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About Us
At CIGNA, we believe good health benefits everyone. That’s why we’ve made it our mission to improve the health, well-being and security of every individual we serve. And while we can't fix the entire health system overnight we're doing everything in our power to make it better. Because when we do we help people (and the companies they work for) perform better and lead more fulfilling lives. That’s good for everyone. See for yourself when you view our PLEDGE.
On-site Nurse Case Manager- Memphis
Please Note: This is an On-site position and the viable candidate must reside in Memphis, Tennessee.
The Workers Compensation Telephonic Case Manager medically manages and/or assesses cases or tasks to facilitate return of ill/injured persons to productive lifestyles in an efficient, cost effective and timely manner. Analyzes and evaluates clinical and return-to work information so that an assessment with recommendations and goals can be established to optimize case outcome. Case management services are performed through telephonic based (TCM) services.
A day in the life of a Workers Compensation Telephonic Case Manager may include:
Assesses the medical, vocational, financial, and behavioral needs of referred, ill/injured persons via combination of face-to-face, telephonic and written correspondence with a variety of parties, within the scope of the license/certification. Case management assessment and evaluation - ¿ gathering relevant medical and vocational information and data; interpreting same to develop a plan; requires interaction with the ill/injured person and specific goal-setting. Coordination of services based upon case-specific local, state and federal regulations as well as policy coverage pertinent to the case
Proposes and implements a cost effective vocational/medical case management plan to the referral source in the form of an initial report produced via personal computer. Modifies plan as needed based on case progress. Requires ability to negotiate with multiple parties.
Coordinates and implements the approved plan to successful completion and reports on the status via a progress/re-assessment report produced on the personal computer. Follow-up and evaluation of persons success relative to case plan; re-assessing case plan as necessary to ensure successful outcomes
Demonstrates appropriate outcomes measured during the life of a case against long and short-term goals; outcomes are summarized at the time of case closure the aim to maximize the persons outcomes and maximize medical status and return to work status. The aim is to return the person, as close as possible, to his/her pre-illness/pre-injury status.
Maintains accurate documentation of records on each case including assessment, goals, barriers, billing, savings and demographic data.
Caseloads vary depending on client need and case complexity and method of delivery (field based vs. telephonic). Caseload size is adjusted based upon other duties. Average caseload size for a Telephonic Case Manager is 70-90..
Compensation
CIGNA offers a competitive compensation and comprehensive benefits package including health and wellness benefits, 401k plan, and work/life balance programs, as well as opportunities for career growth and development.
Requirements
Education:
R.N. license for nurses and Certification as a case manager (CCM)
Or
RN license (Associates or Diploma degree nurse) with three (3) years full-time clinical experience.
Certification:
Certification is recommended and professionally encouraged. Approved certifications included Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Certified Occupational Health Nurse (COHN), Certified Rehabilitation Registered Nurse (CRRN) or Certified Rehabilitation Counselor (CRC). Certification as Certified Legal Nurse Consultant (CLNC), Certified Life Care Planner (CLCP) and Certified Nurse Life Care Planner (CNLCP) will also be considered as long as the individual meets the basic URAC education and experience requirements for case management staff.
Knowledge and Experience:
Staff must practice within the scope of their license (i.e., RN license, counselor license, etc.) and any code of ethics associated with any certifications; staff must maintain current licensure/certification
Registered nurses must have minimum of three nursing experience in the one of following areas: ICU/CCU, trauma, spinal cord injuries, medical/surgical, orthopedics, neurology, or rehab.
CIGNA offers a competitive compensation and comprehensive benefits package including health and wellness benefits, 401k plan, and work/life balance programs, as well as opportunities for career growth and development.
At CIGNA, we are committed to providing our customers with employee benefits, expertise and services that improve the health, well-being and productivity of their employees. CIGNA's people are the key to our success in a changing and increasingly competitive marketplace. The collective skills, behaviors and work experiences of all CIGNA employees enable us to make a real difference in the lives of our members. We seek the most talented and creative minds in the industry to develop innovative solutions our customers value and consumers expect.
CIGNA offers a competitive compensation and comprehensive benefits package including health and wellness benefits, 401k plan, and work/life balance programs, as well as opportunities for career growth and development.
At CIGNA, we are committed to providing our customers with employee benefits, expertise and services that improve the health, well-being and productivity of their employees. CIGNA’s people are the key to our success in a changing and increasingly competitive marketplace. The collective skills, behaviors and work experiences of all CIGNA employees enable us to make a real difference in the lives of our members. We seek the most talented and creative minds in the industry to develop innovative solutions our customers value and consumers expect.
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