Cigna Medicare Clinical Operations LPN/LVN Case Management Analyst (Remote)

Job Summary:

The Cigna Medicare Clinical Operations LPN/LVN Case Management Analyst plays a critical role in delivering high-quality case management services for Medicare beneficiaries. This remote position involves evaluating, coordinating, and managing clinical cases to ensure optimal patient outcomes and compliance with Medicare regulations.

Key Responsibilities:

• Conduct comprehensive assessments of Medicare beneficiaries’ medical and psychosocial needs.
• Develop and implement personalized care plans in collaboration with patients, families, and healthcare providers.
• Monitor and manage patient progress, adjusting care plans as necessary to meet evolving needs.
• Facilitate communication between patients, healthcare providers, and insurance teams to ensure coordinated care.
• Review and analyze clinical data to identify trends and opportunities for improvement.
• Ensure compliance with Medicare policies, regulations, and guidelines.
• Provide education and support to patients and families regarding care options and resources.
• Document all case management activities accurately and timely in the electronic health record system.

Required Skills and Qualifications:

• Active LPN/LVN license in good standing.
• Certification in Case Management (e.g., CCM) preferred but not required.
• Strong clinical knowledge and experience in case management, preferably in a Medicare or managed care environment.
• Excellent communication skills, both written and verbal.
• Proficient in using electronic health record systems and other case management software.
• Ability to work independently and manage multiple cases simultaneously.
• Strong problem-solving skills and attention to detail.

Experience:

• Minimum of 2 years of clinical experience as an LPN/LVN.
• Experience in case management or a similar role, especially in a Medicare or managed care setting, is preferred.

Working Hours:

• Full-time, remote position with flexible working hours. Occasional overtime or weekend work may be required based on case needs.

Knowledge, Skills, and Abilities:

• In-depth understanding of Medicare regulations and case management principles.
• Ability to analyze clinical data and make informed decisions.
• Strong organizational and time-management skills.
• Ability to work effectively in a remote setting and manage caseload independently.
• Compassionate and empathetic approach to patient care.

Benefits:

• Competitive salary and performance-based bonuses.
• Comprehensive health, dental, and vision insurance plans.
• Retirement savings plan with company match.
• Paid time off, including vacation and sick leave.
• Professional development opportunities and continuing education support.
• Flexible working environment with the option to work from home.

Why Join:

• Join a leading health service company dedicated to improving patient outcomes and delivering high-quality care.
• Enjoy a supportive and dynamic work environment where your contributions are valued and recognized.
• Benefit from comprehensive professional development and career growth opportunities.
• Experience the flexibility of remote work while making a significant impact on the lives of Medicare beneficiaries.

How to Apply:

• Submit your resume and a cover letter detailing your relevant experience and qualifications through the Cigna Careers website.
• Ensure to include “Cigna Medicare Clinical Operations LPN/LVN Case Management Analyst” in the subject line of your application email.
• For further inquiries or assistance, contact our HR department at or visit our careers page for more information.