CLIMB Behavioral Coaching and Support Care Manager-Evernorth Health Services -Remote - The Cigna Group
Bloomfield, CT
About the Job
The CLIMB program provides 1:1 and group telephonic wellness coaching to customers around their behavior change to improve their health status, reduce health risks, and improve their quality of life. The care managers will utilize a motivational interviewing approach focusing on decreasing both internal and external barriers that may be preventing the individual from initiating and/or engaging in behavioral change. This approach helps the individual move toward readiness to change and results in the creation of goals that will improve their health and well-being. This position delivers a program through a standardized protocol, utilizing a workbook.
This position requires an e vening shift.
Major Duties
+ Perform care management for CLIMB programs in a telephonic customer- facing environment which involves utilizing a coaching approach that provides support and resources to the customers.
+ Assistance in the identification of member health education needs
+ Help customers to develop SMART personalized health improvement goals and support and empower customers in achieving those goals.
+ Assess readiness to change and implements actions to assist members in moving through stages of change to reach their goals.
+ Provide 1:1 and group telephonic wellness coaching to customers around their behavior change to improve their health status, reduce health risks and improve their quality of life. CLIMB coaching activities will be focused on information provided in the CLIMB workbook.
+ Demonstrate proficiency in all CLIMB related processes and workflows as evidenced by case review. Actively work to improve areas of opportunity identified through case reviews and performance metrics. Actively participate in ongoing trainings by bringing topics to assigned meetings.
+ Provide information and resources to customers, family members, facilities, and HCP as needed to assist with problem solving or clarifying aspects of their mental health system (e.g., benefits, claims, procedures, 211 referrals, community resources).
+ Consult with and assist team members in cases where a member’s behavioral health or emotional issues are impacting their ability to set and/or achieve goals.
+ Educate and refer members on available health resources and Cigna Medical Management as appropriate to approach customer holistically.
+ Collaboration with other team members such as medical directors, pharmacist, nurse clinicians, etc. to coordinate services to customers.
+ Provide suggestions for improvements and enhancements to behavioral coaching programs and CLIMB based on data/experience.
+ Able to manage multiple health records and systems to accurately document customer interactions and progress.
+ Must be able to comply with HIPAA standards and regulations in telephonic conversation and in documenting medical records.
+ Flexibility to assist other teams and partners as needed and perform other related duties incidental to the work described herein.
Qualifications
+ Requires Master's degree mental health discipline and independent licensure to practice in the state of employment (LICSW, LMFT, LPC, LPCC, Licensed Psychologist or Psych RN)
+ Three to five years post-license mental health experience preferred but will also consider a new independently licensed therapist.
+ Experience with direct member communication (written and verbal), experience in telephonic counseling/coaching preferred.
+ Working knowledge of motivational strategies, materials development, training, and consultation preferred.
+ Proven administrative abilities, with strong computer and software application skills.Excellent interpersonal skills and the ability to work in a team environment.
+ Demonstrated ability to set priorities including, but not limited to time management and organizational skills.
+ A high energy level and excellent written and oral communication skills are essential.
+ Passion for health improvement of members
+ Strong research and analytical skills
+ Ability to manage own caseload and coordinate all assigned cases.
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 65,500 - 109,100 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.
We want you to be healthy, balanced, and feel secure. That’s why 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) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group .
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. 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 require reasonable accommodation in completing the online application process, please email:_ _SeeYourself@cigna.com_ _for support. Do not email_ _SeeYourself@cigna.com_ _for an update on your application or to provide your resume as you will not receive a response._
_Qualified applicants with criminal histories will be considered for employment in a manner_
_consistent with all federal, state and local ordinances._
_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._
This position requires an e vening shift.
Major Duties
+ Perform care management for CLIMB programs in a telephonic customer- facing environment which involves utilizing a coaching approach that provides support and resources to the customers.
+ Assistance in the identification of member health education needs
+ Help customers to develop SMART personalized health improvement goals and support and empower customers in achieving those goals.
+ Assess readiness to change and implements actions to assist members in moving through stages of change to reach their goals.
+ Provide 1:1 and group telephonic wellness coaching to customers around their behavior change to improve their health status, reduce health risks and improve their quality of life. CLIMB coaching activities will be focused on information provided in the CLIMB workbook.
+ Demonstrate proficiency in all CLIMB related processes and workflows as evidenced by case review. Actively work to improve areas of opportunity identified through case reviews and performance metrics. Actively participate in ongoing trainings by bringing topics to assigned meetings.
+ Provide information and resources to customers, family members, facilities, and HCP as needed to assist with problem solving or clarifying aspects of their mental health system (e.g., benefits, claims, procedures, 211 referrals, community resources).
+ Consult with and assist team members in cases where a member’s behavioral health or emotional issues are impacting their ability to set and/or achieve goals.
+ Educate and refer members on available health resources and Cigna Medical Management as appropriate to approach customer holistically.
+ Collaboration with other team members such as medical directors, pharmacist, nurse clinicians, etc. to coordinate services to customers.
+ Provide suggestions for improvements and enhancements to behavioral coaching programs and CLIMB based on data/experience.
+ Able to manage multiple health records and systems to accurately document customer interactions and progress.
+ Must be able to comply with HIPAA standards and regulations in telephonic conversation and in documenting medical records.
+ Flexibility to assist other teams and partners as needed and perform other related duties incidental to the work described herein.
Qualifications
+ Requires Master's degree mental health discipline and independent licensure to practice in the state of employment (LICSW, LMFT, LPC, LPCC, Licensed Psychologist or Psych RN)
+ Three to five years post-license mental health experience preferred but will also consider a new independently licensed therapist.
+ Experience with direct member communication (written and verbal), experience in telephonic counseling/coaching preferred.
+ Working knowledge of motivational strategies, materials development, training, and consultation preferred.
+ Proven administrative abilities, with strong computer and software application skills.Excellent interpersonal skills and the ability to work in a team environment.
+ Demonstrated ability to set priorities including, but not limited to time management and organizational skills.
+ A high energy level and excellent written and oral communication skills are essential.
+ Passion for health improvement of members
+ Strong research and analytical skills
+ Ability to manage own caseload and coordinate all assigned cases.
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 65,500 - 109,100 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.
We want you to be healthy, balanced, and feel secure. That’s why 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) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group .
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. 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 require reasonable accommodation in completing the online application process, please email:_ _SeeYourself@cigna.com_ _for support. Do not email_ _SeeYourself@cigna.com_ _for an update on your application or to provide your resume as you will not receive a response._
_Qualified applicants with criminal histories will be considered for employment in a manner_
_consistent with all federal, state and local ordinances._
_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._
Source : The Cigna Group
