Job Description
LPN Telephonic Care Coordinator - (Case Management Analyst)
Evernorth Workplace Care
Evernorth Workplace Care offers health care delivery services along with population health and health coaching solutions, conducted in person. Our mission is to deliver proactive, personalized, and holistic patient care and coaching by acting on health data and insights to improve the overall health and wellness of our clients’ employees, and those they care about most, by providing access to high quality, affordable services where they work and live.
Our Evernorth Workplace Care solution isn’t a one-size-fits-all model. Using data-driven insights, we’ll customize a solution that addresses your organization’s most pressing needs—creating a more affordable, predictable, and simple health care experience.
Evernorth Workplace Care - Personalized Care Where You Are
Licensed Practical Nurse - Telephonic Care Coordinator - Evernorth
The program mission is to improve the health of those with chronic conditions through a holistic, individualized approach which supports improvements in productivity, health status, and appropriate use of medical services.
Sound like you? Great! Here’s more on how you’ll make a difference:
- Support inbound calls from a dedicated client queue.
- Assist in the identification of customer health education needs through health assessment activities.
- Use and apply Preventive Guidelines as well as general health and wellness strategies to set goals to improve overall health of customers.
- Educate and refer customers to available health resources and Cigna Medical Management programs as appropriate.
- Provide 1:1 in-the-moment coaching to customers around behavior change opportunities to improve health status, reduce health risks, and improve quality of life.
- Assess readiness to change, work with customers to establish health improvement plans, and assist customers in setting personalized health goals.
- Empower customers with skills to provide enhanced interaction with their health care providers.
- Document interactions and interventions as directed in appropriate systems.
- Provide approved health and wellness education and send supporting materials.
· Persuasively explain program benefits.
- Communicate effectively to engage customers in health coaching programs.
- Complete eligibility verification with customers and provide service/process explanation.
- Identify incentive requirements if applicable and communicate options to customer.
· Ensure exceptional customer service.
- Use telephone, internet, mail, and internal Cigna resources to achieve optimal service levels for participants/providers.
- Work in a team environment under guidance of leads and supervisors.
- Monitor and respond to incoming messages via phone and e mail with adherence to program timeframes and client deliverables.
- Identify and solve issues and concerns with customers and providers.
- Escalate issues and concerns as appropriate to leads and supervisors.
What we expect from you:
· Graduate of approved LPN/LVN program
- Active and unrestricted LPN license in respective state
- At least 3 or more years of LPN experience in a hospital or provider's office
· Bachelor’s degree preferred.
- Customer Service or experience in a telephonic or LPN Triage Nurse role
- Computer skills and ability to talk and type at the same time, and navigate through multiple open windows and tabs
· Ability to build rapport with patients
Bonus points for:
· Customer-centric Focus
· Dynamic personality
If 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.For this position, we anticipate offering an hourly rate of 25 - 38 USD / hourly, depending on relevant factors, including experience and geographic location.This role is also anticipated to be eligible to participate in an annual bonus plan.
At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. 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 need a reasonable accommodation to complete the online application process, please email for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
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.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
Originally posted on Himalayas
