RN Comprehensive Case Manager - Work at Home - Jackson, Mississ
Cigna - Mississippi

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Job Description

RN will be responsible for providing support to patients, their families, and physicians in addressing medical and social concerns. Educates patients and families to make informed personal health care decisions. Facilitates communication between patient, physician, health plan, and community. Coordinates the delivery of cost-effective, quality-based health care services for health plan members, interfaces with providers, conducts on-site or in-home evaluations as necessary, educates and promotes wellness.

Performs utilization review activities as outlined following rules established by the peer review organization, Medicare, and other third party payers. Coordinates utilization functions, monitors quality of care, participates in discharge planning process and identifies appropriate resources for a successful transition of care.

Managed care experience preferred, must have good computer skills to navigate through several software systems, must have dependable transportation, willing to travel 25-50% within designated Jackson territory, and willing to complete orientation training in Hattiesburg, MS. Position will start as WAH with HIPPA compliant work area available, then progress to office based.

. Requirements Active Mississippi RN license coupled with 2 years case management experience. Managed care experience preferred, must have good computer skills to navigate through several software systems, must have dependable transportation, willing to travel 25-50% within designated Jackson territory, and willing to complete orientation training in Hattiesburg, MS. Position will start as Work At Home with HIPPA compliant work area available, then progress to office based.

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CIGNA - 4 months ago - save job - block
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With a significant position in the US health insurance market, CIGNA covers some 11.5 million Americans with its various medical plans. The...