[Hiring] Nurse Case Management Manager @Cigna Healthcare
Role Description
The Case Management Supervisor leads a team of case managers and/or health coaches who manage active case files. This role is responsible for team performance, quality, and customer satisfaction through the delivery of high-quality case management and coaching services. The supervisor partners across internal teams and external stakeholders (customers, providers, vendors, and claims payors) to support business initiatives and resolve service delivery issues.
ā¢ Lead, coach, and develop direct reports (case managers, coaches, and other clinical team members) through regular performance discussions, feedback, and career development planning.
ā¢ Monitor and manage performance against established key performance indicators (KPIs), quality standards, and applicable accreditation requirements (e.g., URAC, NCQA).
ā¢ Drive operational excellence by using available tools and resources to improve service delivery, outcomes, and team effectiveness.
ā¢ Collaborate with matrix partners to develop work plans, remove barriers, and take corrective actions to meet objectives.
ā¢ Serve as an escalation point for service delivery concerns; support customer meetings, presentations, and audits as needed.
ā¢ Participate in projects, work groups, and committees; communicate progress, risks, and outcomes to leadership.
Qualifications
ā¢ Active, unrestricted Registered Nurse (RN) license in a U.S. state or territory.
ā¢ Two (2) years of full-time equivalent direct clinical care experience.
ā¢ If directly supervising the case management process for three (3) years, holds a URAC-recognized case management certification.
Requirements
ā¢ Experience leading teams in clinical operations, care management, or healthcare services (1ā2 years preferred).
ā¢ Strong knowledge of case management and coaching programs.
ā¢ Excellent written and verbal communication skills, with the ability to present information to diverse audiences.
ā¢ Demonstrated ability to build collaborative relationships across internal teams and external partners.
ā¢ Experience supporting or participating in client meetings, presentations, and audits.
ā¢ Proficiency with Microsoft Word, Excel, and PowerPoint for reporting and presentations.
ā¢ 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.
Benefits
ā¢ Annual salary of 92,100 - 153,500 USD / yearly, depending on relevant factors, including experience and geographic location.
ā¢ Eligible to participate in an annual bonus plan.
ā¢ Comprehensive range of benefits, with a focus on supporting your whole health.
ā¢ Health-related benefits including medical, vision, dental, and well-being and behavioral health programs starting on day one of employment.
ā¢ 401(k), company paid life insurance, tuition reimbursement.
ā¢ A minimum of 18 days of paid time off per year and paid holidays.
Company Description
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.
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The Case Management Supervisor leads a team of case managers and/or health coaches who manage active case files. This role is responsible for team performance, quality, and customer satisfaction through the delivery of high-quality case management and coaching services. The supervisor partners across internal teams and external stakeholders (customers, providers, vendors, and claims payors) to support business initiatives and resolve service delivery issues.
ā¢ Lead, coach, and develop direct reports (case managers, coaches, and other clinical team members) through regular performance discussions, feedback, and career development planning.
ā¢ Monitor and manage performance against established key performance indicators (KPIs), quality standards, and applicable accreditation requirements (e.g., URAC, NCQA).
ā¢ Drive operational excellence by using available tools and resources to improve service delivery, outcomes, and team effectiveness.
ā¢ Collaborate with matrix partners to develop work plans, remove barriers, and take corrective actions to meet objectives.
ā¢ Serve as an escalation point for service delivery concerns; support customer meetings, presentations, and audits as needed.
ā¢ Participate in projects, work groups, and committees; communicate progress, risks, and outcomes to leadership.
Qualifications
ā¢ Active, unrestricted Registered Nurse (RN) license in a U.S. state or territory.
ā¢ Two (2) years of full-time equivalent direct clinical care experience.
ā¢ If directly supervising the case management process for three (3) years, holds a URAC-recognized case management certification.
Requirements
ā¢ Experience leading teams in clinical operations, care management, or healthcare services (1ā2 years preferred).
ā¢ Strong knowledge of case management and coaching programs.
ā¢ Excellent written and verbal communication skills, with the ability to present information to diverse audiences.
ā¢ Demonstrated ability to build collaborative relationships across internal teams and external partners.
ā¢ Experience supporting or participating in client meetings, presentations, and audits.
ā¢ Proficiency with Microsoft Word, Excel, and PowerPoint for reporting and presentations.
ā¢ 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.
Benefits
ā¢ Annual salary of 92,100 - 153,500 USD / yearly, depending on relevant factors, including experience and geographic location.
ā¢ Eligible to participate in an annual bonus plan.
ā¢ Comprehensive range of benefits, with a focus on supporting your whole health.
ā¢ Health-related benefits including medical, vision, dental, and well-being and behavioral health programs starting on day one of employment.
ā¢ 401(k), company paid life insurance, tuition reimbursement.
ā¢ A minimum of 18 days of paid time off per year and paid holidays.
Company Description
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.
Apply tot his job
Apply To this Job