Cognixia- A Digital Workforce Solutions Company is dedicated to delivering exceptional trainings and certifications in digital technologies. Founded in 2014, we provide interactive, customized training courses to individuals and organizations alike, and have served more than 130,000 professionals across 45 countries worldwide

To provide world-class training solutions on digital technologies by delivering innovation and the best techniques in training. We’re driven to help each individual and organization we work with to upgrade their skills, and develop new ones, while creating a stronger digital workforce for the future.

Schedule Notes: Mon.-Fri. 8 am-5 pm EST - all work performed onsite in Philadelphia office. Will allow for temporary remote work due to COVID-19

Duties:

• Establishes a collaborative relationship with client (plan participant/member), family, physician(s), and other providers to determine medical history and current status and to assess the options for optimal outcomes.
• Promote consumerism through education and health advocacy.
• Assesses member’s health status and treatment plan and identifies any gaps or barriers to healthcare. Establishes 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.
• Implements, coordinates, monitor and evaluate the case management plan on an ongoing, appropriate basis.
• Adheres to professional practice within scope of licensure and certification quality assurance standards and all case management policy and procedures
• Participates in unit and corporate training initiatives and demonstrates evidence of continuing education to maintain clinical expertise and certification as appropriate.
• Demonstrates sensitivity to culturally diverse situations, clients and customers.

• Excellent time management, organizational, research, analytical, negotiation, communication (oral and written) and interpersonal skills
• Strong personal computer skills, MS word, Excel, Outlook experience, and Internet research desired
• Strong skills in the following areas:  teamwork, conflict management, assessment complex issues, ability to recommend changes and resolve problems through effective decision making
• Experience in medical management and case management in a managed care setting is highly desirable
• Knowledge of managed care products and strategies
• Demonstrated sensitivity to culturally diverse situations, participants and customers

• Active unrestricted Registered Nurse (RN) license in IL
• Two years full-time equivalent of direct clinical care to the consumer
• CCM Certification preferred