and written consent from clients.
• Identify, support, and resolve customer healthcare needs promptly.
• Establish collaborative relationships with clients, families, and healthcare providers to assess care needs.
• Set short-term and long-term goals for case management and involve all relevant parties.
• Promote quality, cost-effective outcomes through effective communication and health advocacy.
• Implement, coordinate, monitor, and evaluate the case management plan as needed.
• Document findings clearly and accurately in the case management system.
• Act as a liaison between clients, families, and healthcare providers.
• Maintain accurate records of case management interventions and outcomes.
• Adhere to quality assurance standards and case management policies.
• Demonstrate sensitivity to culturally diverse situations and clients.
• Provide leadership and mentorship to other case management staff as needed.
• Comply with all accreditation and regulatory mandates.
• Participate in training initiatives to maintain clinical expertise.

Benefits

• Medical, vision, and dental insurance coverage.
• 401(k) with company match.
• Company-paid life insurance.
• Tuition reimbursement.
• Minimum of 18 days of paid time off per year.
• Paid holidays.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Insurance Carriers and Related Activities
• Education Level: No Education Listed