*Must reside in the Rio Grande Valley Vicinity
Case Management Lead Analyst
Utilizes strong clinical skills to assess, coordinate resources, and close gaps to facilitate optimal healthcare outcomes for patients. SDOH Social Workers are viewed as the subject matter experts in community resources, assessing for needs, and social determinants of health. Understanding health equity and health disparities is key.
Representing the team on the Utilization Management and Quality Management calls with providers to educate on SDOH, collaborate on patients that are identified as high risk, and presenting how SDOH social workers make an impact of the patients these providers serve.
Provide in person presentations to provider offices on the program and how to connect patients with a social worker to assess for SDOH needs.
Use clinical rounds calls with matrix partners to present cases and also collaborate and support others addressing cases that are challenging.
What you should have:
Master’s Degree in Social Work (MSW)
Licensed Clinical Social Worker (LCSW) or LMSW
Three or more years' experience in an acute care, managed care or social services environment
Experience in discharge planning a MUST
Awareness of business models
Medicare and Medicaid experience
Verbal and written communication skills
Interpersonal skills
Strong time management and organization skills
Strong computer skills
Knowledge of community resources
Bilingual (English/Spanish) a plus
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.
About Cigna Healthcare
Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. 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: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com 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.
