Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.
RN Quality Specialist
Location
United States
Posted
10 days ago
Salary
Not specified
No structured requirement data.
Job Description
Role Description
Provides remote, patient-centered case management support and education to assigned patients. The role focuses on relationship building, care coordination, and navigation of insurance and pharmacy protocols to support medication access, adherence, and disease-state education.
- Adhere to all program-specific contractual agreements, company policies, quality standards, and compliance requirements.
- Build and maintain therapeutic relationships with assigned patients throughout the duration of the program.
- Deliver patient-centric education regarding treatments, disease states, and prescribed products.
- Manage a designated caseload including scheduled outreach, adherence monitoring, and accurate documentation in program databases.
- Coordinate interactions between patients and internal or external clinical partners as appropriate.
- Customize interactions based on individual patient needs, health literacy, and program requirements.
- Participate in program-specific customer meetings, training sessions, and orientations.
- Demonstrate clinical competency and system proficiency as validated through required assessments.
- Support special projects and additional duties aligned to contract performance and business needs.
Qualifications
- Active, unrestricted Registered Nurse (RN) license in primary state of residence; compact license required.
- Minimum of two (2) years of RN clinical experience.
- Demonstrated proficiency with Microsoft Office applications and basic database navigation.
- Strong verbal and written communication skills.
- Ability to manage multiple priorities, meet deadlines, and work independently in a remote environment.
Requirements
- Bachelor of Science in Nursing (BSN) or active enrollment in a BSN program.
- Case management or care coordination experience.
- Knowledge of pharmacy operations, pharmaceuticals, life sciences, or healthcare business environments.
Benefits
- Comprehensive health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
- 401(k) with company match.
- Company paid life insurance.
- Tuition reimbursement.
- A minimum of 18 days of paid time off per year and paid holidays.
- Hourly rate of 33 - 56 USD, depending on relevant factors, including experience and geographic location.
- Eligibility to participate in an annual bonus plan.
Job Requirements
- Active, unrestricted Registered Nurse (RN) license in primary state of residence; compact license required.
- Minimum of two (2) years of RN clinical experience.
- Demonstrated proficiency with Microsoft Office applications and basic database navigation.
- Strong verbal and written communication skills.
- Ability to manage multiple priorities, meet deadlines, and work independently in a remote environment.
- Bachelor of Science in Nursing (BSN) or active enrollment in a BSN program.
- Case management or care coordination experience.
- Knowledge of pharmacy operations, pharmaceuticals, life sciences, or healthcare business environments.
Benefits
- Comprehensive health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
- 401(k) with company match.
- Company paid life insurance.
- Tuition reimbursement.
- A minimum of 18 days of paid time off per year and paid holidays.
- Hourly rate of 33 - 56 USD, depending on relevant factors, including experience and geographic location.
- Eligibility to participate in an annual bonus plan.
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