RN Quality Specialist

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

Posted Sep 23

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

📋 Description

• Offer remote, patient-focused case management assistance and education to assigned patients

• Establish and nurture therapeutic relationships with patients assigned to you

• Provide patient-centered education on treatments, disease conditions, and prescribed medications

• Oversee a specific caseload through scheduled outreach, adherence monitoring, and precise database documentation

• Facilitate interactions between patients and both internal and external clinical partners

• Tailor interactions to meet the unique needs of individual patients, considering their health literacy and program specifications

• Engage in customer meetings, training sessions, and orientation programs

• Exhibit clinical proficiency and system knowledge through required evaluations

• Assist with special projects and additional responsibilities related to contract performance and business requirements

• Comply with contractual obligations, company policies, quality standards, and regulatory requirements

• Work hours are from 11:00 a.m. to 8:00 p.m. Eastern Time


⛳️ Requirements

• Valid, unrestricted Registered Nurse (RN) license in your primary state of residence

• Compact license is mandatory

• At least two (2) years of clinical experience as an RN

• Proficient in Microsoft Office applications and basic database navigation

• Excellent verbal and written communication abilities

• Capability to handle multiple priorities, meet deadlines, and work independently in a remote setting

• Access to cable broadband or fiber optic internet service with a minimum of 10Mbps download and 5Mbps upload speed

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

• Prior experience in case management or care coordination is preferred

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


🏝️ Benefits

• Eligibility for an annual bonus plan

• Medical insurance coverage

• Vision insurance coverage

• Dental insurance coverage

• Programs focused on well-being and behavioral health

• 401(k) retirement plan

• Company-funded life insurance

• Tuition reimbursement opportunities

• Minimum of 18 days of paid time off each year

• Paid holidays

• Leaves of absence available

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