• Job Description

  Req#: 23014210

  Must be a current contractor with Cigna Healthcare, Evernorth Health Services, or one of their subsidiaries.
  

  This position is responsible for supporting a variety of behavioral operations utilization and case management functions including providing telephonic education, support and referrals to various health and wellness programs to customers from all lines of business for inpatient & outpatient services.

  Responsibilities:

  • Provide exceptional customer service and collaborate effectively with daytime inpatient and outpatient Care Coordinators & Care Managers, facilities and individual HCPs to ensure proper access and utilization of benefits.
  • Participate in implementing tasks related to increasing holistic approach to management of customer cases including meaningful engagement, aftercare follow-up planning, outpatient specialty programming and integration of services with matrix partners.
  • Delivers information about the Behavioral Specialty Programming to customers. The Behavioral Specialty Programming includes the following: Intensive Care Management, Coaching & Support for Children & Families, Coaching & Support for Young Adults and Medical Integration. This also includes the CLIMB program (Changing Lives by Integrating Mind and Body).
  • Provides information resources to customers, family members, facilities, and HCPs on an as-needed basis to assist with problem solving or clarifying aspects of their mental health system (e.g. benefits, claims and community resources).
  • Contributes constructively in team meetings and with matrix partners in a manner to enhance relationships and to improve communication and procedures relevant to team functioning.
  • Performs additional tasks/projects as needed, requested or assigned.
  • Attends all required trainings and adheres to all regulatory mandates impacting utilization review and accreditation procedures.
  • Complies with all Cigna Behavioral Health policies and Standard Operating Procedures.
  • Provides collaborative/cross-functional backup to other team members, other teams, other departments to support current Behavioral Operations workflows/protocols.
  • Takes initiative for continued professional development.
  • In all interactions, when necessary and appropriate, will be clear with client, customer, and HCP regarding the employee’s credentials.

  Qualifications:

  • Bachelor’s degree required
  • At least 1 year of experience in behavioral health services setting
  • Clear understanding of products and services delivered by Cigna
  • Preferred knowledge/experience with all behavioral health products and their platforms (i.e. CAMS/DG, TruCare, CCMS)
  • Strong passion for speaking to & assisting customers improve their health, well-being and sense of security
  • Ability to obtain information from facilities, HCPs, customers electronically and telephonically
  • Partner and collaborate with customers and HCPs for a better treatment outcome
  • Requires interpersonal skill, judgment, ability to process through change effectively
  • Requires the ability to prioritize, switch-task, and organize workload independently
  • Ability to take direction and work under supervision concerning all job tasks

  • Must be a current contractor with Cigna Healthcare, Evernorth Health Services, or one of their subsidiaries.

  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.

  For this position, we anticipate offering an hourly rate of 23 - 34 USD / hourly, depending on relevant factors, including experience and geographic location.

  This role is also anticipated to be eligible to participate in an annual bonus plan.

  We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group.

  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.

• About the company

  Cigna is an American worldwide health services organization based in Bloomfield, Connecticut.

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