RN Care Coordinator - Evernorth - Cleveland OH

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About the role

RN - Care Coordinator – Evernorth Workplace Care - Cleveland OH     Evernorth Workplace Care offers health care delivery services along with population health and health coaching solutions, conducted in person or virtually.  Our mission is to deliver proactive, personalized, and holistic patient care and coaching by acting on health data and insights to improve the overall health and wellness of our clients’ employees, and those they care about most, by providing access to high quality, affordable services where they work and live.   Our Evernorth Workplace Care solution isn’t a one-size-fits-all model. Using data-driven insights, we’ll customize a solution that addresses your organization’s most pressing needs—creating a more affordable, predictable, and simple health care experience.   Evernorth Workplace Care - Personalized Care Where You Are   Sound like you? Great! Here’s more on how you’ll make a difference :             ·       Identifies and refers appropriate customers to eligible programs within CIGNA Healthcare (CHC) and all eligible client specific health and wellness programs. ·       Supports Care Coordination of the individual customer. Coordinates the care of the high-risk targeted population in an appropriate, efficient, high quality and cost-effective manner. Refers to appropriate clinical partners (i.e. complex case management and / or Specialty Case management) ·       Partners, and functions as central conduit between employer, provider (PCP, Onsite Health Clinic) and all available Evernorth programs and resources. ·       Supports established processes and procedures that ensures thorough review of patient level actionable data and reports used to support identification of customers for outreach and engagement. ·       Assure and maintains timely, compliant, efficient documentation and information exchange to drive appropriate outreach, engagement and positive clinical outcomes with aligned population. ·       Communicates clearly with all matrix partners and refers to appropriate internal and external programs to support outcomes. ·       Identifies cases appropriate for complex case management and follows process for referral. ·       Works effectively with Evernorth's internal team to support coordination of care and data analysis. ·       Identifies and builds effective relationships with local network providers. Provides steerage to high quality network providers and referrals to the onsite health center. ·       Identifies gaps in care and works with providers and/ or local community resources to close gaps in care. ·       Establishes and maintains a positive, professional, and collaborative relationship with customer/employee, employer, providers of care, and Evernorth partners to support improved outcomes (clinical, quality and cost) of aligned employee population. ·       Partners and coordinates with health management matrix partners for additional engagement and promotion opportunities ·       Act as resource to direct customers with specific non-clinical questions to the appropriate resource. Expected Qualifications to best serve your patients: •    RN with current unrestricted state licensure in Ohio and ability to maintain •    Multistate licensure is preferred. •    Must have three or more years of clinical practice experience  •    Case Management experience is preferred •    A high energy level with excellent oral and written communication skills. •    Excellent Computer skills [specific software e.g. Word and Excel] •    Excellent interpersonal skills. Must be able to work in a team environment and exhibit flexibility and enthusiasm in learning new information and developing new skills quickly. •    Demonstrate commitment to ongoing education preferred. •    Comfortable communicating with

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