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RN Quality Specialist
The Cigna Group. Provide remote, patient-centered case management support and education to assigned patients .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient-centered case management, clinical competency, and effective communication while managing a designated caseload and adhering to compliance standards. Proficient in utilizing technology for documentation and coordination of care in a remote environment.
Highest-signal resume keywords
Registered Nurse (RN) LicenseCase Management ExperienceClinical ExperienceMicrosoft Office ProficiencyCommunication Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Patient-Centered Case ManagementClinical CompetencyDatabase NavigationAdherence MonitoringEducation Delivery
Soft Skills
Strong Verbal CommunicationStrong Written CommunicationAbility to Manage Multiple PrioritiesAbility to Work Independently
Tools & Technologies
Program DatabasesMicrosoft Office Applications
Certifications & Qualifications
Active RN LicenseCompact License
Industry Keywords
Pharmacy OperationsHealthcare BusinessPatient EducationTherapeutic RelationshipsQuality Standards
About the role
Key responsibilities & impact- Provide remote, patient-centered case management support and education to assigned patients
- Build and maintain therapeutic relationships with assigned patients throughout the program
- Deliver patient-centric education regarding treatments, disease states, and prescribed products
- Manage a designated caseload through scheduled outreach and adherence monitoring
- Accurately document activities in program databases
- Coordinate interactions between patients and internal or external clinical partners
- Customize interactions based on individual patient needs, health literacy, and program requirements
- Adhere to program-specific contractual agreements, company policies, quality standards, and compliance requirements
- Participate in program-specific customer meetings, training sessions, and orientations
- Demonstrate clinical competency and system proficiency through required assessments
- Support special projects and additional duties aligned to contract performance and business needs
Requirements
What you’ll need- Active, unrestricted Registered Nurse (RN) license in primary state of residence
- Compact license required
- Minimum of two (2) years of RN clinical experience
- Proficiency with Microsoft Office applications
- Basic database navigation proficiency
- Strong verbal and written communication skills
- Ability to manage multiple priorities and meet deadlines
- Ability to work independently in a remote environment
- Internet connection through cable broadband or fiber optic service with at least 10Mbps download/5Mbps upload when working from home
- Bachelor of Science in Nursing (BSN) or active enrollment in a BSN program preferred
- Case management or care coordination experience preferred
- Knowledge of pharmacy operations, pharmaceuticals, life sciences, or healthcare business environments preferred
Benefits
Comp & perks- Annual bonus plan eligibility
- Medical benefits
- Vision benefits
- Dental benefits
- Well-being and behavioral health programs
- 401(k)
- Company-paid life insurance
- Tuition reimbursement
- Minimum of 18 days of paid time off per year
- Paid holidays
- Leaves of absence
- Remote work arrangement
- Cable broadband or fiber optic internet requirement with speeds of at least 10Mbps download/5Mbps upload for home workers