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(RN) Nurse Case Manager - Evernorth Health Services -Remote

The Cigna GroupNorth Fayette Township, PA
Remote

About The Position

The Nurse Case Manager serves as a customer advocate, partnering with members, families, and providers to coordinate care and support navigation of the healthcare system. This role focuses on whole-person health, behavior change, and delivering high-quality, customer-centered outcomes aligned with Care Solutions cultural beliefs.

Requirements

  • Active, unrestricted Registered Nurse (RN) license in a U.S. state or territory.
  • Minimum of two (2) years of full-time direct patient care experience as an RN.
  • Nursing degree from an accredited nursing program.
  • Ability to work an 8-hour shift between 9:00 a.m. and 9:00 p.m. EST, including evenings as business needs require.
  • Strong communication skills across telephonic and digital platforms.
  • Proficiency with Microsoft Word, Excel, Outlook, and clinical documentation systems.

Nice To Haves

  • Case management certification (URAC-recognized) obtained within four (4) years of hire.
  • Experience working in remote, telephonic, or digital care management environments.
  • Strong organizational skills with the ability to manage multiple priorities in a fast-paced setting.
  • Demonstrated ability to work effectively with culturally diverse populations.
  • Flexibility to support non-standard shifts or occasional on-site meetings or audits

Responsibilities

  • Partner with customers to develop, implement, and document individualized care plans.
  • Use motivational interviewing, behavior change strategies, and shared decision-making to support health goals.
  • Coordinate care with providers, caregivers, and internal clinical partners to support whole-person health.
  • Engage customers through telephonic, digital, and written communication channels.
  • Track and document activities, outcomes, and progress in medical management systems.
  • Follow standard operating procedures and meet defined case management performance measures.
  • Maintain clinical expertise through required training and continuing education.

Benefits

  • medical
  • vision
  • 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

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