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Behavioral Specialty Case Management Lead Analyst - Opioid and Pain Management -Evernorth

Job typeFull Time
CountryUnited States
We have two Coaching & Support teams that are closely aligned when working with our Substance Use and Opioid-Pain Management populations. We are looking for individuals who are experienced in working with individuals with multiple comorbidities in mental health, medical and/or substance use disorders. Our case managers are trained to provide evidence-based education, resources and care coordination that will improve the customers' functioning, through increased pain relief with reduced reliance on pain relievers and are able to identify or assess for the development of substance use issues concurrently. The entire suite of Evernorth Behavioral Health services is available, which permits case managers to identify and service each individual's needs. A Motivational interviewing approach is utilized in coaching that allows the case manager focus on decreasing barriers that may be preventing the individual from initiating and/or engaging in behavioral or medical treatment. This approach helps the individual move toward readiness to change and results in the creation of goals that will improve their health and well-being.

Role Summary

This position is a great opportunity for licensed behavioral health clinicians, who are passionate about medical/behavioral integration while working to reduce the opioid crisis through working with customers struggling with substance use issues, chronic pain issues , and at high risk of opioid overdose . The case manager will utilize a cognitive behavioral coaching approach and their clinical acumen to assist customers in understanding the impact of pain on thoughts and emotions, introducing pain management tools that will improve physical and emotional functioning and promote the safe use of opioids when it is needed.

The role offers a great salary with an excellent benefits package that starts your first day of employment including a continuing education program with funding and extra leave time.

This position is with Evernorth, a new business within the Cigna Corporation.

Day Shift or Evening Shift options

Major Duties
  • Evaluates appropriate health care services and treatment plans in conjunction with outpatient providers.
  • Ensures that care management program objectives are met by evaluating the effectiveness of alternative care services and that cost effective, quality care is maintained.
  • Performs care management for specialty programs through telephonic and/or texting, customer- facing environment which involves utilizing a coaching approach that provides "whole person care" to the customers.
  • Assistance in the identification of member whole health education needs
  • Develop SMART goals with our customers to empower them to lead and maintain a healthy lifestyle
  • Assesses readiness to change and implements actions to assist members in moving through stages of change to reach their goals
  • Perform research for community and educational resources to assist customers in their journey
  • Consult with and assist team members in cases where a member's behavioral health or emotional issues are impacting their ability to set and/or achieve goals
  • Provide integrated care through education and referrals to available health resources and Cigna Medical Management as appropriate, to approach customer holistically
  • Collaboration with other team members such as medical directors, pharmacist, nurse clinicians, etc.
  • Provides suggestions for improvements and enhancements to outpatient coaching programs based on data/experience
  • Able to manage multiple health records and systems to accurately document customer interactions and progress
  • Must be able to comply with HIPAA standards and regulations in telephonic conversation and in documenting medical records.
  • Flexibility to assist other teams and partners as needed.
  • Perform other related duties incidental to the work described herein.

  • Requires Master's degree mental health discipline and independent licensure to practice in the state of employment (LICSW, LMFT, LPC, LPCC, Licensed Psychologist or Psych RN)
  • Three to five years post-license mental health or substance use and pain management experience is required.
  • Experience with direct member communication (written and verbal), experience in telephonic counseling/coaching preferred
  • Highly evolved communicator who is action oriented, creative and courageous
  • Working knowledge of motivational strategies, materials development, training and consultation preferred.
  • 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 including, but not limited to time management and organizational skills
  • A high energy level and excellent written and oral communication skills are essential.
  • Passion for integrated health care approach to improve physical and emotional functioning
  • Strong research and analytical skills
  • Ability to manage own caseload and coordinate all assigned cases

This position is not eligible to be performed in Colorado.

About Evernorth

Evernorth, Cigna Corporation's health services segment, exists to elevate health for all. We're building on our legacy and redefining health care as we know it. Unbiased in how we think, we create without limitation. We partner without constraints, deliver value differently and act in the interest of humanity. Solving across silos, closing gaps in care, and empowering clients, customers, and people everywhere to move onward and upward. When you work with us, you'll be empowered to solve the problems others don't, won't or can't. Join us. 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.
Employer460 Evernorth Behavioral Health, Inc.