Nurse Case Management - Cigna Healthcare
Core
Nurse-led professional supporting members with complex medical, psychosocial, or care-coordination needs by developing personalized care plans and coordinating providers.
Role type
Senior IC nurse case manager
Builds
Personalized care plans and coordinated healthcare journeys for members
Domain
Healthcare / Insurance / Case Management
Deliverable
client delivery
Required skills
Clinical assessment, care coordination, care plan development, provider collaboration, risk identification, regulatory compliance, self-management education, cost-effective solution design
Preferred skills
Multicultural environment adaptability, additional languages (French, Portuguese, German), Microsoft Office proficiency, healthcare management systems proficiency
Responsibilities
Build trusted relationships with members and serve as primary point of contact; Assess medical, psychosocial, and functional needs; Develop, implement, and adapt personalized care plans; Monitor member progress and support safe transitions of care; Collaborate with internal teams and external partners to deliver specialized clinical programmes; Maintain accurate case records and ensure compliance with standards and policies; Promote clinically appropriate and cost-effective healthcare solutions