Concurrent Review Care Coordinator - EviCore - Work At Home

Strong time management and organizational skills.

Clear and professional written and verbal communication abilities.

Critical thinking and sound clinical decision-making.

Ability to work independently with minimal supervision.

Proficiency with Microsoft Office tools (Word, Excel, Outlook, PowerPoint) and virtual meeting platforms.

The Concurrent Review Care Coordinator is responsible for concurrent review, care coordination, and utilization management activities across post-acute care settings.

The role applies clinical judgment, evidence-based guidelines, and organizational policies to support quality outcomes, cost-effective care, and member experience.

Implement, evaluate, and coordinate individualized plans of care for assigned members.

Conduct utilization and concurrent reviews in alignment with medical necessity criteria and regulatory requirements.

Collaborate with providers, Medical Directors, and interdisciplinary teams to support transitions of care.

Identify gaps or deviations in care plans and intervene appropriately to support desired outcomes.

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

seeyourself@thecignagroup.com

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.