Nurse Case Management Cigna Healthcare

Job Description

Case Manager (CM) Job Description

Looking for a New Challenge in an International Environment

Your Mission

The Case Manager is a nurse-led professional who supports members with complex medical psychosocial or care-coordination needs. With the member at the centre of everything we do the Case Manager helps individuals navigate their healthcare journey with confidence ensuring they receive the right care at the right time and in the most appropriate setting.

Based in Europe the Case Manager guides the member journey from assessment through follow-up developing personalised care plans and coordinating providers and services. Through specialised clinical programmes the role supports members with complex care needs promotes continuity of care and strong clinical outcomes and helps ensure healthcare is appropriate sustainable and delivers meaningful value.

Working within an international and multicultural environment the Case Manager builds trusted relationships with members providers physicians clients and internal partners serving as a key coordinator and advocate throughout the care journey.

Key Responsibilities

• Member Advocacy & Care Coordination: Build trusted relationships with members and serve as their primary point of contact throughout the care journey. Coordinate healthcare providers hospitals specialists caregivers and support services to ensure a seamless and member-centred experience.
• Assessment & Care Planning: Assess medical psychosocial and functional needs identifying barriers to care gaps in treatment and potential risks. Develop implement review and adapt personalised care plans that support members goals and clinical needs.
• Clinical Management & Monitoring: Monitor members progress support safe transitions of care and proactively identify emerging needs or risks. Collaborate with physicians providers and internal clinical experts to ensure appropriate and effective care management.
• Education & Empowerment: Help members understand their medical conditions treatment options available resources and self-management strategies enabling informed decision-making and greater engagement in their health.
• Collaboration & Programme Delivery: Work closely with internal teams external partners and global healthcare professionals to deliver specialised clinical programmes including Case Management Chronic Condition Management Lifestyle Coaching Pre-Assignment Assessments and other Global Clinical Operations programmes.
• Quality Documentation & Compliance: Maintain accurate and timely case records promote continuity and quality of care and ensure compliance with professional standards regulatory requirements and organisational policies.
• Value-Based Care: Promote clinically appropriate sustainable and cost-effective healthcare solutions that balance member needs outcomes patient advocacy and responsible use of healthcare resources.

Skills and Qualifications

• Bachelors Degree in Nursing.
• Minimum 3-5 years of experience in Case Management Clinical Management or a related healthcare setting preferably within an international environment.
• Fluent in English. Proficiency in additional languages particularly French Portuguese or German is considered a strong asset.
• Strong clinical assessment and care coordination skills.
• Demonstrated organisational leadership and prioritisation capabilities.
• Excellent interpersonal communication and relationship-building skills.
• Strong analytical and problem-solving abilities.
• Ability to advocate for members while maintaining compliance with clinical contractual legal and organisational requirements.
• Ability to work independently and effectively in a dynamic multicultural environment.
• Proficiency with Microsoft Office applications and healthcare management systems.
• Ability to collaborate effectively with healthcare providers clients internal stakeholders and global teams.

Success Profile

A successful Case Manager combines strong clinical expertise with compassion critical thinking and exceptional coordination skills. They are proactive member-focused collaborative and adaptable ensuring that individuals with complex healthcare needs receive high-quality personalised and cost-effective support throughout their healthcare journey.

About Cigna Healthcare

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 require reasonable accommodation in completing the online application process please email: for support. Do not email for an update on your application or to provide your resume as you will not receive a response.