Case Manager

2 months ago

Singapore The Cigna Group Full time

Critical Tasks and Expected Contributions/Results:

  • Manage the pre-authorisation process and claims by assessing proposed treatment and therapies for medical necessity, appropriateness and cost-effectiveness in accordance with relevant guidelines.

  • Able to source and articulate said relevant guidelines while managing moderately-complex local to global level cases.

  • Completes day-to-day Case Management tasks without immediate supervision, but has ready access to advice from more experienced team members.

  • Use clinical knowledge to assess diagnosis and treatment plans and goals, and identifies gaps in care or risks for readmission or complications.

  • Establish patient centric goals and interventions to meet the memberâs needs.

  • Coordinate care and interface with the member, family members/caregivers, and the healthcare team, as well as internal matrix partners.

  • Establish a documented patient centric case management plan involving all appropriate parties (client, physician, providers, employers, etc), identifies anticipated case results/outcomes, criteria for case closure, and promotes communication within all parties involved.

  • Work with Cigna physicians to evaluate complex cases and receive appropriate clinical expertise on diagnosis and treatment plans.

  • Deliver to customers clinical programs including case management, chronic condition management, lifestyle coaching, pre assignment assessment and any other program delivered by global clinical operations.

  • Maintain accurate workflow and process documents.

  • Adhere to professional practice within scope of licensure and certification quality assurance standards and all case management policy and procedures.

  • Participate in unit and corporate training initiatives and demonstrates evidence of continuing education to maintain clinical expertise and certification as appropriate.

  • Participate in clinical projects to enhance our customerâs health and wellbeing.

  • Play an active role towards Cigna´s digital transformation.

  • Serve as clinical liaison to Clients.

  • Balance business needs with patient advocacy.

Key Challenges/Anticipated Changes in Environment:

  • Demonstrate sensitivity to emotionally distressed and culturally diverse situations, clients and customers.

  • Manage/coordinate an active volume of cases by providing information and coordination to customers worldwide in a multicultural population.

  • Coordinate care with other Cigna Case Managers around the world when a need for local or regional expertise is important for better care or to comply with regulations.

Developmental Value of Position:

  • Gain experiences and knowledge within the insurance and healthcare industry

  • Broad exposure to all aspect of business operations and to develop leadership/general management skills

  • Continue to utilize and enhance healthcare knowledge while out of clinical setting

Experience/Knowledge, Education and Other Requirements:

  • Bachelor in Nursing

  • Clinical knowledge to assess diagnosis and treatment plans and goals, and identifies gaps in care or risks for readmission or complications.

  • Knowledge and experience in relevant Health Insurance fields is preferred.

  • Necessary licenses and certifications for quality assurance standards and all case management policy and procedures

Personal Competencies Required:

  • Strong organizational and leadership skills

  • Strong interpersonal and communication skills

  • Demonstrates problem-solving and analytical skills.

  • Ability to build excellent working relationships with staff, matrix partners, customers and providers

  • Ability to act as an âadvocateâ for the customer while complying with internal Policies and procedures and contractual/legal compliance requirements

  • Strong time management and prioritisation skills

  • Enthusiastic with a positive attitude

  • Ability to operate computer, proficient with Microsoft office products, call center software, and a variety of software.

About The Cigna Group

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.

  • Case Manager

    1 day ago

    Singapore Singapore Anglican Community Services Full time

    Job Title: Case ManagerAt Singapore Anglican Community Services, we are seeking a skilled Case Manager to join our team. As a Case Manager, you will play a vital role in providing person-centered case management services to vulnerable elderly living in the community.Key Responsibilities:Conduct intake assessments and develop individualized care plans to...

  • Case Manager

    1 day ago

    Singapore PERTAPIS Education and Welfare Centre Full time

    Job Title: Executive (Case Worker), Residential Case Management Unit (PCH)We are seeking a highly skilled and dedicated individual to join our team as a Case Manager in the Residential Case Management Unit (PCH) at PERTAPIS Education and Welfare Centre.Roles and ResponsibilitiesKey Responsibilities:Establish and maintain positive relationships with...

  • Case Manager

    1 day ago

    Singapore SINGAPORE ASSOCIATION FOR MENTAL HEALTH, THE Full time

    Job Title: Case ManagerSAMH SAY-IT (Sports, Arts, Youth Integrated Team) is seeking a skilled Case Manager to join our team. As a Case Manager, you will be responsible for providing assessment and intervention for youths, and engaging them for ongoing monitoring and support.Key Responsibilities:Conduct mental health assessments for youthsProvide...

  • Case Manager

    1 day ago

    Singapore Life Community Services Society Full time

    Job Title: Case ManagerWe are seeking a highly motivated and experienced Case Manager to join our team at Life Community Services Society. As a Case Manager, you will play a vital role in supporting the well-being of children, youth, and families in our community.Key Responsibilities:Casework Management: Provide case management services to support the needs...

  • Case Manager

    20 hours ago

    Singapore INSTITUTE OF MENTAL HEALTH Full time

    Roles & ResponsibilitiesThe ChallengesYou will work within a multidisciplinary team to ensure continuity of holistic patient care, by assessing and evaluating needs of the patient, and planning, coordinating, implementing and monitoring the solutions to address those needs and to participate in other clinical care activities.As a Case Manager, you will be...

  • Case Manager

    5 days ago

    Singapore The Cigna Group Full time

    Critical Tasks and Expected Contributions/Results:Manage the pre-authorisation process and claims by assessing proposed treatment and therapies for medical necessity, appropriateness and cost-effectiveness in accordance with relevant guidelines.Able to source and articulate said relevant guidelines while managing moderately-complex local to global level...

