CQNS NURSE - RN Quality Specialist - Work at Home

POSITION SUMMARY

Provides case management support and education to patients on assigned caseload through remote contact with patient. This includes: relationship building, assisting with navigating insurance and pharmacy protocols to obtain medication, referral source, and customized product and disease state training.

ESSENTIAL FUNCTIONS

• Adhere to principles as stipulated by program-specific contractual agreements and company practices

• Build relationships with assigned patients throughout duration of program

• Provide patient-centric education regarding treatment and disease states for assigned products

• Manage caseload including scheduled maintenance and adherence, scheduled calls/interactions, updating program database per company protocols

• Coordinate meetings between patient and clinical partners

• Deliver customized interactions based on patient’s needs

• Participate in program-specific customer meetings and training sessions

• Participate in program-specific orientation meetings and demonstrate clinical and systems competency on tests

• Perform special projects and other duties as it pertains to specific contract performance

• Hours: 11:00 am - 8:00 pm EASTERN Time Zone

QUALIFICATIONS

• Valid and unencumbered Registered Nurse (RN) license in primary state of residence. Compact license required.

• RN required. BSN or current enrollment in a BSN program is strongly preferred.

• Minimum of 2 years' of RN experience

• Case management experience preferred

• Demonstrated proficiency with Microsoft Office software; basic database navigation

• Knowledge of pharmacy, pharmaceuticals, life sciences, or healthcare business required

• Ability to multitask in both PC/Phone related tasks

• Works effectively and fosters teamwork

• Demonstrates ownership of projects and carries responsibility for building strong working relationships with colleagues and customers

• Results oriented; demonstrated ability to prioritize and manage work load and meet project deadlines

• Excellent communication skills both verbal and written

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 32 - 54 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.

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