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