Cigna Nurse Practitioner in Nashville, Tennessee
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Nurse Practitioner – Embedded Complex Care Program
Provides direct patient care to patients with complex care needs and/or high utilization in an external primary care physician (PCP) office. Responsible for the targeting, outreach, care planning and monitoring of patient care and ensuring the delivery of quality care and services to achieve clinical and financial outcomes. Responsible for conducting patient visits/assessments related to acute and chronic care management. Assist with the development, implementation, management, and achievement of specific programs / site objectives and core initiatives, which include, but are not limited to ICD10 coding proficiency and documentation/completion of P4Q, HEDIS, and STARS measures.
Core Responsibilities/Essential Functions
Identify relevant clinical needs based on previous visits, clinical measures/outcomes, health plan or program targeting, primary care provider (PCP) discussions to sufficiently prepare for visits.
Conduct patient outreach telephone calls to market the CCP program and solicit program participation.
Conduct clinical patient visits face-to-face and telephonically to develop comprehensive care plans and to monitor progress to the plans and program goals.
Proactively coordinate with the Practice Administrator / Lead Physician to implement clinical activities to enhance management of comprehensive physical exams, chronic care diseases, and clinical process activities.
Actively work with staff to create a customer centric experience by having a positive and helpful environment, process that provides easy access to care and a workflow that is time efficient
Proficient in clinical documentation in electronic medical records systems and in ICD10/CPT coding.
Remains compliant with all Policy and Procedures established for clinical services/POC
Provides clinical assessment and treatment that positively affects clinical outcomes & performance measures.
Conduct relevant patient education training and coordinate with health plan programs in all applicable settings.
Conduct presentations and community sessions pertaining to disease specific process and preventive care specific to the senior segment.
Develops a strong core relationship with oversight and referring physicians by working with Net Ops in determining where relationship gaps are and develop action plan.
Generates and reviews CCP reports and dashboards to proactively meet program goals and metrics.
Graduate from an accredited program as a Nurse Practitioner (NP), Advanced Practice Nurse (APN), advanced education and training in the diagnosis and management of common medical conditions and chronic illnesses, and a current licensure as a Nurse Practitioner in applicable state.
Two years of experience as Nurse Practitioner.
· Experience practicing with patients with chronic conditions.
· Current Basic Life Support (BLS) Certification, Current Board Certification as an Adult, Family, or Geriatric Nurse Practitioner.
- The nurse practitioner does not need to possess prescriptive authority or have a drug enforcement agency (DEA) certificate to perform the functions of this role, unless prescriptive authority and/or possession of a DEA certificate is a pre-requisite for state licensure.
· Hospital experience as a Registered Nurse and/or Nurse Practitioner
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.