RN - Transplant Nurse Case Manager - California - Remote

📋 Description

• • The RN Case Manager plays a critical role in delivering Cigna’s whole-person health strategy by serving as a trusted advocate and clinical partner for customers, families, and caregivers, focusing on care coordination, customer engagement, and health navigation to improve outcomes and deliver exceptional customer experience.
• • Day to day, the role involves partnering with customers to assess needs, develop individualized care plans, and document interventions and outcomes in Cigna medical management systems; collaborating with customers and providers to establish goals and evidence-based plans of care; applying motivational interviewing and behavior change strategies to drive engagement; empowering customers to navigate the healthcare system; coordinating care across customers, caregivers, providers, and internal partners via phone and digital channels; collaborating with interdisciplinary teams including pharmacists, nutritionists, behavioral clinicians, and Medical Directors; tracking, analyzing, and documenting daily activity and outcomes to support performance and quality goals; following established policies and procedures; efficiently navigating multiple systems in a fast-paced environment; and completing required training to maintain clinical knowledge, licensure, and certifications.
• • The role is part of Evernorth Health Services, a division of The Cigna Group, which creates pharmacy, care, and benefit solutions to improve health and increase vitality for millions of people, with a focus on innovation in prediction, prevention, and treatment of illness and disease.
• • The person can learn and achieve expertise in transplant case management, develop advanced clinical judgment and risk assessment skills, gain experience in interdisciplinary collaboration across complex care teams, enhance proficiency in digital health navigation and motivational interviewing techniques, and contribute to whole-person health outcomes while maintaining active RN licensure and pursuing URAC-recognized certification.