RN - Maternity / NICU Case Manager - Remote

The RN Case Manager plays a critical role in delivering Cignau2019s wholeu2011person health strategy by serving as a trusted advocate and clinical partner for customers, families, and caregivers. This role focuses on care coordination, customer engagement, and health navigation to improve outcomes and deliver exceptional customer experience. The Case Manager demonstrates Cignau2019s Care Solutions cultural beliefs , acting with accountability, collaboration, compassion, and innovation in support of both customer needs and business objectives. How Youu2019ll Make an Impact + Partner with customers to assess needs, develop individualized care plans, and document interventions and outcomes in Cigna medical management systems. + Collaborate with customers and providers to establish goals, interventions, and evidenceu2011based plans of care. + Apply motivational interviewing, behavior change strategies, and shared decisionu2011making to drive engagement and improved health outcomes. + Empower customers to effectively navigate the healthcare system and communicate with providers. + Coordinate care across customers, caregivers, providers, and internal partners via phone and digital channels (email, text, chat). + Collaborate with interdisciplinary teamsu2014including pharmacists, nutritionists, behavioral clinicians, Medical Directors, and Medical Management programsu2014to support wholeu2011person health. + Track, analyze, and document daily activity, volume, and outcomes to support performance and quality goals. + Follow established policies, procedures, and Case Management performance measures. + Efficiently navigate multiple systems and applications in a fastu2011paced, customeru2011focused environment. + Complete required training and maintain clinical knowledge, licensure, and certifications. Required Qualifications + Active, unrestricted Registered Nurse (RN) license in a U.S. state or territory. + Minimum of two (2) years of fullu2011time direct patient care experience as an RN. Preferred Qualifications + Specialty case management experience, with Maternity / NICU experience preferred for specialty roles. + Ability to obtain a URACu2011recognized Case Management certification within four (4) years of hire. + Strong clinical judgment with the ability to assess risk, prioritize care, and act decisively. + Excellent verbal and written communication skills across phone and digital platforms. + Proficiency in Microsoft Word, Excel, Outlook, and online research tools. + Demonstrated ability to resolve conflict, collaborate across teams, and interact with diverse populations. + Strong organizational skills, adaptability, and comfort managing multiple complex cases simultaneously. 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. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. _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 need a reasonable accommodation to complete the online application process, please email_ _ _for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes._ _The Cigna Group 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._ _Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._

Created: 2026-04-15