French & Arabic Speaking Nurse Case Manager Analyst Job at Cigna

French & Arabic Speaking Nurse Case Manager Analyst Job at Cigna… See details on how to apply for the opportunities available at Cigna.

Descriptions;

Cigna is a global health service company, dedicated to helping the people we serve improve their health, well-being and sense of security. Cigna has almost 40,000 employees who service over 80 million customer relationships around the world. Within its international division, a dedicated unit – headquartered in Belgium – focuses on the needs of International Organisations.

RESPONSIBILITIES:

  • Uses clinical knowledge to assess diagnosis and treatment plans and goals, and identifies gaps in care or risks for readmission or complications.
  • Wil work across IO, GEH and GIH segments
  • Manages/coordinates an active volume of cases by providing information, navigation and coordination to customers worldwide.
  • Works with a multicultural population and is constantly aware of the cultural differences among that population.
  • Establishes patient centric goals and interventions to meet the member’s needs
  • Interfaces with the member, family members/caregivers, and the healthcare team, as well as internal matrix partners.
  • Balances business needs with patient advocacy
  • Assesses member’s health status and treatment plan and identifies any gaps or barriers to healthcare.
  • Visit providers to manage and coordinate care for customers by reviewing medical and claim information, ensure compliance with approved services and fees and discuss cases with hospital staff and physicians.
  • Establishes a documented patient centric case management plan involving all appropriate parties (client, physician, providers, employers, etc), identifies anticipated case results/outcomes, criteria for case closure, and promotes communication within all parties involved.
  • Work with Cigna physicians to evaluate complex cases and receive appropriate clinical expertise on diagnosis and treatment plans
  • Responsible for delivering to customers clinical programs including case management, chronic condition management, lifestyle coaching, pre assignment assessment and any other program delivered by global clinical operations.
  • Coordinate care with other nurses from other regions around the world when a need for local or regional expertise is important for better care or to comply with regulations
  • Maintains accurate workflow and process documents
  • Adheres to professional practice within scope of licensure and certification quality assurance standards and all case management policy and procedures
  • Participates in unit and corporate training initiatives and demonstrates evidence of continuing education to maintain clinical expertise and certification as appropriate.
  • Demonstrates sensitivity to culturally diverse situations, clients and customers.
  • Serve as clinical liaison to Clients
  • Other duties as assigned

Requirements

Minimum requirements:

  • Bachelor in Nursing, 3-5 years of clinical experience ideally, in international clinical management
  • Demonstrated organizational and leadership skills
  • Strong interpersonal and communication skills
  • Demonstrates problem-solving and analytical skills.
  • Ability to act as an “advocate” for the customer while complying with internal policies and procedures and contractual/legal compliance requirements
  • Ability to operate personal computer, proficient with Microsoft office products, call center software, and a variety of software.
  • Ability to build solid working relationships with staff, matrix partners, customers and providers

METHOD OF APPLICATION

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