  • Case Manager

    2 days ago

    Singapore RANDSTAD PTE. LIMITED Full time

    Roles & ResponsibilitiesOur client are a dynamic insurance brokerage firm that founded a quarter-century ago, they're specializing in personalized advisory and brokerage services for high net-worth clients globally.As an Insurance Case Manager, you will play a crucial role in their Sales Operations Department, reporting directly to the Director of Sales...

  • Case Manager

    20 hours ago

    Singapore SUN-DAC Full time

    Roles & ResponsibilitiesCore Function:The Case Manager is responsible for providing casework services for clients of SUN-DAC and their families.Core Responsibilities:1. Ensures a smooth process for clients’ enrolment to SUN-DAC and assist in the means testing application process via the HOMES system.2. Conducts case-conferences with SPED schools and other...

  • Case Manager

    1 day ago

    Singapore Singapore Anti-Narcotics Association Full time

    Job SummaryThe Singapore Anti-Narcotics Association is seeking a highly skilled and dedicated professional to join our team as a Case Worker. This role is responsible for implementing case management services for ex-drug offenders in the community, utilizing evidence-based practices to support and manage their reintegration process.Key...

  • Insurance Case Manager

    1 day ago

    Singapore RECRUIT EXPRESS PTE LTD Full time

    Job SummaryWe are seeking a highly skilled Insurance Case Manager to join our team at Recruit Express Pte Ltd. As a key member of our team, you will be responsible for managing and bringing cases under care to completion, ensuring that all client documentation is complete and compliant with internal and insurance company requirements.Key ResponsibilitiesCase...

  • Case Manager

    1 day ago

    Singapore APBA TG HUMAN RESOURCE PTE. LTD. Full time

    Job SummaryWe are seeking a highly motivated and detail-oriented individual to join our team as a Case Worker at APBA TG Human Resource Pte. Ltd. The successful candidate will be responsible for providing support to members of the public in applying for financial assistance schemes, obtaining documents from clients, and referring them to other support and...

  • Insurance Case Manager

    1 day ago

    Singapore RANDSTAD PTE. LIMITED Full time

    About the RoleWe are seeking a highly skilled Insurance Case Manager to join our team at RANDSTAD PTE. LIMITED. As an Insurance Case Manager, you will play a crucial role in our Sales Operations Department, reporting directly to the Director of Sales Operations.Key ResponsibilitiesClient Management: Serve as the main point of contact between insurers, sales...

  • Case Manager #SGUnitedJobs

    2 days ago

    Singapore YELLOW RIBBON INDUSTRIES PTE. LTD. Full time

    Roles & ResponsibilitiesJob PurposeThe successful incumbent will assist the Assistant Director (Programme)/ Lead Case Manager in the execution and oversight of the programming aspect for Residents emplaced at the HWH and ensure that all programmes carried out are in line with the philosophy of the HWH as well as its mission, vision and core valuesMajor...

  • Assistant Case Manager

    1 day ago

    Singapore Singapore After-Care Association Full time

    Job DescriptionJob Title: Assistant Case ManagerJob Summary:The Singapore After-Care Association is seeking a highly organized and detail-oriented Assistant Case Manager to join our team. As an Assistant Case Manager, you will play a crucial role in supporting the Case Management programme, providing administrative assistance, and ensuring the smooth...

  • Case Coordination

    2 months ago

    Singapore PERSOLKELLY Singapore Full time

    Working Days: Monday - FridayWorking Hours: Monday - Thursday 830am-6pm, Friday 830am-530pmLocation: CaldecottContract Period: 1 yearJob Responsibilities:Case Management Towards Case Closure/ TransferManaging cases that include engagement of clients and professionals (e.g., community agents) towards closure and transfer of cases.Coordinate with officers,...

  • Case Management Specialist

    1 day ago

    Singapore RECRUIT EXPRESS PTE LTD Full time

    Job Title: Case Management ExecutiveJob Summary:We are seeking a highly skilled Case Management Executive to join our team at RECRUIT EXPRESS PTE LTD. The successful candidate will be responsible for assessing patients' needs, conducting post-discharge follow-ups, and collaborating with healthcare professionals to enhance patient well-being.Key...

  • Counsellor - Case Manager

    1 day ago

    Singapore Epworth Community Services Full time

    About the RoleWe are seeking a highly skilled and experienced Counsellor to join our team at Epworth Community Services. As a Counsellor, you will play a critical role in providing case work, counselling, and trauma-focused therapy to our clients.Key ResponsibilitiesCase Management: Provide comprehensive case management services to clients, including regular...

  • Case Manager

    1 day ago

    Singapore MCI CAREER SERVICES PTE. LTD. Full time

    Job Title: Case Worker LXQWe are seeking a highly skilled and compassionate Case Worker to join our team at MCI Career Services Pte. Ltd.Key Responsibilities:Provide casework and counseling services to teenage girls in a residential setting, ensuring their well-being and safety.Liaise and collaborate with external partners and stakeholders to provide...

  • Asst. Case Manager

    2 days ago

    Singapore Singapore After-Care Association Full time

    Roles & ResponsibilitiesThe Case Management programme provides case management and counselling services for up to 14 months for both Community-Based Programme (CBP) and Direct Release (DR) prison-referred clients.Assistant Case Manager is responsible to perform all the administrative duties of the CMS programme such as handling of client data, submission of...

  • Programme Manager

    1 day ago

    Singapore Association of Women for Action And Research Full time

    Job DescriptionAssociation of Women for Action And Research (AWARE) is seeking a highly skilled and experienced Programme Manager to lead our Case Management team. The successful candidate will be responsible for providing strategic leadership and direction to the team, ensuring the delivery of high-quality case management services to survivors of...