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Tuesday, September 4, 2007

Nurse Case Manager Specialist: Inpatient

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Company: CIGNA Corporation
Location: 37501
Status: Full Time, Employee
Job Category: Healthcare - RNs & Nurse Management
Relevant Work Experience: 2+ to 5 Years

What if you worked somewhere different?

What if you worked somewhere faster?

What if you worked somewhere better?

Welcome to CIGNA.

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.

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?

Role Summary

Applies clinical training and knowledge to the determination of medical necessity of inpatient cases. This is a full-time onsite position; hired candidate MUST reside within commuting distance of Germantown's Methodist Hospital.

Major Duties

- Travel to the facility daily to review charts and meet with all Cigna inpatients to assess that their stay meets medical necessity based on Cigna's Guidelines.
- Manage all discharge planning of Cigna members that would need post discharge services.
- Interact with a Cigna physicians on members to coordinate care and discharge planning.

- RN license and 3-5 years current acute clinical experience required. Desire recent experience in hospital/skilled nursing/rehab clinical areas.
- Experience in/exposure to Managed Care/Insurance highly desired.
- Bachelor's degree and case management or other applicable certification (CCM, CRRN, and/or CDMS) preferred.
- Work experience in utilization management, discharge planning, or case management preferred.
- Strong research, analytical, problem solving and decision making skills.
- Strong computer skills required - MS Office products, working with multiple systems at once, strong typing/data entry skills.
- Excellent communication, time management, and organizational skills.
- Flexibility to adapt to changing business/patient needs.

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.

Salary/Benefits: Salary commensurate with experience
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.

Job Location: MEMPHIS, TN

Job Number: 52384

Company URL:

Company Profile:
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.

Company: CIGNA Corporation
Address: Philadelphia,PA
Reference Code: RUSACIGNA247-539709

Nurse Case Manager Specialist: Inpatient - Related Nursing Jobs


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