Opportunity Description
The Pre-Service Care Coordinator (RN) responsibilities include but not limited to:
+ Perform clinical and operational processes related to transition / coordination of care/case management of Post-Acute Care services including but not limited to Home Health, DME, Care Coordination/Care management.
+ Ensure the member is receiving all services or equipment as ordered by the physician.
+ Assist with the coordination between providers and members.
**Minimum Education, Licensure and Professional Certification Requirements:**
+ Current unrestricted Registered Nurse licensure.
+ Associate degree or Bachelor Degree in Nursing preferred.
+ Multistate license preferred.
**Minimum Experience Required:**
+ 2+ years of clinical experience.
+ 2 + years experience in utilization management preferred.
+ Home health, SNF, and/or rehab experience desired.
+ Medicare/Medicaid managed care programs preferred.
+ Position is remote.
...
+ Perform clinical and operational processes related to transition / coordination of care/case management of Post-Acute Care services including but not limited to Home Health, DME, Care Coordination/Care management.
+ Ensure the member is receiving all services or equipment as ordered by the physician.
+ Assist with the coordination between providers and members.
**Minimum Education, Licensure and Professional Certification Requirements:**
+ Current unrestricted Registered Nurse licensure.
+ Associate degree or Bachelor Degree in Nursing preferred.
+ Multistate license preferred.
**Minimum Experience Required:**
+ 2+ years of clinical experience.
+ 2 + years experience in utilization management preferred.
+ Home health, SNF, and/or rehab experience desired.
+ Medicare/Medicaid managed care programs preferred.
+ Position is remote.
...
Ready to Apply?
Submit your application for Pre-Service Care Coordinator - EviCore - Work at Home at The Cigna Group
Apply for this Position