Nurse Case Management Lead Analyst - Accredo - Work at Home

NurseRemotely; United States; Hybrid; USD 78,000 - 129,000; Full time

Benefits offered by this job

Medical

Vision

Dental

Well-being programs

401(k)

Life insurance

Tuition reimbursement

PTO 18 days

Paid holidays

Leaves of absence

Job summary

The Cigna Group's Evernorth Health Services is seeking a Nurse Case Management Lead Analyst to guide care strategies that improve patient outcomes and reduce costs. This role requires an active RN license and at least 2 years of clinical nursing with case management experience, along with strong analytical and leadership abilities.

You will mentor nursing staff, collaborate with cross-functional teams, and develop strategies to improve quality metrics and care coordination.

Qualifications

• RN license in good standing in the state of primary residence.
• Minimum 2 years of clinical nursing experience, including case management or care coordination.
• Strong analytical skills to interpret healthcare data and apply insights.
• Excellent communication and leadership abilities.
• Preferred: Bachelor's degree in Nursing; experience with value-based care and EHR proficiency.

Responsibilities

• Lead case management initiatives to improve patient outcomes and care coordination.
• Develop strategies to reduce hospital readmissions and improve quality metrics.
• Collaborate with cross-functional teams to coordinate care plans.
• Analyze data trends to identify opportunities for cost efficiency and process improvements.
• Mentor nursing staff to promote professional growth and care excellence.

Skills

RN license

Clinical nursing

Case management

Analytical skills

Communication & leadership

Education

Bachelor’s degree in Nursing

Job description

Nurse Case Management Lead Analyst

Join us in shaping the future of patient care! As a Nurse Case Management Lead Analyst, you’ll guide care strategies that improve lives and create lasting impact. We believe in compassion, innovation, and teamwork—and we’re looking for someone who shares our vision to make healthcare more connected and effective.

Responsibilities

• Lead case management initiatives that enhance patient outcomes and streamline care delivery.
• Develop and implement strategies to reduce hospital readmissions and improve quality metrics.
• Collaborate with cross-functional teams to ensure seamless coordination of care plans.
• Analyze data trends to identify opportunities for process improvement and cost efficiency.
• Mentor and support nursing staff to foster professional growth and excellence in care.

Qualifications

Required:

• Current RN license in good standing. License must be in state of primary residence.
• Minimum 2 years of clinical nursing experience, including 2 years in case management or care coordination or prior authorization.
• Strong analytical skills with ability to interpret healthcare data and apply insights.
• Excellent communication and leadership abilities.

Preferred:

• Bachelor’s degree in Nursing.
• Experience with value-based care models and population health strategies.
• Proficiency in case management software and electronic health records (EHR).

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 annual salary of 77,500 - 129,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan.

At The Cigna Group, 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, well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, leaves of absence.

• medical
• vision
• dental
• well-being and behavioral health programs
• 401(k)
• company paid life insurance
• tuition reimbursement
• a minimum of 18 days of paid time off per year
• paid holidays
• leaves of absence

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.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

If you need a reasonable accommodation to complete the online application process, please email [e-mail] for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.