Cigna
Bloomfield, NJ, USA
Bilingual Nurse Case Management Lead Analyst -Remote -Full-Time Required Work Hours: 9:00 a.m.-5:30 p.m. PST. Major Job Responsibilities and Required Results for CM: Obtains informed verbal consent and takes all steps to obtain written consent. Acts with speed and purpose to identify, support and resolve customer healthcare needs. Establishes a collaborative relationship with the Customer, client (plan participant), family, physician(s), and other providers to determine medical history and current status to assess the appropriate level of care and options for alternative care. Sets a plan for short-term and long-term goals, time frames for follow-up, resources available (internal and community), involves all appropriate parties (client, physician, providers, employers, etc), and identifies anticipated case results/outcomes and criteria for case closure. Promotes quality cost-effective outcomes managing care needs through the continuum of care utilizing...