Summary

The Care Navigator is an integral member of Cigna Medical Group’s Patient Health Improvement Team (PHIT) Care Management Department. The PHIT is comprised of care management, clinical pharmacy, behavioral health, and clinician coaches who support Cigna Medical Group (CMG) Healthcare Centers and clinicians to improve the health of the patients we serve, with a focus on the management of high- and rising-risk, disease burdened members enrolled in Cigna Healthcare of Arizona health plans. 

This position provides professional, courteous, and friendly assistance to Cigna Medical Group patients as they engage in the care delivery system. The Care Navigator serves as a primary touch point for patients, acts as a strong patient advocate, and helps to break down barriers to care.  The Care Navigator forms strong, valuable, and long-lasting relationships with patients by taking ownership over navigation through the health system.

The Care Navigator is an integral part the patient care team which includes the Primary Care Provider, Nurses, Care Managers, Social Workers, and Clinical Pharmacy. They use various tools and guidelines to ensure patients are engaged in self-advocacy, informed decision-making, and have access to community resources. They assist the PHIT Care Manager with outreaching and tracking patients based on identified initiatives.

Responsibilities and Essential Functions

Connects patients to programs and services and assists in improving patient’s care alongside the PHIT Care Management team.  Assists patients as needed to schedule primary care, specialty care and other appointments as identified in the care plan. Prepares the patient and/or family for a PCP, specialist or other visit by helping to prepare a list of key points to cover or questions to ask during the appointments. May offer to make reminder calls, as needed, to support the patient’s effort in keeping appointments. Processes internal and external program referrals as needed. Follows through as appropriate to ensure patient complies with referrals and services as recommended by the care team. Communicates directly with PCPs, specialists, community services and other programs on behalf of the patient and/or family.  Understands the patient’s individual care plan and care needs in the medical record.  Identifies and assists in closing overdue gaps in care. Completes social determinants of health assessments and provides community resources, services, and referrals to address gaps and overcome barriers based on insurance type.  Makes outreach calls to patients to validate that needed services were provided following hospitalization or visit to a skilled nursing facility (SNF) (i.e. receipt of DME, Home Health Visits completed, etc.) and escalates areas of concern to the Care Managers.   Actively monitors incoming calls, conducts outgoing calls, and responds to voice mail requests in a timely manner. 

Minimum Qualifications

• Medical Assistant (MA) preferred, but not required

• Previous experience in the medical field preferred

• Demonstrated ability to work collaboratively within a team environment

• Exceptional customer service and interpersonal skills

• Strong verbal/written communication and organizational skills to effectively communicate with patients and matrix partners

• Proven administrative abilities, with strong computer and software application skills

• Medical terminology preferred

• Ability to convey information to customers in a warm, clear, concise manner

• Demonstrates positive customer service behaviors

• Ability to excel at details, multi-tasking and working under pressure

• May be asked to travel to various locations in the service area

• May be required to lift up to 50 lbs. 

This role is Worksite dependent and can only be performed onsite. You must be fully vaccinated if you’re to come onsite OR undergo testing twice a week.

About Cigna

Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you’ll enjoy meaningful career experiences that enrich people’s lives. What difference will you make?

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.