Cigna RN Nurse Case Manager - El Paso, Texas ( Bi-lingual Spanish Preferred) in El Paso, Texas
It's fun to work in a company where people truly BELIEVE in what they are doing!
We're committed to bringing passion and customer focus to the business.
Primary Function: Responsible for coordinating the delivery of cost-effective, quality –based health care services for health plan customers by development and implementation of alternative treatment plans that address individual needs of the customer, their benefit plan, and community resources. Plans, implements, and evaluates appropriate health care services in conjunction with the physician treatment plan. Utilizes clinical skills to assess, plan, implement, coordinates, monitor and evaluates 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 and that cost effective, quality of care is maintained. Provides clinical assessments, health education, and utilization management to customers. Performs community visits or telephonic outreach to customers that have been identified for case management. Nurse Case Managers alsoJob Related Skills: · Verbal and written communication skills · Interpersonal skills · Basic Mathematical and statistical ability · Organizational skills · Typing and computer knowledge- able to type 35WPM · Knowledge of utilization review requirements and procedures · Knowledge of current health care practices and appropriate treatments. · Knowledge of community resources Experience: · Current Licensure as a registered nurse, in the state of Texas in good standing. · Associates degree, diploma or B.S. in Nursing · Five (5) years recent experience in an acute-care environment, or · Two years (2) years recent experience in a case-management or utilization management position · Certified Case Manager preferred
Qualified applicants will be considered for employment without regard to age, race, color, religion, national origin, sex, sexual orientation, gender identity, disability, veteran status.
If you require an accommodation based on your physical or mental disability please email: SeeYourself@cigna.com. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.
We’re a global health service company dedicated to helping people improve their health, well-being and sense of security. We offer an integrated suite of health services, such as medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products that serve over 95 million customers around the world. When you work with us, you’ll enjoy a different kind of career - you’ll make a difference, learn a ton, and change the way people think about health insurance. To see our culture in action, search #TeamCigna on Twitter or Instagram.