RN-Oncology Nurse Case Manager- Remote

Cigna • Gilbert, AZ

260d • $76,600 - $127,600 • Hybrid

About The Position

The Non-Premium Oncology Nurse Case Manager serves as a healthcare professional who advocates for customers, coordinating, supporting, and guiding care for customers, families, and caregivers throughout their healthcare journey. The candidate will embody and demonstrate the Care Solutions cultural beliefs, which include delivering world-class experiences, taking accountability, delivering value, adapting to business needs, pioneering solutions, and prioritizing self-care and compassion. Responsibilities include collaborating with customers to create care plans, establishing goals and interventions, utilizing motivational interviewing, empowering customers, coordinating with various healthcare professionals, and adhering to case management performance measures.

Requirements

• Active unrestricted Registered Nurse (RN) license in state or territory of the United States.
• Minimum of two years full-time direct patient care as an RN required.

Nice To Haves

• Experience in the specialty Oncology preferred.
• Must have an active and unencumbered RN License.
• Within four (4) years of hire as a case manager will possess a URAC-recognized certification in case management.
• 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.

Responsibilities

• Collaborates with customer in creation of care plan and documents plan in medical management system.
• Partners with each customer to establish goals and interventions to meet the customer's needs.
• Establishes plan of care in conjunction with the customer and provider then document into a 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.
• Collaborates with nutritionist, pharmacist, behavioral clinician, Medical Director and customer's provider and other Cigna Medical Management programs to provide whole-person health support.
• 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 and certification as appropriate.

Benefits

• Competitive compensation and comprehensive benefits package including health and wellness benefits.
• 401k plan with company match.
• Work/life balance programs.
• Opportunities for career growth and development.
• Health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
• Company paid life insurance.
• Tuition reimbursement.
• A minimum of 18 days of paid time off per year and paid holidays.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Insurance Carriers and Related Activities
• Education Level: Bachelor's degree