Cigna LVN or MSW Case Coordinator- Must resides in Northwest Fort Worth, Keller, Watauga, Roanoke area. in Bedford, Texas


Job Summary:

Responsible for collaborating with healthcare providers and members to optimize the member’s benefits to promote effective use of resources. Required to provide guidance to members regarding barriers to managing their health conditions. Assists members to change behaviors and to locate and access interpersonal, family, and community resources that will make it easier to manage their health.


·Conducts in-person and/or telephonic state mandated visits.

·Conducts health risk assessments and other member assessments.

·Uses clinical judgment to identify physical and behavioral health needs and works with the member, caregiver and providers to develop and actuate an appropriate individualized service plan.

·Works with member to close clinical and pharmacy gaps in care and to mitigate non-clinical barriers to care.

·Acts as a liaison for the member and facilitates the coordination of benefits, resources, healthcare providers, and institutions.

·Maintains a daily caseload as assigned for field-based nurse coordinators.

·Conducts telephonic and/or in-person visits to members to provide health coaching, structured assessments, and may develop appropriate care plans


Requirement Qualifications:

·Current, unrestricted Licensed Vocational Nurse (LVN) orMaster Social Worker in the state of Texas

·Minimum 5 years clinical experience

·Graduate of an accredited school of nursing.

·At least 2 years of related experience with Medicaid population.

·Reliable transportation, valid and unrestricted driver’s license, proof of insurance, and the ability to travel to member’s home, other locations within the service delivery area.

·Excellent verbal and written communication skills.

· Must have Microsoft Office experience (Word, Excel, PowerPoint, etc.). Must be comfortable working with spreadsheets.

· Must be able to travel to members home within the service delivery area

Preferred Requirements: Previous STAR PLUS experience

US Candidates Only : Qualified applicants will be considered for employment without regard to race, color, religion, national origin, sex, sexual orientation, gender identity, disability, veteran status. If you require a special accommodation, please visit our Careers website or contact us

Primary Location: Bedford-Texas

Work Locations: 2208 North Highway 121 STE 210 Bedford 76021

Job: Med Mgt--Case Management

Schedule: Regular

Shift: Standard

Employee Status: Individual Contributor

Job Type: Full-time

Job Level: Day Job

Travel: Yes, 75 % of the Time

Job Posting: Oct 10, 2016, 9:01:22 AM