Case Management Lead Analyst - Senior Specialty Consultant Job at Cigna, Pennsylvania

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  • Cigna
  • Pennsylvania

Job Description

Case Management Lead Analyst - Senior Specialty Consultant

JOB TITLE: Case Management Lead Analyst - Specialty Consultant

JOB BAND: High band 3

DEPARTMENT: Clinical Operations-Clinical

UNIT/SECTION: Military OneSource

REPORTS TO: Specialty Consultant Manager (Supervisor)

Role Summary:

A great opportunity to help military members and their families!

The Specialty Consultant works with members of the military and their families in providing confidential specialty and special needs consultations. The Specialty Consultant is responsible for identifying the individual and/or family's most immediate needs and leveraging their behavioral expertise to recommend available services that meet those needs. This key role provides participants with support, education, resources, as well as information regarding legal/educational entitlements they may be eligible for. The Specialty Consultant will coach the participant to an individualized plan of action to best meet their needs.

Specialty topics are varied but often include the following issues:
  • Adults and children with special needs
  • Complex areas of Disability/Educational law & entitlements (will not provide legal advice)
  • Special needs trusts/estate planning (will not provide legal advice)
  • Adoption
  • Eldercare
  • The military health care system & TRICARE
  • Building healthy relationships
  • Support for new parents
  • Pet Care
  • Everyday resources

The team works in a fast-paced environment, on a queue, taking Specialty Consultant/Special Needs Consultant calls in the moment, as well as through scheduled appointments. Consultations are available by telephone, and/or using web based applications including real-time audio/video and chat discussions.

Duties and Responsibilities:
  • Ability to created individualized Action Plans based on the needs of the participant. Leverage behavioral expertise in formulating recommendations that best meet participant goals.
  • Provide 1:1 telephonic, video and chat specialty/special needs consultations to help the participant identify and meet their individualized needs.
  • Educate participants on applicable educational and disability law while coaching them to take steps towards legal entitlements they are most likely to be eligible for given their unique circumstances (no legal advice)
  • Research and provide participants with a wide variety of civilian and military resources
  • Execute duty to warn/mandated reporting processes as needed
  • Contribute constructively in team meetings and with matrix partners in a manner to enhance relationships and to improve communication and procedures relevant to team functioning.
  • Provide support/consultation to Journeyman level Specialty Consultants
  • Provide input/guidance regarding the evolution of the Specialty consultant role and Specialty consultant program
  • Cross train and provide back up to additional teams as needed
  • Perform additional tasks/projects as needed, requested or assigned.
  • Comply with all policies and Standard Operating Procedures.
  • Maintain a minimum of 12 professional development hours per calendar year on topics related to adults and children with special needs (funding provided)

Qualifications:
  • Must be a U.S. Citizen
  • Master's degree from an accredited graduate program in a social science/mental health related field such as, social work, psychology, marriage/family therapy, or counseling.
  • Current, valid, unrestricted counseling license/certification from a State, D.C., a U.S. Commonwealth, or a U.S. Territory that grants the authority to provide counseling services as an independent practitioner in their respective fields
  • 10+ years' experience working with adults and/or children with disabilities/special needs/behavioral health conditions
  • Must pass government-issued background check (tier 2 suitability)
  • Skilled in providing clinical/case management consultation to teammates
  • Professional training and experience in disability and educational law. Ability to use this training and experience to create an individualized plan of action with participants.
  • Requires interpersonal skill, judgment, ability to process through change effectively.
  • Proven experience helping escalated participants
  • Excellent presentation skills
  • Proficient with multiple software and system applications.
  • Demonstrate excellent verbal and written communication.
  • Strong research, analytical and customer service skills
  • Demonstrated ability to set priorities including, but not limited to time management and organizational skills.
  • Ability to manage own caseload and coordinate all assigned cases.
  • Strong passion for speaking to & assisting military members and their families.
  • Display knowledge and understanding of the military lifestyle and culture while maintaining the highest degree of sensitivity, compassion and respect for Service Members and their families.

REQUIRED WORK HOURS:

Full time job with a minimum of forty hours per week five days a week. Shift days and times may vary due to business need.

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 65,500 - 109,100 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.

Job Tags

Holiday work, Full time, Immediate start, Work from home, Shift work,

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