Primary Nurse Case Admin Specialty (Oncology Certification)

MedStar Health; Abilene (TX); Remote; USD 69,000 - 147,000; Full time

Job summary

Une entreprise leader dans le secteur de la santé recherche un administrateur de cas en oncologie pour gérer les soins des membres. Ce rôle à distance implique la coordination des soins, l'évaluation des besoins des membres et la liaison avec les prestataires de soins pour assurer des résultats de qualité et efficaces. Les candidats doivent être des infirmiers enregistrés avec une expérience clinique significative dans le domaine de l’oncologie.

Benefits

401(k)

Pension

Paid time off

Parental leave

Disability insurance

Tuition reimbursement

Qualifications

• RN avec au moins 4 ans d'expérience clinique, dont 3 ans en oncologie.
• Connaissance des médicaments de spécialité et protocoles de traitement.
• Compétences en gestion de cas nécessaires.

Responsibilities

• Gère des membres avec des diagnostics oncologiques.
• Coordonne les soins, identifie des options de traitement alternatives.
• Fournit éducation et informations aux membres.

Skills

Clinical judgment

Analytical skills

Verbal communication

Written communication

Education

Registered Nurse (RN)

Oncology Certification

CCM Certification

Tools

Word

Excel

Database management

Job description

At HCSC, our employees are the cornerstone of our business and the foundation of our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job Summary

This position primarily manages members with specialty (ONCOLOGY) diagnoses. The role involves performing all functions of case management (CM) and acting as the main contact for members, healthcare personnel, and other entities involved in managing specialty care. The primary nurse case administrator coordinates care, identifies alternative treatment options, consults with physicians, providers, and members to evaluate needs, promotes quality and cost-effective outcomes, and liaises with physicians and members. The role includes providing education, resource information, and encouraging member self-education. The administrator assesses members for case management, introduces website tools, educates about specific conditions, and facilitates care coordination for identified members.

Job Requirements

• Registered Nurse (RN) with current, valid, unrestricted license in the state of operation
• At least 4 years of clinical practice, including 3 years of recent specialty (ONCOLOGY) clinical experience
• Knowledge of specialty diagnosis drugs, adjunct therapies, treatment protocols, side effects, and complications
• Current certification in OCN, ONS, ONCC, AOCN, CPON, or AOCNP
• Proficiency in Word, Excel, and database management
• Excellent verbal and written communication skills
• Knowledge of utilization management, case management, disease management activities, and standardized criteria
• Familiarity with ancillary services such as HHC, SNF, Hospice
• Strong clinical judgment, analytical skills, and effective communication skills
• Multi-state nursing licenses may be required; incumbents must obtain and maintain additional licenses as needed
• Knowledge of drugs, treatment protocols, diets, problem solving, healthy coping, and SMART goals
• Maintaining current certification in specialized areas is required

Preferred Job Requirements

• RN Compact License
• Oncology Certification
• CCM certification (preferred)
• Experience managing complex or catastrophic health cases
• Inpatient and outpatient experience
• One year of care management experience in a health insurance or managed care setting
• Knowledge of medical management policies and procedures
• One year of education experience in the specialty area

This is a telecommute (remote) role: Must reside within 250 miles of the office or within the posted state.

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Referral Process: If referred, inquire about our Employee Referral process at HCSC.

Pay Transparency

At HCSC, we offer meaningful benefits supporting your life outside of work, including health and wellness benefits, 401(k), pension, paid time off, parental leave, disability insurance, supplemental life insurance, employee assistance, paid holidays, tuition reimbursement, and more. Details at https://careers.hcsc.com/totalrewards. Compensation varies based on skills, education, and experience and may include an annual incentive bonus.

Equal Opportunity Statement

We are an Equal Opportunity Employer committed to a respectful, inclusive environment. All qualified applicants will be considered regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics.

Base Pay Range

$69,200.00 - $146,700.00