Primary Nurse Case Admin Specialty (Oncology Certification)

MedStar Health; Albuquerque (NM); Remote; USD 69,000 - 147,000; Full time

Job summary

A leading healthcare company is seeking a Nurse Case Administrator specializing in oncology. This remote position involves managing oncology patients, coordinating care, and ensuring quality treatment outcomes. Candidates should possess an RN license and extensive experience in oncology clinical care, making this a fantastic opportunity for dedicated healthcare professionals.

Benefits

Comprehensive health benefits

401(k) and pension plans

Paid time off and parental leave

Disability and life insurance

Tuition reimbursement

Qualifications

• 4+ years of clinical practice with 3 years in Oncology clinical care.
• Knowledge of oncology drugs and treatment protocols is essential.
• Excellent verbal and written communication skills required.

Responsibilities

• Manage members with oncology diagnoses and coordinate care.
• Evaluate treatment options and educate members about resources.
• Serve as a liaison between members and healthcare providers.

Skills

Clinical judgment

Analytical skills

Communication

Education

Registered Nurse (RN) license

Oncology Certification

CCM certification

Tools

Word

Excel

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. Responsibilities include performing case management functions, acting as the main contact for members, healthcare providers, and other involved entities. The role involves care coordination, evaluating treatment options, consulting with physicians and members, promoting quality and cost-effective outcomes, and serving as a liaison. The nurse case administrator also provides education about resources, assesses members, introduces website tools, educates about conditions, and facilitates care coordination.

Job Requirements:

• Registered Nurse (RN) with a current, valid, unrestricted license in the state of operation
• At least 4 years of clinical practice, including 3 years in recent Oncology clinical care
• Knowledge of oncology drugs, therapies, 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 home health care, skilled nursing facilities, and hospice
• Strong clinical judgment, analytical skills, and effective communication
• For multi-state license holders, obtaining and maintaining additional licenses as required
• Knowledge of treatment protocols, side effects, and dietary considerations
• Experience in problem solving, healthy coping, and setting SMART goals
• Maintaining current certification for specialized roles

Preferred Qualifications:

• 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 health insurance or managed care
• Knowledge of medical management policies and procedures
• One year of education experience in a specialty area

This position is remote: must reside within 250 miles of the office or within the state.

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Referral process: Ask your HCSC connection about our Employee Referral process!

Pay Transparency

HCSC offers comprehensive benefits including health, wellness, 401(k), pension, paid time off, parental leave, disability, life insurance, employee assistance, holidays, tuition reimbursement, and incentives. Details at https://careers.hcsc.com/totalrewards. Compensation varies based on skills, education, and experience, with an annual incentive bonus plan.

Equal Opportunity Employment

We are committed to a welcoming environment respecting diversity. All qualified applicants will receive consideration regardless of race, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics.

Base Pay Range: $69,200.00 - $146,700.00