Pre-Service RN Care Coordinator - EviCore -Remote

Pre-Service RN Care Coordinator Role Summary The Pre-Service RN Care Coordinator supports clinical and operational activities for post-acute care services, including transition of care, care coordination, and case management. This position helps ensure members receive medically appropriate services and equipment ordered by their physician while supporting timely communication between members, providers, and internal partners.

Support clinical and operational processes related to transition of care, care coordination, and case management for post-acute care services, including home health, durable medical equipment, and related care management needs. Review physician-ordered services and equipment to help coordinate timely, appropriate member care. Collaborate with members, providers, caregivers, and internal teams to support continuity of care and resolve service coordination issues. Apply clinical judgment and established guidelines to support appropriate care coordination decisions. Document case activities accurately and timely in accordance with clinical, operational, regulatory, and compliance requirements. Maintain productivity, quality, and service expectations while managing assigned work in a remote environment.

Active, unrestricted Registered Nurse license in state of residence. Minimum of 2 years of clinical RN experience. Ability to work Monday through Friday, 9:00 a.m. to 6:00 p.m. Central Time, with flexibility to work any shift between 7:00 a.m. and 7:00 p.m. Central Time based on business needs. Availability for weekend, on-call, and holiday rotation as business needs require. Ability to use a computer, telephone, and standard office equipment throughout the workday. Ability to maintain a dependable and reliable work schedule.

Bachelor of Science in Nursing. Compact or multistate RN license. 2 or more years of utilization management experience. Experience in home health, skilled nursing facility, rehabilitation, post-acute care, or care coordination. Experience with Medicare and/or Medicaid managed care programs.

This is a remote position. This role requires prolonged use of a computer, telephone, and other standard office equipment throughout the workday. This position may require sitting for extended periods, with occasional walking and standing. Skills and Competencies Strong time management and organizational skills, with the ability to manage priorities and meet deadlines. Effective verbal and written communication skills with members, providers, coworkers, and leadership. Critical thinking and problem-solving skills, including the ability to evaluate information and determine appropriate next steps. Ability to work independently with minimal supervision while meeting performance expectations. Proficiency with Microsoft Word, Excel, Outlook, and PowerPoint. Experience using virtual collaboration tools such as Webex, Microsoft Teams, or similar platforms. Typing speed of 30 words per minute preferred. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we are dedicated to improving the health and vitality of those we serve. Through our divisions, Cigna Healthcare and Evernorth Health Services, we work to make health care more affordable, predictable, and simple for customers, clients, providers, and communities.

The Cigna Group is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other characteristic protected by applicable law. Confidential, unpublished property of The Cigna Group. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2026 The Cigna Group   If you will be working at home occasionally