24/7 Clinical Navigation And Support Clinician
Current24/7 Clinical Navigation and Support Clinician (Dec. 2019-present)As a 24/7 Clinical Navigation & Support (CN&S) Care Manager (CM), I help our members navigate the behavioral health system, including utilization of benefits and accessing direct care services. I dialogue with customers to assess current needs and interpret their benefit plans to offer linkages to care in their community. I follow up with members until the in-the-moment concern has been resolved and they feel comfortable with providers in their area.Inpatient Case Manager Specialist (May 2017-Nov. 2019)I used my clinical knowledge and skills to evaluate appropriate health care services and treatment plans in conjunction with inpatient providers. I partnered with facilities and families to identify and implement a holistic approach to treatment outcomes. I performed pre-cert and concurrent reviews for inpatient, residential, and partial hospitalization levels of care. I coordinated with facilities to assist in discharge planning and aftercare follow-up appointments. I engaged with customers and families to understand needs, facilitate access to Cigna coaching/case management programs, and community resources. I contributed to team meetings, participated in clinical rounds with Cigna Medical Directors, and attended required trainings.