Nurse Case Manager
Location: Hattiesburg Mississippi
Description: Cigna is currently interviewing Nurse Case Manager right now, this position will be placed in Mississippi. Further informations about this position opportunity kindly read the description below. Job Description
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.
Under general supervision, responsible for identifying high risk patients for case management intervention and coordinating the delivery of cost-effective, quality-based health care services for health plan members by development and implementation of alternative treatment plans that address i! ndividual needs of the member, their benefit plan, and communi! ty resources. Directs intervention with moderate to high risk members, and provides support and oversight to other team members managing low risk members. Interfaces with providers of medical services and equipment to facilitate effective communication, referrals, development of discharge planning and alternative treatment plan development. Initiates contact with patient/family, physician, and health care providers/suppliers to discuss the alternative treatment plan and conducts on-site or in-home evaluations as necessary. Monitors, evaluates, extends, revises or closes treatment plans as appropriate. Evaluates cases for quality of care. Communicates case management decisions. Understands and follows policies and procedures and produces and submits reports in a timely manner. Handles high acuity and complex cases. Serves as a professional resource to other Case Managers. Initiates and leads the multi-disciplinary care planning process.
Knowledge, Skills, Abiliti! es Required:
Excellent interpersonal and communications skills with nursing staff, physicians, nurse practitioners and other health workers involved in the care of a member
Ability to meet deadlines and manage multiple priorities, and effectively adapt and respond to complex, fast-paced, rapidly growing, and results-oriented environments
Able to work in a dynamic, fast-paced team environment and to promote team concepts
Excellent typing skills
Computer Skills:
Substantial knowledge of Microsoft Office including SharePoint, Outlook, PowerPoint, Excel and Word.
Required Experience
Minimum Requirements:
Current licensure as a Registered Nurse (RN) practitioner in applicable state
Three or more years experience in clinical and case management.
Strong PC skills required
Preferred Requirements: Certified Case Manager. Bilingual .
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If you were eligi! ble to this position, please email us your resume, with salary requirem! ents and a resume to Cigna.
If you interested on this position just click on the Apply button, you will be redirected to the official website
This position starts available on: Sat, 28 Dec 2013 21:20:57 GMT