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RN Nurse Navigator (Specialty Pharmacy Nurse Case Manager) - Sioux Falls, SD

Sioux FallsCigna



·       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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