RN Nurse Case Manager Specialist (Registered Nurse)-Group Disab
Location: Plano Texas
Description: Cigna is at present recruited RN Nurse Case Manager Specialist (Registered Nurse)-Group Disab right now, this vacancy will be placed in Texas. More complete informations about this vacancy opportunity kindly read the description below. Job Description
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Responsibilities
Monitors medical progress of claimants and reports on and plans f! or 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 an! d length of disability.
Acts as an advocate for injur! ed/ill individuals through the assessment, planning, coordination, collaborating, evaluating, and communication of objective information regarding the medical status and state of well being.
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
Monitors medical progress of claimants 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 an advocate for injured/ill individuals through the assessment, planning, coordination, collaborating, evaluating, and communication of objective information regarding the medical status and state of well being.
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. .
Requir! ements
Qualifications
Current TX licensure without re! strictions or stipulations
Bachelor Degree in Nursing preferred
A minimum of 3-5 years clinical experience with strong clinical background in at least one or more of the following:
Medical/Surgical Nursing Occupational Health Nursing
Orthopedic Nursing
Rehabilitation Nursing
Cardiology Nursing
Oncology Nursing
Certification(s) in Case Management or Disability Management Specialist preferred
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 ab! ility 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 with customers on the phone .
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If you were eligible to this vacancy, please email us your resume, with salary requirements and a resume to Cigna.
If you interested on this vacancy just click on the Apply button, you will be redirected to the official website
This vacancy starts available on: Thu, 23 May 2013 20:20:29 GMT
Apply RN Nurse Case Manager Specialist (Registered Nurse)-Group Disab Here
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