Job Description

Primary Function: Responsible for coordinating the delivery of cost-effective, quality \xe2\x80\x93based health care services for health plan customers by development and implementation of alternative treatment plans that address individual needs of the customer, their benefit plan, and community resources. Plans, implements, and evaluates appropriate health care services in conjunction with the physician treatment plan. Utilizes clinical skills to assess, plan, implement, coordinates, monitor and evaluates options and services in order to facilitate appropriate healthcare outcomes for customers. Ensures that case management program objectives are met by evaluating the effectiveness of alternative care services and that cost effective, quality of care is maintained. Provides clinical assessments, health education, and utilization management to customers. Performs community visits or telephonic outreach to customers that have been identified for case management. Nurse Case Managers alsoIdeal candidate must reside in El Paso, Texas area.Experience: \xc2\xb7Current unrestricted LPN/LVN or RN licensure in the state of Texas.Associates degree, diploma or B.S. in Nursing a plus\xc2\xb7Five (5) years recent experience in an acute-care environment, or Two years (2) years recent experience in a case-management or utilization management position \xc2\xb7Certified Case Manager preferredBi-lingual-Spanish preferred.Basic Mathematical and statistical ability \xc2\xb7Typing and computer knowledge- able to type 35WPM \xc2\xb7Knowledge of utilization review requirements and procedures \xc2\xb7 Knowledge of current health care practices and appropriate treatments. \xc2\xb7 Knowledge of community resourcesIf 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.About Cigna HealthcareCigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

The Cigna Group