Job Overview
Location
United States Work at Home
Job Type
Full-time
Category
HR & Recruiting
Date Posted
May 13, 2026
Full Job Description
đź“‹ Description
- • As a Case Management Senior Analyst (RN Case Manager) at The Cigna Group, you will guide complex cases across the full care journey, connecting members, providers, and plan partners to the right care at the right time—improving outcomes, reducing avoidable costs, and making the experience feel human.
- • Day to day, you will lead complex case planning from intake through resolution, partner with members and families to set health goals, coordinate services across care settings, utilize utilization review for cost-effective care, coach members on treatment options, escalate clinical questions to Medical Directors, and mentor new team members while supporting quality reviews and risk meetings.
- • You will join Cigna Healthcare, a division of The Cigna Group dedicated to advocating for better health through every stage of life by guiding customers through the healthcare system with insight and support to make informed health choices.
- • In this role, you can deepen your expertise in clinical case management, strengthen leadership and mentoring skills, gain experience in healthcare utilization and benefit interpretation, and contribute to quality improvement initiatives while working remotely with a purpose-driven team focused on compassionate, data-informed care.
🎯 Requirements
- • Active RN license (state-appropriate) with an associate degree in nursing (ASN) or higher; compact license required
- • Minimum 3 years of recent clinical practice experience
- • Strong skills in care planning, care coordination, and patient advocacy across the continuum of care
- • Clear, respectful communication (written and verbal) with members, families, providers, and business partners
- • Comfort using a PC and common tools (Windows and Word) and ability to learn new systems as they change
- • Previous case management experience in a health plan, employer, or clinical setting (preferred)
- • Certified Case Manager (CCM) credential or ability to obtain within 12 months of hire (preferred)
🏖️ Benefits
- • Medical, vision, dental, and well-being and behavioral health programs starting on day one
- • 401(k) retirement plan and company-paid life insurance
- • Tuition reimbursement and a minimum of 18 days of paid time off per year plus paid holidays
- • Eligibility to participate in an annual bonus plan
- • Opportunity to work remotely with required broadband internet (10Mbps download/5Mbps upload)
Skills & Technologies
About The Cigna Group
The Cigna Group is a global health services company formed in 1982 through the merger of Connecticut General and INA Corporation. It provides medical, dental, disability, life and accident insurance, pharmacy benefit management, and behavioral health services to employers, individuals and government entities. Headquartered in Bloomfield, Connecticut, the company operates in over 30 countries and jurisdictions, serving more than 180 million customer relationships worldwide through its subsidiaries and affiliates.
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