Rare Disease TRC Social Worker - Accredo - Remote (Finance)

Position Overview
The Licensed Clinical Social Worker (LCSW) plays a pivotal role in supporting customer health and well-being through proactive outreach, education, and coordination of care. This position involves telephonic engagement with customers to assess needs, provide guidance, and connect them with appropriate social, behavioral, and medical resources.

The LCSW collaborates closely with interdisciplinary teams across Cigna and Accredo Specialty Pharmacy, including medical management, behavioral health, pharmacy, and specialty care, to address complex cases and ensure holistic support. The role requires strong clinical expertise, crisis intervention skills, and a deep understanding of health behavior change strategies. Additionally, the LCSW serves as a resource and consultant to internal teams, offering training and insights on social determinants of health, community resources, and life planning needs. This position demands excellent communication, organizational, and problem-solving abilities, with a commitment to empowering customers and improving health outcomes in a dynamic, team-oriented environment.

Key Responsibilities

• Conduct telephonic outreach to engage, support, and assist customers.
• Coordinate complex cases by leveraging community resources and support systems.
• Educate and refer customers to appropriate social and health services.
• Collaborate with Cigna Medical Management and Behavioral Health teams to ensure integrated care.
• Identify and educate customers on relevant, client-specific programs.
• Empower customers with skills to enhance communication and engagement with healthcare providers.
• Accurately document customer interactions and interventions in accordance with guidelines.
• Provide consultation and support to team members when medical or behavioral health issues impact customer goal-setting or progress.
• Collaborate with interdisciplinary team members including nutritionists, pharmacists, case management nurses, specialty teams, and other internal partners across Accredo Specialty Pharmacy/Cigna programs.
• Offer ongoing consultation and training to team members on social topics and available resources.
• Provide information and assistance regarding external agencies and funding sources (e.g., SSI, SSDI, VA, state victim assistance, rehabilitation programs).
• Support life planning needs such as end-of-life care, financial/home management, and accessible housing.
• Connect customers with community resources for specific conditions and bereavement support.
• Assume lead role in customer engagement when appropriate, while ensuring seamless integration with Cigna team members for continued care.

Qualifications

• Master's Degree in Social Work or related field.
• Licensed Clinical Social Worker (LCSW), actively licensed in good standing in the state of employment.
• Minimum of five (5) years of clinical experience in behavioral health or social work.
• Proficient in crisis intervention and psychosocial assessments.
• Experience in health education and wellness coaching preferred.
• Skilled in direct customer communication, including telephonic counseling and coaching.
• Strong understanding of motivational strategies and consultation practices.
• In-depth knowledge of health behavior change theories and their practical application.
• Demonstrated administrative capabilities with strong computer proficiency.
• Excellent interpersonal and teamwork skills.
• Proven ability to prioritize tasks effectively.
• High energy, with strong written and verbal communication skills.
• Passionate about improving customer health outcomes.

Preferred Competencies

• Exceptional time management, organizational, research, analytical, negotiation, and communication skills.
• Proficiency in Microsoft Word, Excel, Outlook, and internet research.
• Experience in developing and managing social work programs is a plus.
• Familiarity with insurance industry practices and claims processing.
• Background in service marketing, sales, or business acumen is advantageous.
• Strong skills in teamwork, conflict resolution, complex issue assessment, and decision-making.
• Experience in medical and case management within a managed care setting.
• Knowledge of managed care products, strategies, and operations.
• Cultural sensitivity and ability to work effectively with diverse populations.
• Adaptability to evolving business environments while maintaining patient advocacy.
• Proven ability to manage multiple projects in a fast-paced, matrix-driven setting.
• Experience in coaching and educating case management staff.
• Strong organizational skills and flexibility to meet dynamic business needs

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an annual salary of 56,600 - 94,400 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group .

About Evernorth Health Services

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

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.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.