Nurse Case Manager - Oncology

Amerit Consulting; California (MO); Remote; USD 1,000; Full time

Job summary

Amerit Consulting is seeking a skilled Case Manager to coordinate care in various healthcare settings. This role demands a strong background in nursing, effective discharge planning, and the ability to educate patients on disease management. The position offers a contracted term with potential extensions, focused on delivering high-quality care while managing patient pathways effectively.

Qualifications

• Requires at least 5 years of prior experience in nursing or healthcare.
• Oncology experience is required.
• Certified Case Manager (CCM) Certification preferred.

Responsibilities

• Coordinate care for various healthcare settings and perform discharge planning.
• Provide disease management education on chronic conditions and assist with care gaps.
• Research and design treatment plans promoting quality care.

Skills

Case Management

Discharge Planning

Disease Management Education

Collaborative Care

Chronic Conditions Knowledge

Education

Bachelor of Science in Nursing

Current CA RN License

Job description

1 day ago Be among the first 25 applicants

This range is provided by Amerit Consulting. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$51.00/hr - $51.00/hr

Direct message the job poster from Amerit Consulting

Recruiting Manager/ Lead Engineering Recruiter at Amerit Consulting

Location: REMOTE in CA

Duration: 3+ Months Contract with possible extension

Pay Rate: $51/hr

Relocation Expenses/ Assistance: NO

Schedule:

• Training schedule for the first 8 weeks is 8am-4:30pm
• Regular work hours after training: 10:30a – 7p Pacific

Job Description:

• Coordinate care for lower level of care such Skilled Nursing Facility, Home Health, Home Infusion, Acute Rehab, Long-term Acute Care Hospital, Hospice, and other community program as appropriate
• Perform effective discharge planning and collaborate with member’s support system and health care professionals involved in the continuum of care
• Provides disease management education on core chronic conditions (Diabetes, Heart Failure, COPD, Asthma and Coronary Artery Disease). Outreach to members with HEDIS Care Gaps to assist with closure
• Apply detailed knowledge of FEP PPO and established medical/departmental policies, clinical practice guidelines, community resources, contracting and community care standards to each case
• Research and design treatment/care plans to promote quality of care, cost effective health care services based on medical necessity complying with contract for each appropriate plan type
• Provide Referrals to Quality Management (QM), Disease Management (DM) and Appeals and Grievance department (AGD)
• Recognize the clients right to self-determination as it relates to the ethical principle of autonomy, including the client/family's right to make informed choices that may not promote the best outcomes, as determined by the healthcare team
• Design appropriate and fiscally responsible plan of care with targeted interventions that enhance quality, access and cost-effective outcomes
• Initiate and implement appropriate modifications in plan of care to adapt to changes occurring over time and through various settings
• Must be able to sit for extended periods of time and read information on one computer screen and apply that information on a second computer screen to complete documentation

Job Recruitment:

• Bachelor of Science in Nursing or advanced degree preferred
• Requires a current CA RN License.
• Requires at least 5 years of prior experience in nursing, healthcare or related field
• Oncology experience required
• Certified Case Manager (CCM) Certification or is in process of completing certification when eligible based on CCM application requirements preferred

Preferred:

• 3+ years managed care experience preferred
• Comprehensive knowledge of case management, discharge planning, utilization management, disease management and community resources preferred
• Strong electronic clinical documentation skills, independent problem identification and resolution skills

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Contract

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

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