Remote Concurrent Review Care Coordinator, RN – eviCore

Cigna Healthcare

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Virtual, US
Category Operations
Posted Date:07/05/2023
Job Id 23013007

The Registered Nurse (RN) Care Coordinator (Utilization Review Analyst) is an integral member of the eviCore PAC (Post-Acute Care) Concurrent Review team. The RN will perform various clinical and operational processes related to transition/coordination of care and utilization/case management of Post-Acute Care services including, but not limited, to long term acute care, skilled nursing and inpatient rehab facilities, home health care, care management, and utilization review.

Responsibilities:

  • Develop care plan and other case management tools by participating in frequent discussions with the post-acute care facilities & their staff.
  • Identify progress toward desired care outcomes; intervening to overcome deviations in the expected plan of care; reviewing the care plan with patients in conjunction with the direct care providers.

Education and License:

  • Associate degree in Nursing required; Bachelor Degree in Nursing preferred
  • Active and unrestricted RN license valid in the state of residence

Qualifications:

  • At least 2 years of clinical nursing experience required
  • Prior managed care experience preferred
  • Must have strong time management & ability to work autonomously.
  • Proficient with Microsoft Office applications.
  • Must possess the ability to type at least 30 wpm
  • Required schedule is four 10-hour shifts: Monday, Tuesday, Friday, and Saturday; 8a-7p EST.
  • Rotating holidays and on-call.

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an hourly rate of 25 – 38 USD / hourly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group.

About Evernorth Health Services

Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.