Cigna EHE Health Coach

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.Job title:Cigna EHE Health CoachJob Description:We are currently hiring a talented LPN/LVN, Cigna Everyday Health Engagement Coach.  Coaches provide education on Chronic Conditions, Health and Wellness, and Lifestyle Management Programs. They work with customers 1 on 1, over the phone to establish health improvement plans, set personalized goals, and support customers in achieving those goals through behavior changes to improve health status, reduce health risks, and improve quality of life. The LPN/LVN Engagement coach has a key role in ensuring the member will maintain a healthy lifestyle while in the community. Successful candidates must hold a valid, current license issued by the state in which the candidate resides.Key responsibilities:   Establish health improvement plans based on member specificationsEstablish personalized goalsSupport customers in achieving those goals through behavior changes to improve health statusWork with customers to reduce health risks and improve quality of lifeCommunicates results of reviews verbally, in the medical record, and through official written notification to the primary care team, specialty providers, care managers, vendors and members in adherence with regulatory and contractual requirementsProvides decision-making guidance to clinical teams on service planning as neededWorks closely with Clinicians, Medical Staff and Peer Reviewers to facilitate escalated reviews in accordance with Standard Operating ProceduresEnsures accurate documentation of clinical decisions and works with UM Manager to ensure consistency in applying policyWorks with Manager and other clinical leadership to ensure that departmental and organizational policies and procedures as well as regulatory and contractual requirements are metAdditional duties as requested by supervisorMaintains knowledge of CMS and State regulatory requirementsEducation Requirements:Associate’s degree required,LPN/LVN- you must hold a valid, current license issued by the state in which the candidate residesDesired Experience (nice to have):Customer experienceRemote work experienceProficient with Microsoft Teams and Office.Required Knowledge, Skills & Abilities (must have):Ability to complete assigned work in a timely and accurate mannerAbility to work independentlyDesired Knowledge, Skills, Abilities & Language (nice to have):Flexibility and understanding of individualized care plansAbility to influence decision makingStrong collaboration and negotiation skillsStrong interpersonal, verbal, and written communication skillsComfort working in a team-based environmentKnowledge of Medicare and Mass health services and benefitsHourly wage $24.00Hours: Monday through Friday 7AM to 8PM Central TimeThis is a fully remote work at home role. You must have a secure, private wok at home area with a hardwired internet connection with speeds greater than 5MB upload and 10MB download.Sagility Offers Competitive Benefits Including:     Medical  Dental  Vision  Life Insurance  Short-Term and Long-Term Disability  Flexible Spending Account  Life Assistance Program  401K with employer contribution  PTO and Sick Time  Tuition Reimbursement    Join our team, we look forward to talking with you!  An Equal Opportunity Employer/Vet/Disability  Location:Work@Home USAUnited States of AmericaOriginally posted on Himalayas