Concurrent Review Care Coordinator - EviCore - Work At Home

The Cigna Group

Job Overview

Location

United States Work at Home

Job Type

Full-time

Full Job Description

📋 Description

• The Concurrent Review Care Coordinator at EviCore, a division of The Cigna Group, is responsible for conducting utilization and concurrent reviews, coordinating care plans, and ensuring medical necessity compliance across post-acute care settings to support quality outcomes and cost-effective care.
• Day-to-day responsibilities include implementing and evaluating individualized care plans, collaborating with providers and interdisciplinary teams, identifying gaps in care, documenting clinical decisions in designated systems, and participating in quality improvement initiatives and audits.
• The role is part of Evernorth Health Services, which focuses on creating innovative pharmacy, care, and benefit solutions to improve health outcomes for millions of people, operating as a division of The Cigna Group with a commitment to innovation and accessibility in healthcare.
• The position offers the opportunity to develop expertise in utilization management, care coordination, and clinical decision-making while working remotely with a flexible schedule, contributing to member experience and organizational goals in a regulated healthcare environment.

🎯 Requirements

• Current, unrestricted Registered Nurse (RN) license in state of residence; multistate license preferred.
• Associate or Bachelor’s degree in Nursing preferred.
• Minimum of 2 years of clinical nursing experience.
• At least 2 years of utilization management or care management experience preferred.
• Experience in home health, skilled nursing, rehabilitation, or managed care environments preferred.
• Proficiency with Microsoft Office tools (Word, Excel, Outlook, PowerPoint) and virtual meeting platforms.

🏖️ Benefits

• Comprehensive health benefits including medical, vision, dental, and well-being and behavioral health programs starting on day one of employment.
• 401(k) retirement plan, company-paid life insurance, and tuition reimbursement.
• Minimum of 18 days of paid time off per year and paid holidays.
• Eligibility to participate in an annual bonus plan.
• Remote work flexibility with core business hours and shift availability between 7:00 a.m. and 7:00 p.m. CST.

Skills & Technologies

Fiber

Remote

Degree Required

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The Cigna Group

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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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