Concurrent Review Care Coordinator - Evicore - Work At Home

TheCignaGroup LLC

Remote, United States
Base: $31 - $52 usd ph; bonus/equity: eligible for...
Fully remote
Current unrestricted rn license in state of residence
Minimum 2 years clinical nursing experience
Strong time management and organizational skills
The Concurrent Review Care Coordinator position at The Cigna Group is a fully remote role focused on care coordination and utilization management in post-acute care settings. The ideal candidate is an experienced Registered Nurse with strong clinical judgment and communication skills, responsible for implementing individualized care plans and ensuring compliance with medical necessity criteria

Job Summary

  • The role is responsible for implementing individualized plans of care and conducting utilization reviews to ensure medical necessity.
  • Candidates must collaborate with providers and Medical Directors to support transitions of care and identify gaps in treatment plans.
  • The position offers a comprehensive benefits package including medical, vision, dental, 401(k), and paid time off starting on day one.

Matching Summary

Match Score: 85

The Concurrent Review Care Coordinator position at The Cigna Group is a fully remote role focused on care coordination and utilization management in post-acute care settings. The ideal candidate is an experienced Registered Nurse with strong clinical judgment and communication skills, responsible for implementing individualized care plans and ensuring compliance with medical necessity criteria.

Salary

Base: $31 - $52 USD per hour; Bonus/Equity: Eligible for annual bonus plan; Benefits: Medical, vision, dental, 401(k), life insurance, tuition reimbursement, 18 days PTO

Skills & Requirements

Must-have

  • Current unrestricted RN license in state of residence
  • Minimum 2 years clinical nursing experience
  • Strong time management and organizational skills

Nice-to-have

  • Multistate nursing license preferred
  • Experience in home health or skilled nursing environments
  • Knowledge of Medicare and Medicaid managed care programs

Key Requirements

  • Current unrestricted Registered Nurse (RN) license
  • Associate or Bachelor's degree in Nursing
  • Minimum 2 years of clinical nursing experience
  • At least 2 years of utilization management experience preferred

Work Rights

Not specified

Tailored Resume

Cover Letter