01 Jun
CQNS NURSE - RN Quality Specialist
Connecticut, Bloomfield , 06002 Bloomfield USA

POSITION SUMMARYProvides 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.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) residing in state that is part of the compact2-5 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

The RN must have an active unencumbered license in the state that they reside and should have completed the NCLEX or a recognized state board exam.

The RN will be required to apply for or have a compact license as well as the ability, with no restrictions, to apply for additional single state licenses

This role requires an active Registered Nurse license in Washington, DC, which currently requires up to date vaccinations against COVID-19 as a condition of nursing licensure. In order to be considered up to date on your COVID-19 vaccinations and meet this requirement, you must have received one dose of the Johnson & Johnson vaccine or two doses of the Moderna or Pfizer vaccines within 30 days of employment. If more than two months have passed since the J&J vaccine or more than 5 months since the second dose of the Moderna or Pfizer vaccines, you must have also received a booster prior to employment and will be required to provide proof of your status, as applicable.

In the alternative, you must maintain licensure in Washington, DC by establishing entitlement to a medical or religious exemption. Please note that the determination as to whether an employee is entitled to a medical or religious exemption for purposes of a Washington, DC nursing license will be made by DC Health and is outside of Cigna’s control. Maintaining all nursing licenses required for this role is a condition of employment, and the failure or inability to do so will result in termination of employment.

For this position, we anticipate offering an hourly rate of $29 - $48, depending on relevant factors, including experience and geographic location.This role is also anticipated to be eligible to participate in an annual bonus plan.Helping our customers achieve healthier, more secure lives is at the heart of what we do. While you take care of our customers, we’ll take care of you through a comprehensive benefits program that helps you be at your best. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and best in class 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 dozens of corporate discounts on essentials you use every day. For more details on our employee benefits programs, please visit the “Life at Cigna” tab on our careersite: www.cigna.com/careersAbout CignaCigna 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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