Licensed Clinical Social Worker - Accredo - Remote

Responsibilities:

• Telephonic outreach and customer engagement, support and assistance
• Support and coordination of complex situations - leveraging community resources
• Educate and refer customers to available social and health resources
• Assist in the creation, execution, and management of the pulmonary arterial hypertension (PAH) licensed social worker program, implementing and adjusting the program as needed to best meet the needs of the patient population
• Consultation with Cigna Medical Management teams and Cigna Behavioral Health teams and programs as appropriate
• Identifies and educates appropriate client specific programs
• Empowers customers with skills to provide enhanced interaction with their providers
• Documents customer interactions and interventions as directed
• Consult with and assist team members in cases where a customer’s medical and behavioral issues are impacting their ability to set and/or achieve goals
• Collaboration with team members such as nutritionist, pharmacist, case management nurses, specialty team member, Medical Director and other internal partners across Cigna's programs as appropriate
• Provide ongoing consultation and training to the team on relevant social topics, resources available
• Provide connection and assistance to agencies where alternative funding may be needed (i.e. SSI, SSDI benefits, state victim assistance, VA state funded rehab or community resources
• Life planning needs such as end of life, home/financial management and accessible housing
• Resources for community resources for conditions and bereavement
• Assumes lead role with customer when appropriate but integrates with warm connection with Cigna team members to support ongoing care and needs
• Shift: Monday-Friday; 9AM-5:30PM EST / 10AM-6:30PM MST / 11AM-7:30PM PST

Qualifications:

• Master’s Degree
• Licensed Clinical Social Worker (LCSW)
• Minimum of five (5) years clinical experience in behavioral health/social work field
• Experience with crisis intervention and psychosocial assessments
• Experience in health education and wellness coaching preferred
• Experience with direct customer communication (written and verbal), experience in telephonic counseling/coaching required
• Working knowledge of motivational strategies, training and consultation required
• Thorough knowledge and understanding of health behavior change theories and their application
• 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
• A high energy level and excellent written and oral communication skills are essential
• Passion for health improvement of customers
• Preferred Competencies
• Excellent time management, organizational, research, analytical, negotiation, communication (oral and written) and interpersonal skills
• Strong personal computer skills, MS word, Excel, Outlook experience, and Internet research desired
• Experience creating and managing social work programs a plus
• Knowledge of the insurance industry and claims processing
• Service marketing/sales and business acumen experience a plus
• Strong skills in the following areas: teamwork, conflict management, assessment complex issues, ability to recommend changes and resolve problems through effective decision making
• Experience in medical management and case management in a managed care setting is highly desirable  Knowledge of managed care products and strategies
• Demonstrated sensitivity to culturally diverse situations, customers and clients
• Ability to work within changing business environment and balance business needs with patient advocacy
• Experience managing multiple projects in a fast-paced matrix driven environment
• Demonstrated ability to coach and educate other case management staff
• Demonstrate effective organizational skills and flexibility to meet the business needs

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 56,600 - 94,400 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.

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.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.