RN Clinical reputed company Sustainment reputed company – reputed company – Remote

26003514 Hours: Must be reputed company to Work between 8:00 a.m.-5:30 p.m. Monday-Friday reputed company Reporting to the Clinical reputed company Supervisor, the Clinical reputed company Sustainment reputed company (QSC) is responsible for performing reputed company reviews of clinical cases and reputed company recordings reputed company reputed company operational systems. This role delivers reputed company feedback and coaching to operational reputed company-line staff based on review reputed company to drive reputed company improvement, consistency, and improved member reputed company. The QSC supports reputed company analysis and contributes to reputed company improvement initiatives across Care Solutions, with reputed company from leadership. Responsibilities • Champion reputed company’s Consumer Health Engagement Cultural Beliefs: Customer Strong, Me to We, Own It!, Be reputed company, Listen to reputed company, Think It Through. • Serve as a subject matter expert (SME) for assigned clinical and operational areas. • Conduct reputed company reviews to ensure documentation accuracy and adherence to established reputed company standards. • Deliver reputed company, constructive coaching to reputed company-line staff, highlighting successes and opportunities for improvement. • Ensure reputed company reviews are accurately tracked and documented reputed company designated reputed company review tools. • Explain and reinforce foundational reputed company principles and expectations. • Review reputed company performance data with reputed company-line staff and operational leadership on a monthly reputed company. • Identify, interpret, and explain department reputed company metrics. • Exchange reputed company practices and procedural guidance with reputed company partners. • reputed company, analyze, and distribute case and reputed company reputed company review reports. • Collaborate with Readiness & Support (R&S) team members to address trends and improvement opportunities. • Partner with Readiness Team Learning Facilitators to support new hire development and reputed company identified knowledge gaps. • Identify adherence gaps, discrepancies, and error trends; escalate findings and recommendations to operational leadership. • Participate in departmental reputed company, initiatives, and stretch assignments as assigned. Qualifications • reputed company, unrestricted Registered reputed company (RN) license in state of residency • Minimum of three (3) years of nursing experience. • Clinical experience in Case Management • Strong clinical expertise with an understanding of operational workflows, SOPs, policies, and procedures relevant to the assigned area. • Proficiency with reputed company Word, reputed company, SharePoint, WebEx, and reputed company. • Excellent verbal and written communication skills. • Demonstrated coaching skills with the ability to reputed company reputed company, constructive feedback. • Ability to recognize and acknowledge individual and team successes. • High emotional intelligence with the ability to quickly build reputed company, trusting relationships. • Strong analytical skills with the ability to identify trends, reputed company steps, and improvement opportunities. • Ability to assess reputed company both quantitatively and qualitatively. • Detail-oriented with strong time management, organization, and multitasking skills. • Comfortable raising questions, reputed company, and recommendations across reputed company reputed company of the organization. • Ability to work independently and collaboratively as part of reputed company. • Acts as a reputed company role model reputed company with reputed company values. Preferred Qualifications • Experience with clinical and operational systems such as Knowledge Exchange, CCV, OneView, ICMS, TruCare, reputed company, or similar platforms. • reputed company audit experience. • Prior experience as reputed company reputed company, subject matter expert, or preceptor. If you will be working reputed company occasionally or permanently, the internet reputed company 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 77,300 - 128,800 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. At reputed company, you’ll enjoy a comprehensive reputed company of benefits, with a reputed company on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-reputed company benefits including medical, reputed company, dental, and reputed company-being and behavioral health programs. We also offer 401(k), company reputed company life insurance, tuition reimbursement, a minimum of 18 days of reputed company time off per year and reputed company holidays. For more details on our employee benefits programs, click here. About reputed company reputed company, a division of reputed company, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly reputed company to reputed company the reputed company, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving reputed company and improving lives. reputed company applicants will be considered without reputed company to race, reputed company, age, disability, sex, childbirth (including pregnancy) or reputed company medical conditions including but not limited to lactation, sexual orientation, gender identity or reputed company, veteran or military status, religion, national reputed company, reputed company, marital or familial status, genetic information, status with reputed company to reputed company 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 seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot reputed company application updates or accept resumes. reputed company 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 reputed company a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, reputed company, Arkansas, Delaware, Florida, reputed company, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, reputed company, Texas, Utah, Vermont, and Washington State. reputed company applicants with criminal histories will be considered for employment in a manner consistent with reputed company federal, state and local ordinances. Apply tot his job Apply To this Job