RN Quality Specialist

atThe Cigna GroupRemoteUS flagUnited StatesFull-timeUncategorizedJuniorMid-level$33 – $56/hour

Posted Sep 24

This is a fully remote position, open to applicants in United States.

📋 Description

• Provide remote, patient-focused case management support and education to designated patients.

• Establish and nurture therapeutic relationships with assigned patients throughout the duration of the program.

• Offer patient-centered education concerning treatments, disease states, and prescribed products.

• Manage an assigned caseload through scheduled outreach and adherence monitoring.

• Accurately record activities in program databases.

• Facilitate interactions between patients and internal or external clinical partners.

• Tailor interactions based on individual patient needs, health literacy, and program specifications.

• Comply with program-specific contractual agreements, company policies, quality standards, and compliance obligations.

• Engage in program-specific customer meetings, training sessions, and orientations.

• Exhibit clinical competency and system proficiency through mandatory assessments.

• Assist with special projects and additional responsibilities aligned with contract performance and business requirements.


⛳️ Requirements

• Active, unrestricted Registered Nurse (RN) license in the primary state of residence.

• Compact license is required.

• A minimum of two (2) years of RN clinical experience.

• Proficiency in Microsoft Office applications.

• Basic proficiency in database navigation.

• Excellent verbal and written communication skills.

• Capability to manage multiple priorities and adhere to deadlines.

• Ability to work independently in a remote setting.

• Internet connection via cable broadband or fiber optic service with a minimum of 10Mbps download/5Mbps upload speed when working from home.

• Bachelor of Science in Nursing (BSN) or active enrollment in a BSN program is preferred.

• Preferred experience in case management or care coordination.

• Familiarity with pharmacy operations, pharmaceuticals, life sciences, or healthcare business environments is preferred.


🏝️ Benefits

• Eligibility for an annual bonus plan.

• Medical benefits.

• Vision benefits.

• Dental benefits.

• Well-being and behavioral health programs.

• 401(k) plan.

• Company-paid life insurance.

• Tuition reimbursement.

• A minimum of 18 days of paid time off annually.

• Paid holidays.

• Leaves of absence.

• Remote work arrangement.

• Requirement for cable broadband or fiber optic internet with speeds of at least 10Mbps download/5Mbps upload for home workers.

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