RN Care Coordinator - Evernorth - Cleveland OH

Cigna Healthcare; Mayfield (OH); On-site; USD 78,000 - 129,000; Full time

Benefits offered by this job

Health benefits from day one

Job summary

Cigna Healthcare is seeking an RN - Care Coordinator for Evernorth Workplace Care in Cleveland, OH. The role supports care coordination for high-risk populations, collaborates with employers, onsite clinics, and clinical partners, and drives proactive patient engagement.

The ideal candidate has an unrestricted Ohio RN license, 3+ years of clinical practice, and strong communication. Multistate licensure is preferred and a comprehensive benefits package is offered.

Qualifications

• RN with current unrestricted Ohio licensure
• Three+ years of clinical practice experience
• Case management experience preferred
• Excellent communication skills, both oral and written
• Experience working with high-risk patients and in a matrix environment

Responsibilities

• Identify and refer eligible clients to programs within Cigna Healthcare and Evernorth resources
• Coordinate care for high-risk customers and refer to complex/case management as needed
• Serve as central liaison between employer, providers, and Evernorth programs
• Review patient data and reports to identify outreach opportunities
• Ensure compliant, timely documentation and data exchange for outcomes
• Build relationships with local providers and onsite health centers
• Close gaps in care with providers and community resources
• Support coordination of care with data analysis and matrix partners
• Direct customers to appropriate non-clinical resources as needed

Skills

RN license

BLS/CPR

Communication

Computer skills

Team player

Self-directed

Education

Registered Nurse degree

Tools

Microsoft Word

Microsoft Excel

Job description

_ RN - Care Coordinator – Evernorth Workplace Care - Cleveland OH _

Evernorth Workplace Care offers health care delivery services along with population health and health coaching solutions, conducted in person or virtually. Our mission is to deliver proactive, personalized, and holistic patient care and coaching by acting on health data and insights to improve the overall health and wellness of our clients’ employees, and those they care about most, by providing access to high quality, affordable services where they work and live.

Our Evernorth Workplace Care solution isn’t a one-size-fits-all model. Using data-driven insights, we’ll customize a solution that addresses your organization’s most pressing needs—creating a more affordable, predictable, and simple health care experience.

Evernorth Workplace Care - Personalized Care Where You Are

Sound like you? Great! Here’s more on how you’ll make a difference

• Identifies and refers appropriate customers to eligible programs within CIGNA Healthcare (CHC) and all eligible client specific health and wellness programs.
• Supports Care Coordination of the individual customer. Coordinates the care of the high-risk targeted population in an appropriate, efficient, high quality and cost-effective manner. Refers to appropriate clinical partners (i.e. complex case management and / or Specialty Case management)
• Partners, and functions as central conduit between employer, provider (PCP, Onsite Health Clinic) and all available Evernorth programs and resources.
• Supports established processes and procedures that ensures thorough review of patient level actionable data and reports used to support identification of customers for outreach and engagement.
• Assure and maintains timely, compliant, efficient documentation and information exchange to drive appropriate outreach, engagement and positive clinical outcomes with aligned population.
• Communicates clearly with all matrix partners and refers to appropriate internal and external programs to support outcomes.
• Identifies cases appropriate for complex case management and follows process for referral.
• Works effectively with Evernorth’s internal team to support coordination of care and data analysis.
• Identifies and builds effective relationships with local network providers. Provides steerage to high quality network providers and referrals to the onsite health center.
• Identifies gaps in care and works with providers and/ or local community resources to close gaps in care.
• Establishes and maintains a positive, professional, and collaborative relationship with customer/employee, employer, providers of care, and Evernorth partners to support improved outcomes (clinical, quality and cost) of aligned employee population.
• Partners and coordinates with health management matrix partners for additional engagement and promotion opportunities
• Act as resource to direct customers with specific non-clinical questions to the appropriate resource.

Expected Qualifications to best serve your patients:

• RNwith current unrestricted state licensure in Ohio and ability to maintain
• Multistate licensure is preferred.
• Musthave three or more years of clinical practice experience
• CaseManagement experience is preferred
• Ahigh energy level with excellent oral and written communication skills.
• ExcellentComputer skills [specific software e.g. Word and Excel]
• Excellentinterpersonal skills. Must be able to work in a team environment and exhibit flexibility and enthusiasm in learning new information and developing new skills quickly.
• Demonstratecommitment to ongoing education preferred.
• Comfortablecommunicating with multiple clinical partners (direct care, Onsite Health, and telephonic coaching and case management teams).
• Experienceworking with high-risk patients preferred.
• Experiencein project development and working in a matrix environment preferred.
• Self-directnessand the ability succeed in an independent role.
• CurrentBLS/CPR/AED Certification
• Passionfor assisting members with health improvement and navigation of the Health Care System.
• Musthave strong problem-solving skills

Bonus points for:

• CHES or NBHWC
• Health Coaching experience including chronic disease management
• High energy level, with dynamic presentation skills is required.
• Positive role model in demonstrating healthy behaviors

This position will be based in Cleveland OH.

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, and well