Nurse Case Management Lead Analyst-Accredo - Work at Home

Cigna Healthcare

$77K — $129K *
US-AnywhereRemote in United States
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Current RN license in good standing, specific to the state of primary residence.
  • Minimum 2 years clinical nursing experience, with at least 2 years in case management, care coordination, or prior authorization.
  • Strong analytical skills to interpret healthcare data and leverage insights for improvement.
  • Excellent communication and leadership qualities.

Responsibilities

  • Lead initiatives to improve patient outcomes and streamline care delivery.
  • Develop strategies aimed at reducing hospital readmissions and enhancing quality metrics.
  • Collaborate with diverse teams for cohesive care plans.
  • Analyze data trends for process improvement and cost efficiency opportunities.
  • Mentor nursing staff to promote professional growth and excellence in patient care.

Benefits

  • Comprehensive health benefits starting on day one, including medical, vision, and dental.
  • Well-being and behavioral health programs provided.
  • 401(k) plan options available.
  • Company-paid life insurance offered.
  • Tuition reimbursement opportunities available.
  • Minimum of 18 days paid time off (PTO) annually, plus paid holidays.
  • Leaves of absence are supported.
Full Job Description
Nurse Case Management Lead Analyst

Responsibilities
  • Lead case management initiatives that enhance patient outcomes and streamline care delivery.
  • Develop and implement strategies to reduce hospital readmissions and improve quality metrics.
  • Collaborate with cross-functional teams to ensure seamless coordination of care plans.
  • Analyze data trends to identify opportunities for process improvement and cost efficiency.
  • Mentor and support nursing staff to foster professional growth and excellence in care.


Qualifications

Required:
  • Current RN license in good standing. License must be in state of primary residence.
  • Minimum 2 years of clinical nursing experience, including 2 years in case management or care coordination or prior authorization.
  • Strong analytical skills with ability to interpret healthcare data and apply insights.
  • Excellent communication and leadership abilities.


Preferred:
  • Bachelor's degree in Nursing.
  • Experience with value-based care models and population health strategies.
  • Proficiency in case management software and electronic health records (EHR).


If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an annual salary of 77,500 - 129,100 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.

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