Description

Telephonic outreach and customer engagement, support and assistance

Support and coordination of complex situations - leveraging community resources

Educate and refer customers to available social and health resources,

Consultation with Cigna Medical Management teams and Cigna Behavioral Health teams and programs as appropriate

Identifies and educates appropriate client specific programs

Empowers customers with skills to provide enhanced interaction with their providers

Documents customer interactions and interventions as directed

Consult with and assist team members in cases where a customer's medical and behavioral issues are impacting their ability to set and/or achieve goals

Collaboration with team members such as nutritionist, pharmacist, case management nurses, specialty team member, Medical Director and other internal partners across Cigna's programs as appropriate

Provide ongoing consultation and training to the team on relevant social topics, resources available

Provide connection and assistance to agencies where alternative funding may be needed (i.e. SSI, SSDI benefits, state victim assistance, VA state funded rehab or community resources

Life planning needs such as end of life, home/financial management and accessible housing

Resources for community resources for conditions and bereavement

Assumes lead role with customer when appropriate but integrates with warm connection with Cigna team members to support ongoing care and needs

Qualifications

Licensed Clinical Social Worker (LCSW)

A minimum of five (5) years clinical experience in behavioral health/social work field

Experience with crisis intervention and psychosocial assessments

Experience in health education and wellness coaching preferred

Experience with direct customer communication (written and verbal), experience in telephonic counseling/coaching required

Working knowledge of motivational strategies, training and consultation required

Thorough knowledge and understanding of health behavior change theories and their application

Proven administrative abilities, with strong computer and software application skills

Excellent interpersonal skills and the ability to work in a team environment

Demonstrated ability to set priorities

A high energy level and excellent written and oral communication skills are essential

Passion for health improvement of customers

Preferred Competencies

Excellent time management, organizational, research, analytical, negotiation, communication (oral and written) and interpersonal skills

Strong personal computer skills, MS word, Excel, Outlook experience, and Internet research desired

Knowledge of the insurance industry and claims processing

Service marketing/sales and business acumen experience a plus

Strong skills in the following areas: teamwork, conflict management, assessment complex issues, ability to recommend changes and resolve problems through effective decision making

Experience in medical management and case management in a managed care setting is highly desirable

Knowledge of managed care products and strategies

Demonstrated sensitivity to culturally diverse situations, customers and clients

Ability to work within changing business environment and balance business needs with patient advocacy

Experience managing multiple projects in a fast paced matrix driven environment

Demonstrated ability to coach and educate other case management staff

Demonstrate effective organizational skills and flexibility to meet the business needs

About Cigna

Cigna 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.

Cigna has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.