Hours: Monday - Friday; 9a-6p Central Time Zone; Position is full-time during core business hours with the ability to work any shift between 7 am and 7 pm CST.
Pre-Service RN Care Coordinator
Job SummaryThe Pre-Service RN Care Coordinator is responsible for clinical and operational processes related to transition of care, care coordination, and case management for post-acute care services. This role helps ensure members receive services and equipment ordered by their physician and supports coordination between members, providers, and internal partners.
Responsibilities- Perform clinical and operational activities related to transition of care, care coordination, and case management for post-acute care services, including home health, durable medical equipment, and related care management services.
- Review and coordinate services or equipment ordered by the physician to support timely, appropriate member care.
- Collaborate with providers, members, and internal teams to support continuity of care and resolve service coordination needs.
- Document activities accurately and follow established clinical, operational, and compliance guidelines.
Minimum Qualifications- Active, unrestricted Registered Nurse license in state of residence.
- Minimum of 2 years of clinical RN experience.
- Ability to work Monday through Friday, 9:00 a.m.–6:00 p.m. Central Time, with flexibility to work any shift between 7:00 a.m. and 7:00 p.m. Central Time based on business needs.
- Availability for weekend, on-call, and holiday rotation as needed.
- Ability to use a computer, telephone, and other standard office equipment throughout the workday.
- Ability to maintain a dependable and reliable work schedule.
Preferred Qualifications- Bachelor of Science in Nursing.
- Multistate RN license.
- 2 or more years of utilization management experience.
- Experience in home health, skilled nursing facility, rehabilitation, post-acute care, or care coordination.
- Experience with Medicare and/or Medicaid managed care programs.
Work Environment- This is a remote position.
- This role requires prolonged use of a computer, telephone, and other office equipment throughout the workday.
- The position may require sitting for extended periods, as well as occasional walking and standing.
Required Skills- Time management and organization: Ability to manage time and resources effectively to complete work efficiently and meet deadlines.
- Communication: Ability to communicate clearly and professionally with members, providers, coworkers, and leadership through verbal and written channels.
- Critical thinking and decision-making: Ability to identify issues, evaluate information, and develop appropriate solutions.
- Autonomy: Ability to work independently with minimal supervision while meeting role expectations.
- Technology proficiency: Proficiency with Microsoft Word, Excel, Outlook, and PowerPoint; ability to type 30 words per minute preferred.
- Virtual collaboration: Experience using videoconferencing tools such as Webex or similar platforms.
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 hourly rate of 31 - 52 USD / hourly, 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, .
