RN- Maternity Nurse Case Manager-Remote

Cigna - Bloomfield, CT

Full-time

Bloomfield, CT

Insurance Carriers and Related Activities

About the position

The RN - Maternity Nurse Case Manager is a remote position focused on coordinating and supporting care for customers, families, and caregivers throughout their healthcare journey. The role emphasizes the adoption of Care Solutions cultural beliefs, which include delivering exceptional customer experiences, fostering collaboration, and prioritizing self-care. The case manager will work closely with customers to create personalized care plans and facilitate communication among various healthcare providers.

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.

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

• Maternity/Obstetrics experience preferred
• Available to work one 'late day' until 7:00pm in your time zone
• Must have an active and unencumbered RN License