Job description
Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.
Job title:
Cigna EHE Health CoachJob Description:
We are currently hiring a talented LPN/LVN, Cigna Everyday Health Engagement Coach. Coaches provide education on Chronic Conditions, Health and Wellness, and Lifestyle Management Programs. They work with customers 1 on 1, over the phone to establish health improvement plans, set personalized goals, and support customers in achieving those goals through behavior changes to improve health status, reduce health risks, and improve quality of life. The LPN/LVN Engagement coach has a key role in ensuring the member will maintain a healthy lifestyle while in the community. Successful candidates must hold a valid, current license issued by the state in which the candidate resides.
Key responsibilities:
Establish health improvement plans based on member specifications
Establish personalized goals
Support customers in achieving those goals through behavior changes to improve health status
Work with customers to reduce health risks and improve quality of life
Communicates results of reviews verbally, in the medical record, and through official written notification to the primary care team, specialty providers, care managers, vendors and members in adherence with regulatory and contractual requirements
Provides decision-making guidance to clinical teams on service planning as needed
Works closely with Clinicians, Medical Staff and Peer Reviewers to facilitate escalated reviews in accordance with Standard Operating Procedures
Ensures accurate documentation of clinical decisions and works with UM Manager to ensure consistency in applying policy
Works with Manager and other clinical leadership to ensure that departmental and organizational policies and procedures as well as regulatory and contractual requirements are met
Additional duties as requested by supervisor
Maintains knowledge of CMS and State regulatory requirements
Education Requirements:
Associate’s degree required,
LPN/LVN- you must hold a valid, current license issued by the state in which the candidate resides
Desired Experience (nice to have):
Customer experience
Remote work experience
Proficient with Microsoft Teams and Office.
Required Knowledge, Skills & Abilities (must have):
Ability to complete assigned work in a timely and accurate manner
Ability to work independently
Desired Knowledge, Skills, Abilities & Language (nice to have):
Flexibility and understanding of individualized care plans
Ability to influence decision making
Strong collaboration and negotiation skills
Strong interpersonal, verbal, and written communication skills
Comfort working in a team-based environment
Knowledge of Medicare and Mass health services and benefits
Hourly wage $24.00
Hours: Monday through Friday 7AM to 8PM Central Time
This is a fully remote work at home role. You must have a secure, private wok at home area with a hardwired internet connection with speeds greater than 5MB upload and 10MB download.
Sagility Offers Competitive Benefits Including:
Medical
Dental
Vision
Life Insurance
Short-Term and Long-Term Disability
Flexible Spending Account
Life Assistance Program
401K with employer contribution
PTO and Sick Time
Tuition Reimbursement
Join our team, we look forward to talking with you!
An Equal Opportunity Employer/Vet/Disability
Location:
Work@Home USAUnited States of AmericaOriginally posted on Himalayas
Who can apply
Eligible countries: United States. Accepted UTC offsets: UTC-10, UTC-9, UTC-8, UTC-7, UTC-6, UTC-5, UTC+14. Review the full description for employer-specific work authorization, residency and schedule requirements.