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After Hours Case Management Lead Analyst - 12% Shift Differential

Company: Cigna Health and Life Insurance Company
Location: Eden Prairie
Posted on: September 14, 2020

Job Description:

United States Work at Home

Provide crisis triage support and utilization management for CIGNA Behavioral Health customers.

Shift - Wed & Thur 2pm- Midnight CST and Sat & Sun 7am-5pm CST

This position qualifies for a 12% shift differential.

Responsibilities:

Assists customers or their family members struggling with mental health or chemical health issues by assessing for their immediate needs and risks and assisting the customers to get access to the care they need. This includes the assessment of the bio-psycho-social needs of the member and connecting them to the appropriate community resources.

Obtains clinical assessment data from providers and recommends initial treatment authorizations (inpatient or outpatient) based on parameters from CIGNA LEVEL OF CARE GUIDELINES FOR MENTAL HEALTH AND SUBSTANCE ABUSE.

Provides information resources to clients, family members, and providers on an as-needed basis. To assist with problem solving or clarifying aspects of their mental health system (e.g. benefits, claims, procedures).

Provides Employee Assistance services to customers and client employers in the form of telephonic consultations, management consultations, and coordination of critical incident debriefings.

Reviews clinical status and therapeutic progress of clients with providers periodically to determine the need for continuing treatment; recommends authorization for continuing treatment as appropriate. Negotiates alternative session frequency or intervention strategy with providers when provider’s plan exceeds outpatient parameters of CIGNA LEVEL OF CARE GUIDELINES FOR MENTAL HEALTH AND SUBSTANCE ABUSE.

Creates and maintains computerized authorization and clinical records on each client by entering crisis notes, complete assessment, clinical update and authorization data for each customer and provider contact. Generates additional external correspondence (e.g. denial letters, uncooperative provider letters, etc.), as appropriate.

Contributes to team meetings in a manner which improves communications and procedures

relevant to team functioning. Also communicates with E.D., National Service Center personnel and external resources in a manner which facilitates effective system functioning and problem resolution.

Performs additional tasks as needed, requested or assigned.

Qualifications:

Masters or PhD level clinical/counseling license in state of employment (LMHC, LCSW, LMFT, LPCC, LPC, RN, or LP).

At least five (5) years of outpatient/inpatient experience as a mental health clinician involving knowledge in both mental health and substance abuse diagnosis and treatment preferred.

Knowledge/experience in coordinating alternative care treatments and community resources.

Position requires significant skill levels in both clinical judgment and interpersonal communication. Considerable diplomacy/tact is often required as customers and providers are not always receptive to the process. Clinical creativity is central to the process of developing alternative intervention strategies.

About Cigna

Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. We offer an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products. Together, with our 74,000 employees worldwide, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation.

When you work with Cigna, you’ll enjoy meaningful career experiences that enrich people’s lives while working together to make the world a healthier place. What difference will you make? To see our culture in action, search #TeamCigna on Instagram.

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 an accommodation based on your physical or mental disability please email: SeeYourself@cigna.com.  Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.

Posted 30+ Days Ago

Full time

20012082

About Us Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. We offer an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products. Together, with our 74,000 employees worldwide, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation.

When you work with Cigna, you’ll enjoy meaningful career experiences that enrich people’s lives while working together to make the world healthier place. What difference will you make? To see our culture in action, search #TeamCigna on Instagram.

Keywords: Cigna Health and Life Insurance Company, Eden Prairie , After Hours Case Management Lead Analyst - 12% Shift Differential, Other , Eden Prairie, Minnesota

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