Nurse Care Coordinator Coach- Evernorth- Orlando, FL (Finance)

RN - Care Coordinator - Evernorth Direct Health

EvernorthDirect Health is an industry leading business providing custom care delivery and wellness services across four key business lines:Wellness Centers, Health Coaching, Wellness Events and COVID 19 solutions.

Evernorth is built on the recognition that health makes progress possible. Our health services are designed to redefine healthcare as we know it. But we can't do it alone.

True change takes all of us, united in a shared vision. Health is what drives us. But it's just the start. Together, we can solve the problems others don't, won't or can't.

Sound like you? Great! Here's more on how you'll make a difference :

• Identify and refer appropriate customers to eligible programs within CIGNA Healthcare (CHC) and all eligible client specific health and wellness programs.
• Support Care Coordination of the individual customer. Coordinate the care of the high-risk targeted population in an appropriate, efficient, high quality and cost-effective manner. Refer to appropriate clinical partners (i.e. complex case management and/or Specialty Case management).
• Partner and function as central conduit between employer, provider (PCP, Onsite Health Clinic) and all available Evernorth programs and resources.
• Provide onsite face-to-face customer coaching and support.

• Identify customer health education needs through targeted health assessment activities. Refer customer to other Cigna clinical programs or client specific programs as clinically appropriate.

• Collaborate with customers to establish health improvement plans, set personalized evidence-based goals, and support customers in achieving those goals.

• Empower customers to become an active participant in their own health outcomes.

• Assist customer in overcoming barriers to better health.

• Lead and support a variety of health and wellness promotional activities, such as group coaching, wellness challenges and health-related seminars.

• May perform biometric screenings, including finger sticks, blood pressure, body composition, etc.

• Utilize biometric values and motivational interviewing techniques to collaborate with customer to drive to improve clinical outcomes.

• Provide support for health-related site events, which include open enrollment, wellness committee facilitation, flu shot events, health fairs, etc.

• Partner and coordinate with health management matrix partners for additional engagement and promotion opportunities.
• Support established process and procedures that ensures thorough review of patient level actionable data and reports used to support identification of customers for outreach and engagement.

• Assure and maintain timely, compliant, efficient documentation and information exchange to drive appropriate outreach, engagement and positive clinical outcomes with aligned population.
• Communicate clearly with all matrix partners and refers to appropriate internal and external programs to support outcomes.
• Identify cases appropriate for complex case management and follows process for referral.
• Act as resource to direct customers with specific non-clinical questions to the appropriate resource.
• Work effectively with Evernorth's internal team to support coordination of care and data analysis.
• Identify and build effective relationships with local network providers. Provide steerage to high quality network providers and referrals to the onsite health center.
• Identify gaps in care and work with providers and/or local community resources to close gaps in care.
• Establish and maintain a positive, professional, and collaborative relationship with customer/employee, employer, providers of care, and Evernorth partners to support improved outcomes (clinical, quality and cost) of aligned employee population.

What we expect from you:

•RNwith current unrestricted state licensure in FL

•Musthave three or more years of clinical practice experience
•CaseManagement experience is preferred
•Ahigh energy level with excellent oral and written communication skills
•ExcellentComputer skills [specific software e.g. Word and Excel]
•Excellentinterpersonal skills. Must be able to work in a team environment and exhibit flexibility and enthusiasm in learning new information and developing new skills quickly
•Demonstratecommitment to ongoing education preferred
•Comfortablecommunicating with multiple clinical partners (direct care, Onsite Health, and telephonic coaching and case management teams)
•Experienceworking with high-risk patients preferred
•Experiencein project development and working in a matrix environment preferred
•Self-directnessand the ability succeed in an independent role

•CurrentBLS/CPR/AED Certification
•Passionfor assisting member with health improvement and navigation of the Health Care System

•Musthave strong problem-solving skills

Bonus points for:

• CHES

• Health Coaching experience including chronic disease management

• High energy level, with dynamic presentation skills is required

• Positive role model in demonstrating healthy behaviors

This RN will work onsite 2-3 days, with the remaining days being work at home.

Cigna is committed to a healthy work force. New hires must complete a background check, drug and nicotine screen to be employed in this role.

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.

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 require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.

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.