Substance Use Disorder Care Manager - Evernorth Health Services - Remote

This position is a great opportunity for individuals who are passionate about supporting customers struggling with substance use disorders, integration and coaching.

Care managers offer Coaching and Support services utilizing a motivational interviewing approach that focuses on resolving ambivalence and enhancing the individual's intrinsic motivation to change, decreasing both internal and external barriers that may be preventing the individual from initiating and/or engaging in behavioral treatment.

This approach supports customers as they create goals to improve their health and well-being.

This role involves integration between behavioral case management, medical and pharmacy teams within Cigna as well as treating providers.

Care managers have the entire suite of Cigna services available allowing them to identify and service each individual's unique needs.

We are specifically looking for clinicians who have additional training and experience working in the field of addiction.

Ideal candidates will have familiarity with MAT, SUD levels of care, overdose prevention, harm reduction, mindfulness, recovery communities and the unique needs of not only the individual with the substance use disorder but the needs of the involved family system.

The SUD team has multiple programs available for both individuals struggling with substance use, as well as support for their family members; experience working with families is a plus.

We work closely with the Opioid and Pain Management team; experience in pain management as well as CBT is a plus.

Responsibilities:


* Evaluates appropriate health care services and treatment plans in conjunction with outpatient providers.


* Ensures that care management program objectives are met by evaluating the effectiveness of alternative care services and that cost effective, quality care is maintained.


* Performs care management for specialty programs in a telephonic customer- facing environment which involves utilizing a coaching approach that provides support and resources to the customers.


* Assistance in the identification of member health education needs


* Develop SMART goals with our customers to empower them to lead and maintain a healthy lifestyle


* Assesses readiness to change and implements actions to assist members in moving through stages of change to reach their goals


* Perform research for community and educational resources to assist customers in their journey


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


* Educate and refer members on available health resources and CIGNA Medical Management as appropriate to approach customer holistically


* Collaboration with other team members such as medical directors, pharmacist, nurse clinicians, etc.


* Provides suggestions for improvements and enhancements to outpatient coaching programs based on data...