RN Care Coordinator- Evernorth- Maitland, FL

RN - Care Coordinator - Evernorth Direct Health, Maitland FL

EvernorthDirect Health is an industry leading business providing custom care delivery and wellness services across four key business lines: Wellness Centers, Health Coaching, Wellness Events and COVID 19 solutions.

Evernorth is built on the recognition that health makes progress possible.

Our health services are designed to redefine healthcare as we know it.

But we can't do it alone.

True change takes all of us, united in a shared vision.

Health is what drives us.

But it's just the start.

Together, we can solve the problems others don't, won't or can't.

Sound like you? Great! Here's more on how you'll make a difference :



* Identifies and refers appropriate customers to eligible programs within CIGNA Healthcare (CHC) and all eligible client specific health and wellness programs.


* Supports Care Coordination of the individual customer.

Coordinates the care of the high-risk targeted population in an appropriate, efficient, high quality and cost-effective manner.

Refers to appropriate clinical partners (i.e.

complex case management and / or Specialty Case management)


* Partners, and functions as central conduit between employer, provider (PCP, Onsite Health Clinic) and all available Evernorth programs and resources.


* Supports established process and procedures that ensures thorough review of patient level actionable data and reports used to support identification of customers for outreach and engagement.


* Assure and maintains timely, compliant, efficient documentation and information exchange to drive appropriate outreach, engagement and positive clinical outcomes with aligned population.


* Communicates clearly with all matrix partners, and refers to appropriate internal and external programs to support outcomes.


* Identifies cases appropriate for complex case management and follows process for referral.


* Works effectively with Evernorth's internal team to support coordination of care and data analysis.


* Identifies and builds effective relationships with local network providers.

Provides steerage to high quality network providers and referrals to the onsite health center.


* Identifies gaps in care and works with providers and/ or local community resources to close gaps in care.


* Establishes and maintains a positive, professional, and collaborative relationship with customer/employee, employer, providers of care, and Evernorth partners to support improved outcomes (clinical, quality and cost) of aligned employee population.


* Partners and coordinates with health management matrix partners for additional engagement and promotion opportunities


* Acts as resource to direct customers with specific non-clinical questions to the appropriate resource.


* This position is with Evernorth, a new business within the Cigna Corporation.

What we expect from you:

•RNwith current unrestricted state licensure within home st...