Nurse Case Management, Senior Analyst
Cigna
- Kuala Lumpur
- Permanent
- Full-time
The Nurse Case Manager will promote quality cost-effective outcomes managing care needs through education and health advocacy to members serviced.Responsibilities:
- Coordinate the delivery of medical care for clients, including communicating with healthcare providers, negotiating treatment plans, and ensuring that clients receive appropriate care.
- Conduct assessments of clients' medical conditions and develop care plans to ensure timely and effective treatment.
- Monitor clients' progress, adjust care plans as needed, and communicate updates to clients and healthcare providers.
- Facilitate communication and coordination between clients, healthcare providers, and insurance companies.
- Manage medical costs and negotiate cost-effective treatment options with healthcare providers.
- Ensure that clients receive the appropriate level of care, in accordance with company policies and procedures.
- Maintain up-to-date knowledge of medical trends and advancements, and apply this knowledge to the development of client care plans.
- Provide clients and their families with emotional support and information about their conditions and treatment options.
- Active nursing license in good standing.
- Bachelor's degree in Nursing.
- Minimum of 3 years of experience in nursing
- Knowledge of medical terminology and medical conditions.
- Excellent communication and interpersonal skills.
- English Read, Write and Speak Fluently. Other languages desirable (Chinese, Tagalog, Arabic)
- Ability to work independently and as part of a team.
- Ability to handle confidential and sensitive information with discretion.