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Cigna Medicare Clinical Operations LPN LVN Case Management Analyst
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About the Role
Cigna Healthcare is seeking a Licensed Practical Nurse or Licensed Vocational Nurse to serve as a Remote Medicare Clinical Operations Case Management Analyst. In this senior clinical role, you will manage a complex caseload of Medicare Advantage members — conducting clinical assessments, developing individualized care plans, coordinating with physicians and specialists, and ensuring that Cigna Medicare members receive the right care at the right time in the most appropriate care setting.
Cigna is a global health services company serving over 180 million customer relationships worldwide. Its Medicare clinical teams are at the forefront of value-based care, working to improve health outcomes, reduce preventable hospitalizations, and support the long-term wellbeing of its most vulnerable member populations. This remote LPN/LVN role gives you the opportunity to practice at the full scope of your clinical expertise while enjoying the flexibility and autonomy of a home-based work environment.
What You Will Do
Conduct telephonic and telehealth clinical assessments of Cigna Medicare Advantage members to evaluate care needs and risks
Develop personalized care management plans addressing medical, behavioral, and social determinants of health
Coordinate care transitions for members discharged from hospitals to home, skilled nursing, or rehabilitation settings
Collaborate with treating physicians, specialists, home health agencies, and community support organizations
Monitor member progress against care plan goals and conduct proactive outreach to members with chronic conditions
Document all clinical assessments, care plans, interventions, and outcomes in Cigna's case management platform
Requirements
Current and unrestricted LPN or LVN license in the state of practice — multi-state licensure is a strong advantage
Three or more years of clinical nursing experience — case management, managed care, or Medicare experience preferred
CCM (Certified Case Manager) certification is preferred — exam support available after hire
Strong clinical assessment skills and ability to apply evidence-based care management protocols independently
Proficiency with electronic health records and care management platforms — Cigna system training provided
Excellent telephonic communication skills — empathetic, clear, and patient-centered in all member interactions
Pay and Benefits
Pay: $28.00 to $38.00 per hour based on clinical experience and licensure level
Full-time remote — home-based practice with scheduled telephonic and telehealth member contacts
Cigna health insurance — comprehensive medical, dental, and vision with exceptional employer contribution
401(k) with Cigna employer matching, financial planning resources, and wellness programs
CCM certification exam reimbursement and continuing education unit allowance
Career advancement into RN-level case management, care management leadership, and clinical operations roles
