Nurse Case Manager Specialist-CGI Disability-Plano, TX
Location: Plano Texas
Description: Cigna is in need of Nurse Case Manager Specialist-CGI Disability-Plano, TX right now, this position will be placed in Texas. For detail informations about this position opportunity please read the description below. Job Description
Monitors medical progress of claimants and reports on and plans for deviations from the normal recovery process/length of disabilit! y.
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/i! ll 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.
Understan! ds 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.
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Requirements
Current Active and Unrestricted TX licensure w! ithout restrictions 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 ability 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
Day Shift; Monday-Friday
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If you were eligible to this position, please email us your resume, with salary requirements and a resume to Cigna.
If you interested on this position just click on the Apply button, you will be redirected to the official website
This position starts available on: Fri, 27 Sep 2013 23:19:13 GMT
Apply Nurse Case Manager Specialist-CGI Disability-Plano, TX Here
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