Description
Plans, implements, and evaluates appropriate health care services in conjunction with the physician treatment plan. Handles more complex, high acuity cases and/or account sensitive cases. Performs prospective, concurrent, and retrospective reviews for inpatient acute care, rehabilitation, referrals, and select outpatient services including DME (durable medical equipment). Ensures that case management program objectives are met by evaluating the effectiveness of alternative care services and that cost effective, quality care is maintained. Performs leadership role on team when implementing new tools or case management programs/initiatives. Excellent communication and interpersonal skills. Excellent time management, organization and negotiation skills. Strong research and analytical skills. Ability to assess complex issues, recommend changes and resolve problems. Knowledge of managed care preferred. Works independently, receiving direction from manager or team leader for new or unprecedented situations. Manages own caseload and coordinates all assigned cases. Acts as a resource to others. RN with active license required, B.S. preferred. Three to five years clinical practice experience and 2 years case management experience. If in Behavioral Health, requires RN with current state licensure or a Master's Degree in a mental health field with current licensure; requires at least five years of varied experience in psychiatric settings; and at least one year as a Care Manager in behavioral health environment.
Pay Benefits Work Schedule
CIGNA offers a competitive compensation and comprehensive benefits package including health and wellness benefits, 401k plan, and work/life balance programs, as well as opportunities for career growth and development.
How To Apply
We encourage you to complete all questions on the candidate profile if you wish to be considered for this opportunity.
Details:
Job Id:
60776
Annual Salary:
Position Type:
Education Level:
No Selection
Experience Level:
No selection
Posted:
8/11/2009 9:21:24 PM
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