Community-based RN Case Manager - West TN area -
|Position Title:||Community-based RN Case Manager - West TN area|
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Description of the Position: Community-based RN Case Manager - West TN areaCompany: Cigna Careers
Description: Plans, implements, and evaluates appropriate health care services in conjunction with the physician treatment plan. Handles more complex, high acuity cases and/or account sensitive cases. Utilizes clinical skills to assess, plan, implement, coordinate, monitor, and evaluate options and services in order to facilitate appropriate healthcare outcomes for customers. Ensures that case management program objectives are met by evaluating the effectiveness of alternative care services while maintaining cost effective, quality care. Provides clinical assessments, health education, and utilization management to customers via telephone and community visit(s). Conducts onsite visits to homes, PCP/Specialist offices, and contracted facilities. Excellent communication and interpersonal skills. Good time management and organization skills. Effective negotiation skills. Strong research and analytical skills. Ability to assess complex issues, recommend changes, and resolve problems. Knowledge of managed care preferred. Works independently, receiving direction from a manager or team leader for new or unprecedented situations. Manages own caseload and coordinates all assigned cases. Acts as a resource to others on the healthcare team. Qualifications: US Candidates Only : Qualified applicants will be considered for employment without regard to race, color, religion, national origin, sex, sexual orientation, gender identity, disability, veteran status. If you require a special accommodation, please visit our Careers website or contact us at . RN with current unrestricted license required. Two to four years clinical practice experience or certification in case management with managed care experience at professional level. Ability to exercise independent judgment in decision making, utilizing all relevant information.
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