RN Care Coordinator - Evernorth - Houston TX

Cigna; Houston (TX); On-site; USD 75,000 - 95,000; Full time

Job summary

Cigna's Evernorth unit in Houston, TX seeks an RN Care Coordinator to deliver personalized patient care and coordinate health services for high-risk populations. The role emphasizes strong communication and outcomes-driven care in a dynamic healthcare environment.

The position requires an RN license in Texas, 3+ years of clinical practice, and BLS/CPR/AED certification. Multistate licensure is preferred, with full-time schedules and emphasis on compliant documentation and collaboration with

Qualifications

• RN with current unrestricted Texas licensure.
• Multistate licensure preferred.
• Current BLS/CPR/AED certification required.

Responsibilities

• Identify and connect customers to eligible programs within Cigna Healthcare.
• Support care coordination for individual customers as needed.
• Coordinate care for high-risk populations efficiently and cost-effectively.
• Refer to clinical partners and act as a conduit between employers and providers.
• Ensure timely review of actionable data for outreach and engagement.
• Maintain timely, accurate documentation to drive positive clinical outcomes.
• Communicate clearly with matrix partners and internal/external programs.
• Identify cases suitable for complex case management and follow referral processes.
• Build relationships with local network providers to coordinate care.
• Identify and close gaps in care with providers and community resources.

Skills

Care coordination

Communication

Patient care

Education

RN licensure Texas

Multistate licensure preferred

Tools

BLS/CPR/AED

Job description

About This Role

The RN Care Coordinator at Evernorth in Houston, TX, is responsible for delivering personalized patient care and coordinating health services for high-risk populations. This role is ideal for experienced nurses who excel in communication and are passionate about improving patient outcomes.

Highlights

• Location: Houston, TX
• Brand/Division: Evernorth
• Schedule: Full-time

What You'll Do

• Identify and refer customers to eligible programs within Cigna Healthcare.
• Support care coordination for individual customers.
• Coordinate care for high-risk targeted populations efficiently and cost-effectively.
• Refer to appropriate clinical partners and act as a conduit between employers and providers.
• Ensure thorough review of patient-level actionable data for outreach and engagement.
• Maintain timely and compliant documentation to drive positive clinical outcomes.
• Communicate clearly with matrix partners and refer to internal and external programs.
• Identify cases appropriate for complex case management and follow referral processes.
• Build effective relationships with local network providers.
• Identify and close gaps in care with providers and community resources.

Requirements

Education

• RN with current unrestricted state licensure in Texas; Multistate licensure preferred.

Experience

• 3+ years of clinical practice experience.
• Case management experience preferred.

Licenses & Certifications

• Current BLS/CPR/AED Certification required.

About Cigna

Cigna is a leading healthcare provider committed to delivering exceptional patient care. They focus on innovative solutions to improve health and increase vitality for millions of people.