Apply Now to Get the Job You've Always Wanted. Boost your job search now by finding jobs in your industry and local area. Find employment today or career opportunities for the future with hundreds of hot jobs from top employers. Submit your resume to find a job you'll really love.
Job Title: Nurse Workers Comp Case Mgr (RN) - WORK AT HOME
Location: Denver, CO
Company: CIGNA
Role Title:
Nurse Workers Comp Case Mgr (RN) - WORK AT HOME
Job ID:
54685
Location:CO - DENVER
Full/Part Time:
Full-Time
Regular/Temporary:
Regular
Return to Previous Page
Org Marketing Statement
What if you worked somewhere different?What if you worked somewhere faster?What if you worked somewhere better?Welcome to CIGNA Intracorp.When you work at CIGNA, you can count on a different kind of career. Work with us, and you will be making a difference. Deliver results and share in the reinvention of health care.Explore everything that makes CIGNA a special place to work. We offer a results-driven environment where we pay for performance. We offer competitive benefits. We have a diverse and inclusive workforce. We demand integrity and respect in all we do. Add it all up and you get somewhere great to work ¿ CIGNA Intracorp.We offer more than a job; we offer something essential to your career development - the opportunity to grow in a company that recognizes, respects and values individual contributions and differences.Are you ready to work somewhere great?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. CIGNAs 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.
Role Summary
Full Time TCM position, with some utilization management function onsite at a claims office location dedicated to a customer. Primary function is Telephonic Case Management. Workers compensation case mgmt experience is preferable.
Major Duties
Works with employees, policyholders and health care providers to facilitate and/or coordinate a strategy to expedite the employees return to work.Coordinates and implements the approved plan to successful completion and reports on the status via a progress report produced on the personal computer.Maintains accurate record of management including billing, savings and demographic data.Adheres to and attains established quality standards.Utilizes effective communication, courtesy and professionalism in all interactions both internally and externally.Assists and supports customer/account management processes as required.Participates in customer visits as requested.Advises supervisory staff, as well as documents, any concerns or complaints expressed by providers, injured workers and customers.Attains established reports and operational objectives.Assist with training/precept as required.Utilization review of medical necessity activities.
Qualifications
RN license and 3-5 years clinical experience required.Bachelors degree and case management or other applicable certification (CCM, CRRN, and/or CDMS) preferred.Work experience in disability management, utilization management, discharge planning, return to work planning or case management. Telephonic Case Management experience highly desired.Strong analytical, problem solving and decision making skills.Strong computer skills required.Knowledge of workers compensation regulations.Excellent communication, time management, and organizational skills.As healthcare becomes an increasing concern for everyone, CIGNA will make a difference. Be part of it. CIGNA has a rich history and a bright future as a health care innovator. Come and help us define it. As we build that future, we need people who are bright, driven, and always raising their game. If you are not ready to make a move yet, but you know someone qualified who we should talk to, please forward this to them.
Pay Benefits Work Schedule
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.
How To Apply
We encourage you to complete all questions on the candidate profile if you wish to be considered for this opportunity.
EEO Statement
CIGNA is an Equal Opportunity Employer
Return to Previous Page
RN Medical Case Manager Workers' Compensation Boise, ID - RN Medical Case Manager Workers' Compensation SUMMARY: Office based telephonic medical case management with emphasis on early intervention, return to work... (From CareerBuilder) (123 Views)
Complex Case Mgr Saint Louis, MO - HealthCare USA of Missouri, a dynamic health maintenance organization has an
immediate full-time opening in our St. Louis office. Complex Case Manager... (From Coventry Health Care) (84 Views)
Complex Case Mgr Detroit, MI - Complex Case Manager GENERAL SUMMARY Functions as the central coordinator of care for members identified as having
chronic disease processes or for members in... (From Coventry Health Care) (77 Views)
Complex Case Mgr Columbia, MD - Complex Case Manager GENERAL SUMMARY Functions as the central coordinator of care for Medicaid members identified as
having chronic disease processes or for... (From Coventry Health Care) (76 Views)