Description
Evernorth Workplace Care offers health care delivery services along with population health and health coaching solutions, conducted in person or virtually. Their 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 clients' employees and those they care about, by providing access to high-quality, affordable services where they work and live.
As a RN - Care Coordinator, you will support patients on their wellness journey by:
- Identifying and referring customers to eligible programs within CIGNA Healthcare and client-specific health and wellness programs
- Coordinating care for high-risk targeted populations in an efficient and cost-effective manner
- Partnering with employers, providers, and Evernorth programs to support care coordination and data analysis
- Supporting established processes and procedures for reviewing patient-level data and reports
- Communicating clearly with matrix partners and referring to internal and external programs
- Identifying cases suitable for complex case management and following referral processes
- Building effective relationships with local network providers and promoting steerage to high-quality network providers
- Identifying gaps in care and working with providers to close them
- Establishing and maintaining positive, professional relationships with customers, employers, providers, and Evernorth partners
To be successful in this role, you should have:
- Current unrestricted RN state licensure in Texas
- Three or more years of clinical practice experience
- Case management experience is preferred
- Excellent oral and written communication skills
- Strong computer skills, including MS Office
- Ability to work in a team environment and demonstrate self-directness
- Current BLS/CPR/AED certification
- Passion for assisting members with health improvement and navigation of the healthcare system
Preferred qualifications include:
- Multistate licensure
- CHES or NBHWC certification
- Health coaching experience, particularly in chronic disease management
- Experience working with high-risk patients and in project development
This position will be based in downtown Houston, TX. If working remotely, an internet connection with speeds of at least 10Mbps download/5Mbps upload is required.
Evernorth Health Services, a division of The Cigna Group, focuses on creating solutions to improve health and increase vitality. They relentlessly innovate to make the prediction, prevention, and treatment of illness and disease more accessible to millions of people.
Qualified applicants will be considered without regard to various protected characteristics.