Pre Service Care Coordinator - EviCore - Remote

The Registered Nurse or Licensed Practical Nurse will:

• Perform clinical and operational processes related to transition / coordination of care/case management of Post-Acute Care services including but not limited to Home Health, DME, Care Coordination/Care management.
• Ensure the member is receiving all services or equipment as ordered by the physician. 
• Assist with the coordination between providers and members.
• Position is full time and telephonic.
• Position is remote
• Weekend rotation

Minimum Education and Licensure: 

• Associates Degree or Bachelor Degree in Nursing or Nursing Certification (LPN)
• Current unrestricted Registered Nurse or Licensed Practical Nurse licensure in the state of residence
• Multistate license preferred

Minimum Experience Required (number of years necessary to perform role):

• 2 years of clinical experience in acute care, managed care, ER, ICU, or clinical utilization management

• Home health, SNF,  and/or  rehab experience desired
• Medicare/Medicaid managed care programs preferred

          

Qualifications

• Position is full-time during core business hours with the ability to work any shift between 7 am and 7 pm CST, plus mandatory on-call responsibility after business hours equivalent to approximately two weekends per year. May require weekend rotation.
• Ability to sit at a desk 50% of the time and utilize the computer, telephone, and other office equipment, throughout the entire work day; walking and standing
• Dependable and reliable work schedule is essential

Required Skills:

• Time-management: Ability to effectively manage one’s time and resources to ensure that work is completed efficiently Excellent organizational skills
• Communication: Ability to provide clear verbal and written information via in-person, email, and phone to customers, co-workers, and leadership
• Critical-Thinking/Decision-making: Ability to choose a course of action or develop appropriate solutions by identifying and understanding issues, problems, and opportunities
• Autonomy: Ability to work independently with little to no supervision
• Proficient in computer literacy skills with the ability to use and troubleshoot Microsoft Word, Excel, Outlook, and PowerPoint with the ability to type 30 wpm preferred                            
• Experience using videoconferencing systems such as WebEx

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 27 - 41 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,