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Manager Cigna Rn Remote Jobs in Durham, NC (NOW HIRING)

Amerihealth Caritas

Quality Perform Spec Clinical

Raleigh, NC · On-site +1

$31.25 - $41.75/hr

Remote based position with a strong preference for a North Carolina resident. Will support the North Carolina plan. RN required Responsibilities: As part of the Quality Management team, the Quality ...

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All JobsCigna Rn JobsManager Cigna Rn Remote JobsManager Cigna Rn Remote Jobs in Durham, NC

Manager Cigna Rn Remote information

See Durham, NC salary details

$33.8K

$84.9K

$134.3K

How much do manager cigna rn remote jobs pay per year?

As of Aug 9, 2026, the average yearly pay for manager cigna rn remote in Durham, NC is $84,901.00, according to ZipRecruiter salary data. Most workers in this role earn between $65,700.00 and $101,500.00 per year, depending on experience, location, and employer.

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 the most commonly searched types of Cigna Rn Remote jobs in Durham, NC? The most popular types of Cigna Rn Remote jobs in Durham, NC are:
What are popular job titles related to Manager Cigna Rn Remote jobs in Durham, NC? For Manager Cigna Rn Remote jobs in Durham, NC, the most frequently searched job titles are:
What job categories do people searching Manager Cigna Rn Remote jobs in Durham, NC look for? The top searched job categories for Manager Cigna Rn Remote jobs in Durham, NC are:
What cities near Durham, NC are hiring for Manager Cigna Rn Remote jobs? Cities near Durham, NC with the most Manager Cigna Rn Remote job openings:
Manager Cigna Rn Remote jobs near you

Community-Based Nurse Assessor (Durham County)

Astyra Corporation

Durham, NC • Remote

$37/hr

Full-time

Medical, Dental, Vision

Re-posted 8 days ago

Job description

This position requires travel in the field across Durham and surrounding counties. Mileage expenses are reimbursed.
Schedule: Field-based assessments with remote work
 

This field-based role requires you to travel within your region to conduct assessments, and gives you flexibility to work out of your home office as needed. This role supports the Personal Care Services (PCS) program under the North Carolina Medicaid Linking individuals & Families for Long Term Services and Supports (NC LIFTSS) project. NC LIFTSS was created to streamline access to LTSS programs. It covers a variety of services, including performing option counseling, QA reviews, customer service, and provider training. 

You'll provide vital services to NC Medicaid Beneficiaries with medical conditions, cognitive impairments, or disabilities, ensuring they receive the hands-on assistance they need for daily living activities (ADLs). As a PCS Home Health Registered Nurse, you'll play a crucial role in determining needs-based eligibility for Medicaid-funded personal care services, whether in-home, adult care, or supervised living homes. This role is documentation-intensive to meet the needs of beneficiaries, and to help them thrive.

 

Requirements:

  • Registered Nurse, licensed in the state of North Carolina

  • Minimum 2 years of nursing experience

  • Computer proficiency in Microsoft Excel, Word and Outlook and the ability to utilize computer equipment and web-based software to conduct work 

Preferred Qualifications:

  • Experience with community-based individuals needing personal assistance with ADL and IADL tasks is highly preferred.

  • Experience conducting PCS assessments preferred.

  • Experience with OASIS tool (or similar) preferred.

  • Knowledge of North Carolina Medicaid Clinical Coverage Policy (Clinical Policy) 3L and PCS Program Provider Manual highly desired.

  • Knowledge of standards of practice related to Medicaid-funded Personal Care Services, home and community-based services (HCBS) programs, and EPSDT highly desired.

What you’ll do:

  • Conduct assessment to determine whether the beneficiary meets eligibility, using state-approved standardized assessment tool(s).

  • Ensure that PCS are provided on a "needs basis" in quantities appropriate to the Beneficiary's unmet need for services based on the severity of their medical condition, functional disability, physical, or cognitive impairment.

  • Ensure that the privacy and dignity of individuals receiving assessment for PCS is maintained at the highest standards.

  • Ensure that new, expedited, annual, change of status, mediation/appeals, reconsideration review, and derivative assessments are conducted within established timeframes.

  • Include an interview with family members and informal caregivers who are present at the time of the assessment.

  • Provide the Beneficiary with guidance and assistance, as necessary, to select PCS providers.

  • Submit the completed assessments using state-approved interface.

  • Participate in the Beneficiary’s mediation and appeal processes.

  • Respond to state inquiries regarding assessments conducted.

  • Develop level of care recommendations based upon clinical evaluations.

  • Read, understand, and adhere to all corporate policies, including policies related to HIPPA and its Privacy and Security Rules.

The list of accountabilities is not intended to be all-inclusive and may be expanded to include other duties that contract needs may dictate.


Attention Applicants: Please be advised that proper email communication will only be sent from email addresses ending in @astyra.com. Please ensure you are communicating with approved Astyra recruiters by checking this point when receiving offers and messages from us. It is important to communicate within our guidelines and proper channels to expedite possible interview considerations.
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