Case Manager, Registered Nurse – Oncology Experience Required

Job Description:

  • working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured clients
  • application and/or interpretation of applicable criteria and clinical guidelines
  • assessments utilize information from various sources to address all conditions including co-morbid and multiple diagnoses that impact functionality
  • consulting with clinical colleagues, supervisors, Medical Directors and/or other programs to overcome barriers to meeting goals and objectives
  • utilizing motivational interviewing skills to ensure maximum member engagement
  • identifying and escalating member’s needs appropriately

Requirements:

  • 5+ years’ experience as a Registered Nurse, including at least 1 year in a hospital setting
  • A RN who resides in a compact state is required to have an active multistate license through the Nurse Licensure Compact (NLC)
  • 1+ years’ experience documenting electronically using a keyboard
  • 1+ years’ current or previous experience in Oncology
  • 1+ years’ Case Management experience or discharge planning, nurse navigator or nurse care coordinator experience preferred
  • 1+ years' experience in Utilization Review
  • CCM and/or other URAC recognized accreditation preferred
  • 1+ years’ experience with MCG, NCCN and/or Lexicomp preferred
  • Bilingual in Spanish preferred

Benefits:

  • medical, dental, and vision coverage
  • paid time off
  • retirement savings options
  • wellness programs
  • other resources based on eligibility
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