Oncology Nurse Consultant - Registered Nurse

CVS Health Corporation; Columbus (OH); Remote; USD 61,000 - 130,000; Full time

Benefits offered by this job

Fully remote nationwide

Job summary

CVS Health Corporation is seeking an experienced Oncology Nurse Consultant to lead clinical care management and utilization coordination across a patient’s cancer journey. You will assess needs, develop plans, and partner with oncologists, facilities, and support resources to ensure goal-aligned care.

You will leverage NCCN guidelines, mentor teams, and navigate benefits to optimize outcomes while controlling costs. Fully remote nationwide role with ongoing professional collaboration.

Qualifications

• Active, unrestricted RN license in resident state.
• Current ONCC certification (OCN, CPON, CBCN, CTN, CNA, CNTO, NCCT, NMA, CNSA, OCNS).
• 5+ years oncology nursing experience; 2+ years utilization management.
• Knowledge of oncology treatment protocols and guidelines; strong clinical judgment.

Responsibilities

• Perform clinical case management and develop individualized care plans.
• Coordinate oncology care with providers, hospitals, and community resources.
• Conduct utilization reviews and apply evidence-based criteria.
• Collaborate with multidisciplinary teams to optimize quality and cost outcomes.

Skills

RN license

Oncology Nursing

Utilization Management

Oncology guidelines

NCCN guidelines

Multidisciplinary collaboration

Motivational interviewing

Education

Associate Degree in Nursing

BSN preferred

Job description

We’re building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Are you an experienced Oncology Nurse looking for an opportunity to make a meaningful impact throughout a patient's cancer journey? Join our innovative Oncology Care Model team and serve as a clinical leader, care coordinator, and utilization management expert, helping members navigate treatment, access appropriate care, and achieve the best possible outcomes.

About the Role

Oncology Nurse Consultant serves as a hybrid Care Management and Utilization Management professional, providing comprehensive support to oncology members from diagnosis through treatment and recovery. As part of an interdisciplinary team that includes a Medical Director, Nurse Practitioner, Pharmacist, Behavioral Health Specialist, and Oncology Companion , you will work collaboratively to ensure members receive evidence-based, coordinated, and cost-effective oncology care.

What You'll Do

• Clinical Case Management Conduct comprehensive clinical assessments and identify members who would benefit from oncology case management servicesDevelop, implement, and monitor individualized care management plansAssess medical, psychosocial, functional, and support needs throughout the cancer journeyAdvocate for members to maximize available healthcare benefits and servicesSupport transitions of care, discharge planning, and ongoing treatment coordinationIdentify and escalate quality-of-care concerns through established channels
• Oncology Care Coordination Serve as a trusted clinical resource for members and caregivers throughout treatmentCoordinate care with oncologists, specialists, hospitals, providers, and community resourcesEvaluate members' health literacy, readiness for change, and support needsProvide education, coaching, and ongoing support to help members make informed healthcare decisionsUtilize motivational interviewing techniques to improve engagement and treatment adherence
• Utilization Management Perform utilization reviews and evaluate medical necessity for oncology-related servicesApply evidence-based oncology guidelines and clinical criteria to support treatment decisionsLeverage NCCN guidelines to assess treatment plans and support adherence to best practicesPartner with Medical Directors and treating providers to review treatment exceptions and clinical variancesReview medical records and clinical documentation to ensure appropriate utilization of healthcare resourcesSupport cost-effective treatment recommendations while maintaining quality patient outcomes
• Collaboration & Program Development Participate actively in multidisciplinary oncology team discussionsConsult with providers, internal stakeholders, and healthcare partners regarding utilization management and care planningContribute ideas and recommendations to improve program effectiveness and member experienceSupport organizational goals focused on quality, outcomes, and healthcare resource optimization

What You Bring - REQUIRED

• Active, unrestricted RN license in state of residenceAbility to obtain multi-state licensure upon hireCurrent Oncology Nursing Certification Corporation (ONCC) certification, including one of the following: OCNCPHONCBCNTCTCNAOCNPROCNTMAOCNSAOCN
• 5+ years of oncology nursing experience2+ years of Utilization Management experienceKnowledge of: Oncology treatment protocolsCancer symptom managementSupportive care servicesEvidence-based oncology guidelinesMedical necessity criteriaExperience collaborating with multidisciplinary healthcare teamsExcellent clinical judgment, critical thinking, and communication skills

Preferred Qualifications

• Compact RN licenseCertified Case Manager (CCM) certificationTelephonic case management experienceTelephonic customer service or care management experienceManaged Care experienceExperience working remotely and independentlyEducationAssociate Degree in Nursing requiredBSN preferred

Education

Associate Degree in Nursing requiredBSN preferred

Why Join Us?

• Fully remote opportunity available nationwideBecome part of a newly developed Oncology Care ModelWork alongside a specialized oncology care teamCombine Oncology Case Management and Utilization Management expertise in one roleBuild meaningful relationships with members throughout their cancer journeyInfluence quality outcomes, treatment adherence, and member satisfactionMake a lasting impact during one of the most important times in a member's life

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:$60,522.00 - $129,615.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 10/24/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.