Nurse Case Management Lead Analyst - Accredo

Cigna Memphis , TN 38103

Posted 2 months ago

Position Summary

Provides case management support and education to patients on assigned caseload through remote contact with patient. This includes: relationship building, assisting with navigating insurance and pharmacy protocols to obtain medication, referral source, and customized product and disease state training.

This position will work from home . Applicants should live within a comfortable daily commuting distance to the Memphis office.

Team hours are 7a-7p CST Monday - Friday. Shift will be 10a-7p.

Essential Functions

  • Adheres to principles as stipulated by program specific contractual agreements and company practices which may include: Interact and build relationships with assigned patients throughout duration of program

  • Provide patient centric education regarding treatment and disease states for assigned products

  • Manage caseload including schedule maintenance and adherence, scheduled calls/interactions, updating program database per company protocols

  • Coordinate meetings between patient and clinical partners

  • Deliver customized interactions based on patient's needs.

  • Participates in program specific customer meetings and training sessions

  • Participates in program specific orientation meetings and demonstrates clinical and systems competency on tests

  • Performs special projects and performs other duties as it pertains to specific contract performance

Qualifications

  • Registered Nurse (RN) multistate license

  • High School Diploma or GED, plus 8-11 years of relevant work experience with a Nursing Diploma or 5-8 years of relevant experience with an ASN degree or 2-5 years of relevant experience with a BSN degree

  • Case management experience preferred

  • Demonstrated proficiency with Microsoft Office software; basic database navigation

  • Knowledge of pharmacy, pharmaceuticals, life sciences, or healthcare business required

  • Ability to multitask in both PC/Phone related tasks

  • Works effectively and fosters teamwork

  • Demonstrates ownership of projects and carries responsibility for building strong working relationships with colleagues and customers

  • Results oriented; demonstrated ability to prioritize and manage work load and meet project deadlines

  • Excellent communication skills both verbal and written

About Accredo

Accredo is the Express Scripts Specialty Pharmacy.

A leading provider of specialty pharmacy services, Accredo improves care for patients through behavioral and clinical expertise. We offer a broad range of healthcare products and services for individuals with chronic health conditions, such as growth hormone deficiencies, hepatitis C, hemophilia, oncology, multiple sclerosis and rheumatoid arthritis. We also provide comprehensive patient management services, including clinical care management programs, counseling, education, outcomes measurement, social services and reimbursement services.

This position is not eligible to be performed in Colorado.

About Cigna

Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you'll enjoy meaningful career experiences that enrich people's lives. What difference will you make?

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.

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Nurse Case Management Lead Analyst - Accredo

Cigna