Uses primarily telephonic interactions and digital technology to inspire and support customers through behavior change on their unique health journey.
Provides wellness coaching, medical decision support, information on potential gaps in care and risks for readmission or complications to customers through telephonic assessment, education, support, and referrals to various health and wellness programs.
Utilizes techniques such as motivational interviewing, behavior change, and shared decision making to help customers achieve optimal health and well-being.
Manages/coordinates an active caseload of telephonic and digital coaching cases.
Establishes customer centric SMART goals and interventions to meet the customer's needs.
Interfaces not only with the customer, but also with family members/caregivers, the healthcare team and the internal multidisciplinary team as needed via digital and telephonic communication.
Balances business needs with patient advocacy.
Builds solid working relationships with internal team members, matrix partners, key functional areas, customers and providers.
Provides 1:1 telephonic/digital coaching to customers around behavior change to improve health status, reduce health risks and improve quality of life.
Assesses readiness to change and implements actions to assist customers in reaching their goals.
Collaborates with customers to identify and set personalized health improvement plans and goals, supporting them along the way.
Identifies customer health education needs through health assessment activities.
Uses health prevention guidelines and general health and wellness strategies to achieve goals in the overall health of customers.
Researches relevant topics in health promotion and disease prevention, as required for specific customers.
Collaborates with nutritionist, pharmacist, behavioral clinician, MD/customer's provider and other Cigna Medical Management Programs as appropriate.
Provides decision support where multiple treatment options are available.
Empowers customers with skills to provide enhanced interaction with their providers.
Complies with all accreditation, State and Federal mandates.
Completes training as required per role and demonstrates evidence of continuing education to maintain clinical expertise and certification as appropriate.
Performs other related duties incidental to the work described herein.
Active unrestricted Registered Nurse (RN) license required in State of Residence
Three years full-time equivalent of direct clinical care to the consumer required – not including clinical rotation
Access to self-provided high-speed broadband wired internet with a modem/router. Cannot support satellite-based internet or hot spots
Must have a private and confidential workdpace with no distractions during work hours
Excellent communication skills including telephonic (verbal) and digital (messaging, emails)
Customer Strong: I deliver a world class experience for all customers
Me to We: I take accountability to trust, collaborate and partner
Be Bold: I pioneer and think broadly to solve challenges
Own It: I see a need and act because I can
Evolve and Adapt: I learn and adapt to meet evolving business needs
Take Care: I prioritize self-care and act with compassion towards colleagues
RN Telephonic Health Coach - Remote, United States - The Cigna Group
Description
HOURS: 11:30 am –8:00 pm PST is preferred shift. Monday-FridayThis is a full-time Telephonic/Digital RN Coachremote work at home role. Employees must conduct business in a private, secure area in their home ensuring that discussions are confidential and cannot be overheard by others and without distractions Position Scope:
Major responsibilities and desired results:
Minimum requirements:
Preferred requirements:Able to be licensed in California and OklahomaBilingual in English/Spanish a plusDiverse Clinical experience preferredBachelor's degree preferredExperience with direct customer communication (written and oral)Experience in /telephonic/digital coaching preferredExperience in health education and wellness coachingStrong computer skills in Microsoft word, Excel, Outlook, and ability to perform thorough internet research as well as toggle between systemsCultural Beliefs:The candidate will be responsible for the adoption and demonstration of the Care Coordination cultural beliefs. They will be responsible for role modeling the six cultural beliefs to drive personal accountability and organizational results.
Aligned Competencies:Customer Focus - Building strong customer relationships and delivering customer-centric solutionsDrives Engagement - Creating a climate where people are motivated to do their best to help the organization achieve its objectivesInterpersonal Savvy - Relating openly and comfortably with diverse groups of people.Manages Complexity - Making sense of complex, high quantity, and sometimes contradictory information to effectively solve problems.Nimble Learning - Actively learning through experimentation when tackling new problems, using both successes and failures as learning fodder.Manages Ambiguity - Operating effectively, even when things are not certain or the way forward is not clear.Drives Results - Consistently achieving results, even under tough circumstancesResourcefulness - Securing and deploying resources effectively and efficientlyCommunicates Effectively - Developing and delivering multi-mode communications that convey a clear understanding of the unique needs of different audiences.Decision Quality - Making good and timely decisions that keep the organization moving forward
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 75, ,500 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 Group.
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 require reasonable accommodation in completing the online application process, please email: for support. Do not email for an update on your application or to provide your resume as you will not receive a response.
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.