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Manager Cigna Rn Remote Jobs in Wisconsin (NOW HIRING)

Network Health, Inc

RN Care Manager

Menasha, WI · Remote

The Registered Nurse Care Manager provides case management services that are member-centric and include assessment, planning, facilitation, care coordination, evaluation and advocacy to all members ...

Network Health

RN Care Manager

Menasha, WI · Remote

The Registered Nurse Care Manager provides case management services that are member-centric and include assessment, planning, facilitation, care coordination, evaluation and advocacy to all members ...

Network Health WI

RN Care Manager

Menasha, WI · On-site +1

The Registered Nurse Care Manager provides case management services that are member-centric and include assessment, planning, facilitation, care coordination, evaluation and advocacy to all members ...

Varsity Tutors

NCLEX-RN Tutor

Milwaukee, WI · Remote

$40/hr

Deep knowledge of NCLEX-RN content areas including management of care, safety and infection control, health promotion, psychosocial integrity, pharmacological and parenteral therapies, reduction of ...

Varsity Tutors

NCLEX-RN Tutor

Madison, WI · Remote

$40/hr

Deep knowledge of NCLEX-RN content areas including management of care, safety and infection control, health promotion, psychosocial integrity, pharmacological and parenteral therapies, reduction of ...

UW Health

Home Based Hospital Care-In Home RN

Madison, WI · On-site +1

$40.30 - $60.45/hr

... remote patient monitoring, video visits, and mobile diagnostic services to support safe, high ... Licensed as a Registered Nurse (RN) in the State of WI or holds a license issued by a jurisdiction ...

DataAnnotation

Nurse

Oregon, WI · Remote

$40/hr

... Registered Nurses Therapists Physical Therapists, Occupational Therapists, Speech-Language ... REMOTE position You'll be able to choose which projects you want to work on You can work on your ...

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Manager Cigna Rn Remote information

What is the difference between Manager Cigna Rn Remote vs Cigna Rn Case Manager?

AspectManager Cigna Rn RemoteCigna Rn Case Manager
CertificationsRN license, management experienceRN license, case management certification often preferred
Work EnvironmentRemote management, team oversightRemote or in-office, direct patient or provider interaction
Employer & IndustryHealth insurance, managed careHealth insurance, case management services

The Manager Cigna Rn Remote typically oversees teams and operations within Cigna's health insurance services, requiring management skills and RN licensure. In contrast, the Cigna Rn Case Manager focuses on direct patient or provider interactions, coordinating care plans. Both roles are remote and within the same industry but differ in responsibilities and focus areas.

What are popular job titles related to Manager Cigna Rn Remote jobs in Wisconsin? For Manager Cigna Rn Remote jobs in Wisconsin, the most frequently searched job titles are:
What job categories do people searching Manager Cigna Rn Remote jobs in Wisconsin look for? The top searched job categories for Manager Cigna Rn Remote jobs in Wisconsin are:
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Manager Cigna Rn Remote jobs near you

RN Care Manager

Network Health, Inc

Menasha, WI • Remote

Full-time

Posted 22 days ago

Job description

The Registered Nurse Care Manager provides case management services that are member-centric and include assessment, planning, facilitation, care coordination, evaluation and advocacy to all members across the healthcare continuum. The Care Manager advocates for options and services to meet an individual’s and family’s comprehensive health needs through communication and coordination of available resources to promote quality, cost-effective outcomes.

Location: Candidates must reside in the state of Wisconsin for consideration. This position is eligible to work at your home office (reliable internet is required). Travel to the corporate office in Menasha is required occasionally for the position, including on first day.

Hours: 1.0 FTE, 40 hours per week, 8am - 5pm Monday through Friday

Check out our 2025 Community Report to learn a little more about the difference our employees make in the communities we live and work in. As an employee, you will have the opportunity to work hard and have fun while getting paid to volunteer in your local neighborhood. You too, can be part of the team and making a difference. Apply to this position to learn more about our team.

Job Responsibilities:

  • Screen candidates for case management and when appropriate completes assessments, care plans with prioritized goals, interventions, and timeframes for re-assessment using evidence-based clinical guidelines. Evaluate and determine member needs based on clinical or behavioral information such as diagnosis, disease progression, procedures and other related therapies
  • Review results from medical or behavioral tests and procedures and updates care plan to reflect progress towards goals; close cases when expected goals/outcomes are achieved
  • Provide information and outreach regarding case or condition management activities to members, caregivers, providers and their administrative staff
  • Evaluate and process member referrals from physicians to other specialty providers
  • Assess, plan, facilitate and advocate for individuals to identify quality, cost effective interventions services and resources to ensure health needs are met
  • Works with members and families on self-management approaches using coaching techniques such as motivational interviewing
  • Educate the individual, his/her family and caretakers about case and condition management, the individual’s health condition(s), medications, provider and community resources and insurance benefits to support quality, cost effective health outcomes.
  • Facilitate the coordination, communication and collaboration of the individual’s care among his/her providers including tertiary, non-plan providers and community resources with the goal of controlling costs and improving quality.
  • Schedule visits with the individual and participates in facility-based care conferences as appropriate to ensure quality care, appropriate use of services, and transition planning.
  • Stay abreast of current best practices and new developments
  • Other duties as assigned

Job Requirements:

  • Graduation from accredited school of nursing
  • Bachelor’s degree in Nursing preferred
  • RN licensure in the State of Wisconsin
  • Case Management certification preferred
  • Four years of clinical health care experience as a RN required
  • Previous experience in case management, utilization management, insurance, or managed care preferred
  • Experience with Medicare, Medicaid preferred

Network Health is an Equal Opportunity Employer

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