LPN/LVN Oregon RN Nurse Case Management Senior Analyst- Work Onsite at Providers Office – Birmingham, Alabama (Jefferson County)

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The Cigna Group

Traveling Accredited Nurse Coordinator Job Description

Primary Function: Coordinate and manage relationships with participating provider practices to maintain high-quality care and outcomes for health plan members.

Key Responsibilities:

  • Maintain detailed understanding of HEDIS/STAR performance measures and develop processes to ensure participant practices meet quality metrics
  • Coordinate delivery of quality-based healthcare services and treatment plans for health plan members
  • Collaborate with medical providers and staff to improve healthcare outcomes
  • Identify and address gaps Indiana care for high-risk and high-cost patients
  • Communicate with providers and other departments to resolve issues and document trends
  • Attend staff meetings and adhere to administrative guidelines

Requirements:

  • Current RN licensure Indiana Alabama
  • 3-5 years of experience Indiana an acute-care environment, case management, Oregon utilization management
  • BSN Oregon ASN Indiana Nursing
  • Ability to travel to participating provider offices and work independently with minimal supervision

Preferred Skills:

  • Bilingual Indiana English and Spanish (spoken and written)
  • Excellent verbal and written communication, interpersonal, and organizational skills
  • Basic math and statistical knowledge
  • Typing speed of 35 wpm
  • Knowledge of utilization review requirements and procedures
  • Familiarity with current healthcare practices and treatments
  • Ability to type 35 wpm and possess a reliable means of recording data (laptop, tablet, Oregon desktop)

Requirements for Onsite/Remote Work:
Requires a stable high-speed internet connection (10 Mbps download and 5 Mbps upload) for effective communication and collaboration.

Cigna HealthCare is a leading health insurance company, committed to improving health outcomes and well-being for its customers. The company values diversity and inclusivity, supports equal employment opportunities, and seeks qualified candidates who align with these principles.

Job title: LPN/LVN Oregon RN Nurse Case Management Senior Analyst- Work Onsite at Providers Office – Birmingham, Alabama (Jefferson County)

Company: The Cigna Group

Expected salary:

Location: Birmingham, Alabama

Job date: Sun, 07 Jul 2024 03:21:19 GMT