Complex Case Manager RN - Oncology (Remote)

Lensa; Frankfort (KY); Remote; USD 70,000 - 90,000; Full time

Job summary

A leading healthcare organization is seeking a Complex Case Manager RN specializing in Oncology. This role involves managing a panel of members with diverse health needs, developing care plans, and collaborating with a multidisciplinary team to ensure quality outcomes. Candidates must possess a valid RN license and significant experience in clinical case management.

Qualifications

• 7 years of clinical, case management, or related experience required.
• RN license in PA, WV, DE, NY (others within 6 months) required.
• Preferred: Oncology experience, Case Management certification.

Responsibilities

• Oversee a panel of members, assess their needs, and refer them to appropriate resources.
• Create and manage care plans with goals and re-assessment schedules.
• Achieve targeted patient outcomes and document all activities in compliance with standards.

Skills

Communication

Negotiation

Analytical

Organizational

Knowledge of disease processes

Healthcare systems

Data interpretation

Education

High School Diploma/GED

Bachelor's Degree in Nursing

Tools

MS Excel

Job description

Complex Case Manager RN - Oncology (Remote)

Lensa is the leading career site for job seekers at every stage of their career. Our client, Highmark Health, is seeking professionals. Apply via Lensa today!

Company: Highmark Inc.

Job Summary: This role involves managing a panel of members with varying health statuses and clinical needs. The incumbent assesses health management needs, utilizes data and clinical judgment to identify appropriate interventions, and collaborates with a multidisciplinary team to refer members to necessary resources. Responsibilities include developing care plans, encouraging behavioral changes, addressing barriers, coordinating care, and monitoring quality outcomes.

Essential Responsibilities:

1. Oversee a panel of members, assess their needs, and refer them to appropriate resources.
2. Create and manage care plans with goals and re-assessment schedules.
3. Achieve targeted patient outcomes and document all activities in compliance with standards.
4. Stay informed of and adhere to regulatory and practice standards.
5. Perform other duties as assigned.

Education:

• Required: High School Diploma/GED

Preferred: Bachelor's Degree in Nursing

Experience:

• Required: 7 years of clinical, case management, or related experience

Preferred: Experience with cognitive behavioral therapy, working with diverse populations, and cultural competency.

Licenses and Certifications:

• Required: RN license in PA, WV, DE, NY (others within 6 months)

Preferred: Oncology experience, Case Management certification.

Skills:

• Strong communication, negotiation, analytical, and organizational skills.
• Knowledge of disease processes and healthcare systems.
• Proficiency in MS Excel and data interpretation.
• Ability to work independently and in teams.

Additional Information:

• Travel: 0-25%
• Position: Office-based, with occasional travel, physical demands minimal.

Disclaimer: The description provides a general overview and may not include all duties and responsibilities.