Overview

Evernorth Workplace Care is dedicated to improving the health and well-being of our patients. We are seeking a passionate and independent Registered Nurse to join our team as a Population Health RN. This role focuses on proactive, patient-centered care, leveraging data-driven insights to address the needs of high-risk individuals.

Job Summary

Under the direction of a Licensed Physician and Clinical Director, the population health nurse will utilize their expertise and strong interpersonal skills to provide nursing care, and care coordination to a targeted patient population identified through risk stratification reports. This role involves comprehensive patient health risk assessments, health education, and benefits navigation, requiring a self-directed and highly motivated individual who can thrive in an independent setting.

Major Duties: Include but are not limited to the following.

Client Consultation & Strategic Reporting:

• Present population health findings, trends, and recommendations to client leadership and matrix partners, as appropriate
• Participate in client meetings to review outcomes, intervention performance, and emerging health priorities, as appropriate
• Partner with client stakeholders to prioritize population health initiatives and engagement strategies, as appropriate

Care Management:

• Performs comprehensive biometric health risk assessments and education, as appropriate
• Follow established nursing protocols and procedures
• Monitor medication compliance and provide patient education
• Provide patient education on chronic conditions, focusing on abnormal biometric values, health needs, and related behavioral lifestyle modifications
• Utilize motivational interviewing techniques to promote sustainable behavior changes, including diet, exercise and stress management
• Identify customer health education needs through targeted health assessment activities
• Identify and facilitate overcoming psychosocial barriers to care
• Collaborate with patients to establish health improvement plans, set personalized evidence-based health goals, and support patients in achieving those goals
• Track and monitor screening compliance
• Facilitate and promote preventive health screenings, including cancer screenings
• Lead and support a variety of Health and wellness promotional activities, such as group coaching, wellness challenges and Health related seminars Wellness campaigns at client’s location

CARE COORDINATION:

• Facilitate communication and coordination with external providers, including primary care, specialists
• Coordinate with community providers and resources to address patients’ needs and care gaps
• Reinforce provider’s care plans and ensure adherence
• Follow-up with patients regarding after-hours care recommendations

BENEFITS NAVIGATION:

• Referral to clinical programs and services
• Assist patients in navigating their benefits and accessing necessary resources
• Advocate for patients to ensure they receive timely and appropriate care
• Provide support for health-related site events, which include open enrollment, wellness committee facilitation, flu shot events, health fairs, etc.

ANALYTICS:

• Work from reports and dashboards that identify the highest-risk patients, proactively engaging them in care management activities
• Prioritized patient outreach and interventions based on risk stratification

ADMINISTRATIVE:

• Assures compliance with regulatory requirements regarding services
• Appropriate electronic documentation, in accordance with current policies and procedures

Qualifications:

• RN with current unrestricted compact state licensure required with three or more years of clinical practice experience
• Bachelor's degree in a health-related field. Master’s degree preferred.
• Current BLS/CPR/AED Certification
• Excellent Computer skills [specific software e.g. Word and Excel]
• Excellent interpersonal skills. Must be able to work in a team environment and exhibit flexibility and enthusiasm in learning new information and developing new skills quickly.
• High energy level, with a passion for health improvement
• Positive role model in demonstrating healthy behaviors
• Self-directness and the ability to succeed in an independent role

Preferred Qualifications:

• Population health management experience, care management, clinical program management and/or health analytics
• Care management or case management certification
• Experience with healthcare analytics and reporting tools
• Knowledge of employer-sponsored health plans and wellness strategies
• Experience with Epic, population health platforms or care coordination systems

The Population Health Registered Nurse will work from their dedicated home office.

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.

For this position, we anticipate offering an annual salary of 77,500 - 129,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan.

At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.

About The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. 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 need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

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.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.