(RN)Behavioral Nurse Case Manager Specialist - Onsite - Eden Pr
Location: Eden Prairie Minnesota
Description: Cigna is in need of (RN)Behavioral Nurse Case Manager Specialist - Onsite - Eden Pr right now, this career will be placed in Minnesota. More complete informations about this career opportunity please read the description below. Job Description
Responsibilities
A typical day will include:
Monitors medical progress of claim! ants and reports on and plans for deviations from the normal recovery process/length of disability.
Evaluates timely activity and case development of an effective medical plan with the most appropriate outcome.
Routinely evaluates case studies to identify trends, issues, and concerns. Makes any necessary modifications.
Participates directly in customer service calls, visits, pre-sales, installations, and renewals.
Supports CIGNA Group Insurance initiatives for quality improvement, change, growth, and excellence in business practices.
Understands and is able to articulate claimant's perspective
Facilitates relations with and between Claim Examiners, business partners, and customers to develop claim strategies, reduce the total cost of disability in all forms and implement improvement opportunities.
Collaborates with health care providers and ill/injured employees to promote accountability for the appropriateness ! and status of treatment plan and length of disability.
Acts as a medical resource person for staff; provides educational opportunities for staff through training, inservice, and sharing of resources on one-on-one or group forums, whichever is most efficient and effective.
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Requirements
Qualifications
Licensed Registered Nurse with current licensure in state of residency and state of employment. License must be current and without standing or pending censure by any state.
A minimum of 5 years clinical experience with strong clinical background in at least one or more of the following:
Medical/Surgical Nursing Occupational Health Nursing
Rehabilitation Nursing Psychiatric Nursing
Critical Care Nursing Public Health Nursing
! Certification(s) in Case Management or Disability Management Specialist.
Ability to function in a team environment
Strong skills in medical assessment/medical record review.
Excellent Excel and Word processing skills, ability to type proficiently, strong PC skills
Excellent organizational skills to facilitate the coordination and completion of multiple and varied requests
Written and oral communication skills that allow clear and concise presentation of conclusions and recommendations to a variety of audiences.
Self-starter with the ability to be effective in a large, complex and highly matrixed organization.
Ability to focus on both the details and "big picture" at the same time
Ability to convey empathy via telephonic interaction
Problem solving skills
Ability to lead conversation
Ability to utilize de-escalation skills and remain calm and focused in emotional situations wi! th customers on the phone .
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If you were eligible to th! is career, please email us your resume, with salary requirements and a resume to Cigna.
If you interested on this career just click on the Apply button, you will be redirected to the official website
This career starts available on: Sun, 07 Apr 2013 17:59:01 GMT
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