for the RN Nurse Navigator (Specialty Pharmacy Nurse Case Manager) - Sioux Falls, SD position
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RN Nurse Navigator (Specialty Pharmacy Nurse Case Manager) - Sioux Falls, SD
Sioux Falls - Cigna
· Telephonic outreach and coaching
· Assistance in the identification of member health education needs through health assessment activities
· Utilization of health prevention guidelines and general health and wellness strategies to achieve goals in the overall health of members.
· Perform research on relevant topics in health promotion and disease prevention, as required for specific members
· Educate and refer members on available health resources and Cigna Medical Management programs as appropriate
· Provides 1:1 telephonic coaching to members around their behavior change to improve health status, reduce health risks and improve quality of life.
· Assesses readiness to change and implement actions to assist members in reaching their goals
· Work with members to identify and set personalized health improvement plans and goals and support members in achieving those goals.
· Provide decision support where multiple treatment options are available
· Work with members on opportunities to close gaps in their overall health status Collaboration with Health Advisor team members such as nutritionist, pharmacist, behavioral clinician, MD and member's provider
· Empowers members with skills to provide enhanced interaction with their providers.
· Provides suggestions for improvements and enhancements to coaching programs based on data/experience
· Documents interactions and interventions as directed
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