Nurse Case Management Manager – Evernorth Health Services – Remote

26003174 Role Summary The Case Management Supervisor leads a team of case managers and/or health coaches who manage active case files. This role is responsible for team performance, quality, and customer satisfaction through the delivery of high-quality case management and coaching services. The supervisor partners across internal teams and external stakeholders (customers, providers, vendors, and claims payors) to support business initiatives and resolve service delivery issues.

Key Responsibilities

• Lead, coach, and develop direct reports (case managers, coaches, and other clinical team members) through regular performance discussions, feedback, and career development planning.
• Monitor and manage performance against established key performance indicators (KPIs), quality standards, and applicable accreditation requirements (e.g., URAC, NCQA).
• Drive operational excellence by using available tools and resources to improve service delivery, outcomes, and team effectiveness.
• Collaborate with matrix partners to develop work plans, remove barriers, and take corrective actions to meet objectives.
• Serve as an escalation point for service delivery concerns; support customer meetings, presentations, and audits as needed.
• Participate in projects, work groups, and committees; communicate progress, risks, and outcomes to leadership.

Minimum Qualifications

• Active, unrestricted Registered Nurse (RN) license in a U.S. state or territory.
• Two (2) years of full-time equivalent direct clinical care experience.
• If directly supervising the case management process for three (3) years, holds a URAC-recognized case management certification

Preferred Qualifications

• Experience leading teams in clinical operations, care management, or healthcare services (1–2 years preferred).
• Strong knowledge of case management and coaching programs.
• Excellent written and verbal communication skills, with the ability to present information to diverse audiences.
• Demonstrated ability to build collaborative relationships across internal teams and external partners.
• Experience supporting or participating in client meetings, presentations, and audits.
• Proficiency with Microsoft Word, Excel, and PowerPoint for reporting and presentations.

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 92,100 - 153,500 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. At The Cigna Group, 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), 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, click here. 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 need a reasonable accommodation to complete the online application process, please email [email protected] for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes. 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. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances. Apply tot his job Apply To this Job