Field patient care role. Primarily responsible for conducting in home visits, nursing assessments, patient triage, care coordination, and patient/family education for the members assigned to the provider. Field RN supports providers and their respective patients, and also addresses client-facing needs per POD/market.
1.Perform home visits with patients enrolled in Alegis Care’s Chronic Risk Program and/or Advanced Care program (ACP)
Provides up-to-date health care advice/education regarding health promotion, illness prevention, and management of disease utilizing nursing assessment data, patient, family, and approved Alegis Triage protocol. Considers the physical, cultural, psychosocial, spiritual, age-specific and educational needs of the patient.
Systematically assesses patients’ actual or potential health care needs, prioritizes their urgency and uses creative and effective problem solving/decision making while recommending an appropriate disposition per clinician and protocol direction.
Documents nursing assessment, planning, implementation in the electronic health record. Documentation is timely and in accordance with policy. Evaluates the patients’ and family’s response to teaching. Documentation includes presenting problem, nursing assessment interventions, education and patients’ response to interventions/treatments and education.
Makes follow-up telephone calls to patients and referrals as appropriate.
Provide telephonic nursing assessment and triage supported by triage protocols. This includes, timely and accurate triage documentation, escalation, and follow up
Initiate medication changes and other orders, as directed by provider in response to a triage call.
Health Literacy Improvement
Improves Health literacy and coaches consumers on chronic conditions including disease process and trajectory, medication education including possible side effects, plan of care, and individualized care goals management in a culturally sensitive and acceptable manner for the patient or caregiver.
Identifies problems or gaps in care, and offers opportunity for intervention
Coordinates services and referrals to health programs, and participates in patient education and outreach tied to HEDIS initiatives
Works to improve access to care, and works as part of the team to manage heath care cost and utilization
Completes telephonic nursing assessments including social determinants of health screenings, post hospital discharge screenings, triage, and other assessments assigned by provider
Assists with organizing and running a chronic care and/or interdisciplinary care team rounds where high risk patients and care plans are identified
Participate using a team approach to create a care plan for the patient
Maintain and update spreadsheets and documents provided by health plan to prep weekly rounds of documentation
Post-Acute Management and Coordination
Participation in weekly care coordination with health plan case management as directed by market needs
Referral Management Care Coordination and tracking of hospice consults within 24 hrs. of order placement
Other field and telephonic patient care and provider support duties as assigned
• Communicates Effectively – Developing and delivering multi-mode communications that convey a clear understanding of the unique needs of different audiences
• Manages Ambiguity- Operating effectively, even when things are not certain or the way forward is not clear
• Courage – Stepping up to address difficult issues, saying what needs to be said
• Manages Complexity – Making sense of complex, high quantity, and sometimes contradictory information to effectively solve problems
• Demonstrates Self-Awareness- using a combination of feedback and reflection to gain productive insight into personal strengths and weaknesses
• Situational Adaptability- Adapting approach and demeanor in real time to match the shift in demands of different situations
• Collaborates – Building partnerships and working collaboratively with others to meet shared objectives
1) Active, unrestricted RN license in the state of Residence
2) Ability to obtain compact license and/or additional state licensure as needed
3) 3+ years of experience as a Registered Nurse
4) Proficient level of experience with Microsoft Office applications, and strong technical aptitude
5) EMR experience and proficiency
6) BSN or ADN degree preferred
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
For this position, we anticipate offering an annual salary of 70,400 - 117,300 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna (https://jobs.cigna.com/us/en/life-careers) .
Evernorth, Cigna Corporation’s health services segment, exists to elevate health for all. We're building on our legacy and redefining health care as we know it. Unbiased in how we think, we create without limitation. We partner without constraints, deliver value differently and act in the interest of humanity. Solving across silos, closing gaps in care, and empowering clients, customers, and people everywhere to move onward and upward. When you work with us, you’ll be empowered to solve the problems others don’t, won’t or can’t. Join us. 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: *****/em> for support. Do not email *****/em> 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.