Manager Cigna Rn Remote Jobs in Champaign, IL (NOW HIRING)

Overview
***Position requires 6 months of in-office training prior to being remote. The office is located in Champaign, IL***
$5,000 sign-on bonus - external candidate only
The Patient Clinical Services team is a centralized nursing service where the Patient Clinical Services RN implements best practices in patient care and coordination for participating Primary Care locations by assisting in the patient triage and general advice processes through telephone and electronic communications, ensuring timely access and appropriate level of care and advice for all Carle Health Primary Care patients.
Responsibilities
Assists patients via phone and/or electronic platforms to determine care needs, referring to or scheduling appointments, and providing general health information and education using approved references and resources to individuals and groups.Evaluates, assesses, and documents patients' questions or concerns.Coordinates with Primary Care Center physicians and nursing staff in order to meet the needs of the patient.Ensures documentation of patient health status and care concerns are complete and accurate.Supports maintenance and completeness of patient's electronic medical record, including medication reconciliation.Provides a great level of attention to detail and focus on the given task.Demonstrates customer service excellence in accordance to Carle policies.Serve as a role model for professional conduct and excellent patient care.Assists primary care offices with inbound telephone and electronic communications encounters regarding symptom management and general advice concerns. Manages all incoming patient care requests related to in-basket activities, work que activity, and incoming telephone calls. Assesses and triages patient care concerns regarding urgent/emergent matters providing appropriate disposition advice based on acuity level per provider approved protocols. Directs patients to appropriate level of care need and/or resources based on reported symptoms or concerns including but not limited to: symptom-based concerns, medication questions/refills, referral needs, prior authorization requests, and visit follow-up questions. Finds nurse led solutions to care and/or escalates patient care concerns when appropriate by expressing nursing judgement and clinical knowledge. Monitors encounter status and provides follow-up care and education to patient as outlined by the collaborating provider. Documents nursing observations, interventions, and evaluations of the care being provided. Reports medical information obtained from patients accurately, completely, and in a timely manner. Ensures accuracy of the information available within EMR Advocates for the patient as required. Emphasizes attracting, mentoring, and retaining talent through excellent communication, training, and orientation to new nursing personnel after successful completion of six-month probationary period. Provides assistance to Medication Renewal Center and Patient Advisory Nurse (PAN) as needed. Cross trains to provide float support to all Patient Contact Center Clinical teams as call volumes, in-baskets, patient care, and other business needs dictate Support Patient Contact Center Virtual physician and nurse in-baskets
Qualifications
Certifications: Licensed Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR); Licensed Registered Professional Nurse (RN) - Indiana (IN) within 1 year - Indiana Professional Licensing Agency (IPLA), Education: College Diploma: Nursing, Work Experience:
Carle Health Company Overview
Find it here.
Discover the job, the career, the purpose you were meant for. At Carle Health, we're committed to fostering a workplace where every team member feels valued, respected and empowered, where passion and purpose come together to positively impact the lives of our patients and our communities. Find it all at Carle Health.
Our nearly 17,000 team members and providers work together to support patient care across central and southeastern Illinois. We've grown to include eight, award-winning hospitals and a multispecialty provider group with more than 1,500 doctors and advanced practice providers. We're developing the next generation of providers and healthcare professionals through Carle Illinois College of Medicine, the world's first engineering-based medical school, and Methodist College. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet® designations, the nation's highest honor for nursing care. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: human.resources@carle.com.
Salary Range
The compensation range for this position is $30.39per hour - $52.27per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate's experience, qualifications, location, training, licenses, shifts worked and compensation model.
Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.