Pre-Service Care Coordinator - EviCore - Work at Home

The Cigna Group

2d•$31 - $52•Remote

About The Position

The Pre-Service Care Coordinator (RN) responsibilities include but not limited to: Perform clinical and operational processes related to transition / coordination of care/case management of Post-Acute Care services including but not limited to Home Health, DME, Care Coordination/Care management. Ensure the member is receiving all services or equipment as ordered by the physician. Assist with the coordination between providers and members.

Requirements

Current unrestricted Registered Nurse licensure.
2+ years of clinical experience.
Ability to sit at a desk 50% of the time and utilize the computer, telephone, and other office equipment, throughout the entire work day; walking and standing.
Ability to perform dependable and reliable work schedule is essential.
Time-management: Ability to effectively manage one’s time and resources to ensure that work is completed efficiently
Excellent organizational skills
Communication: Ability to provide clear verbal and written information via in-person, email, and phone to customers, co-workers, and leadership
Critical-Thinking/Decision-making: Ability to choose a course of action or develop appropriate solutions by identifying and understanding issues, problems, and opportunities
Autonomy: Ability to work independently with little to no supervision
Proficient in computer literacy skills with the ability to use and troubleshoot Microsoft Word, Excel, Outlook, and PowerPoint with the ability to type 30 wpm preferred
Experience using videoconferencing systems such as WebEx
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.

Nice To Haves

Associate degree or Bachelor Degree in Nursing preferred.
Multistate license preferred.
2 + years experience in utilization management preferred.
Home health, SNF, and/or rehab experience desired.
Medicare/Medicaid managed care programs preferred.

Responsibilities

Perform clinical and operational processes related to transition / coordination of care/case management of Post-Acute Care services including but not limited to Home Health, DME, Care Coordination/Care management.
Ensure the member is receiving all services or equipment as ordered by the physician.
Assist with the coordination between providers and members.