Job Details

Inpatient-Case-Manager-Specialist

Company name
CIGNA

Location
Eden Prairie, MN
16 hit(s)  

Profile

Inpatient Case Manager Specialist','17009556','!*!The ideal candidate for this position is a licensed professional with a background in the insurance industry as a care manager in a behavioral healthcare role, or an individual who has worked in a mental health or chemical dependency treatment facility in the area of utilization management, or in direct provision of service as a mental health or chemical dependency counselor.

As an Inpatient Care Manager at Cigna, you will use your clinical knowledge and skills to evaluate appropriate health care services and treatment plans in conjunction with inpatient providers. You will partner with facilities and families to identify and implement a holistic approach to treatment outcomes.   You will be part of a virtual organization with multiple sites and must function well both independently as well as part of a larger team.  

 Responsibilities:

• Perform precert and concurrent reviews for inpatient levels (Detox, Inpatient, Residential, and Partial Hospitalization).

• Collaborate with Facilities and Health Care Providers telephonically to obtain clinical information and ensure quality treatment outcomes in the least restrictive setting utilizing established Medical Necessity Criteria.

• Coordinate with facilities to assist with discharge planning, aftercare follow-up appointments, and integration of services with Cigna Medical and Pharmacy.

• Engage with customers and families to understand needs, facilitate access to Cigna coaching/case management programs and community resources.

• Work in a team environment which includes contributing to team meetings, participating in clinical rounds with Cigna Medical Directors for input on utilization management, and attending all required trainings impacting utilization review and accreditation procedures.

• Manage own caseload and coordinate all assigned cases.

• Perform additional tasks/projects as needed, requested or assigned.  ','!*!

• Requires Master's degree mental health discipline and independent licensure to practice in the state of residence(LCSW, LMFT, LPC, LPCC, or Licensed Psychologist) • 3 - 5 years post-license mental health experience preferred • Excellent communication and interpersonal skills with a focus on customer service• Effective conflict management and negotiation skills • Ability to adapt to change and problem solve • Strong time management and organization skills with an ability to set priorities in a fast paced environment• Ability to utilize and navigate multiple technology systems• Knowledge of managed care preferred

US Candidates Only: Qualified applicants will be considered for employment without regard to race, color, religion, national origin, sex, sexual orientation, gender identity, disability, veteran status. If you require a special accommodation, please visit our Careers website or contact us at SeeYourself@cigna.com. ','United States-Minnesota-Eden Prairie','','11095 Viking Dr','','Eden Prairie','55344','Med Mgt--Case Management','No','No','Full-time','Day Job','Regular','Standard','Individual Contributor','','Oct 10, 2017','Inpatient Case Manager Specialist']);

api.

Company Profile
Cigna works with employers and organizations around the world helping employees stay healthy and on the job. We work closely with brokers and consultants to develop innovative programs, help individuals and families improve their health, well-being and sense of security—and lower their medical costs. And, Cigna provides access to a global network of local physicians and hospitals—as well as 24/7/365 live customer service.

Similar Jobs:
Inpatient Case Manager Specialist - Behavioral Health','17008712','!*!The ideal candidate for this position is a licensed professional with a background in the insurance industry as a care manager in a behavioral healthcare role, ...
\nUnitedHealth Group is developing an exciting new technology platform that will enable health plans and clinical practices to better leverage the value of patient health data.  This platform will have a transformative impact on U...
Nurse Telephone Intake~ Bloomington MN -
location Bloomington, MN
Click to Visit Clinical Intake Nurse is responsible for gathering, receiving and documenting necessary information from a claimant or claimant representative in a contact center environment. Utilizes clinical knowledge to begin c...
I was very pleased with the EmploymentCrossing. I found a great position within a short amount of time … I definitely recommend this to anyone looking for a better opportunity.
Jose M - Santa Cruz, CA
  • All we do is research jobs.
  • Our team of researchers, programmers, and analysts find you jobs from over 1,000 career pages and other sources
  • Our members get more interviews and jobs than people who use "public job boards"
Shoot for the moon. Even if you miss it, you will land among the stars.
EmploymentCrossing - #1 Job Aggregation and Private Job-Opening Research Service — The Most Quality Jobs Anywhere
EmploymentCrossing is the first job consolidation service in the employment industry to seek to include every job that exists in the world.
Copyright © 2016 EmploymentCrossing - All rights reserved.