Job Summary

As a Cigna Medicare Clinical Operations LPN/LVN Case Management Analyst, you will play a critical role in managing and optimizing clinical care for Medicare beneficiaries. You will collaborate with a multidisciplinary team to deliver high-quality case management services, ensuring that members receive appropriate, cost-effective care. Your expertise will be vital in assessing patient needs, developing care plans, and coordinating with healthcare providers to achieve optimal health outcomes.

Key Responsibilities

• Conduct comprehensive assessments of Medicare beneficiaries to identify clinical needs and develop individualized care plans.
• Collaborate with physicians, nurses, and other healthcare professionals to coordinate care and ensure effective communication among all parties involved.
• Monitor and evaluate the effectiveness of care plans, making adjustments as necessary to meet patient needs and improve outcomes.
• Utilize clinical data and analytics to identify trends and opportunities for improvement in care delivery.
• Educate patients and their families about care plans, treatment options, and resources available to them.
• Document all interactions and care activities accurately and in a timely manner, ensuring compliance with Cigna policies and regulatory requirements.
• Participate in quality improvement initiatives and contribute to the development of best practices in case management.
• Provide support and guidance to other team members, as needed, to enhance overall team performance.

Required Skills and Qualifications

• Current LPN/LVN license in good standing.
• Strong clinical assessment and critical thinking skills.
• Excellent communication and interpersonal skills, with the ability to build rapport with patients and collaborate effectively with healthcare providers.
• Proficiency in using electronic health records (EHR) and other clinical documentation systems.
• Ability to work independently and manage multiple priorities in a fast-paced environment.
• Strong organizational skills and attention to detail.

Experience

• Minimum of 3 years of clinical experience as an LPN/LVN, with a focus on case management or related areas preferred.
• Experience working with Medicare populations and understanding of Medicare regulations and guidelines is highly desirable.

Working Hours

• Full-time position, Monday through Friday, with flexibility required to accommodate patient needs and team meetings.

Knowledge, Skills, and Abilities

• In-depth knowledge of Medicare policies, procedures, and guidelines.
• Ability to analyze complex clinical data and make informed decisions.
• Strong problem-solving skills and the ability to manage challenging situations with professionalism.
• Proficiency in Microsoft Office Suite and other relevant software applications.

Benefits

• Competitive salary with performance-based incentives.
• Comprehensive health, dental, and vision insurance plans.
• Retirement savings plan with company match.
• Paid time off, including vacation, sick leave, and holidays.
• Professional development opportunities and continuing education support.
• Employee wellness programs and resources.

Why Join

Joining Cigna means becoming part of a forward-thinking organization dedicated to improving the health and well-being of Medicare beneficiaries. As a Clinical Operations LPN/LVN Case Management Analyst, you will have the opportunity to make a meaningful impact on patients lives while working in a supportive and dynamic environment. At Cigna, we value our employees and are committed to providing a rewarding and fulfilling career experience.

How to Apply

To apply for the Cigna Medicare Clinical Operations LPN/LVN Case Management Analyst position, please submit your resume and a cover letter detailing your relevant experience and qualifications through our online application portal. Applications will be reviewed on a rolling basis, and qualified candidates will be contacted for further steps in the hiring process.