Primary Nurse Case Admin Specialty (Oncology Certification)

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

Job summary

A leading healthcare provider is seeking a Nurse Case Administrator specializing in oncology to manage patient care and treatment coordination. This remote position requires extensive nursing experience, especially in oncology, as well as strong communication and clinical judgment skills. Candidates will work closely with healthcare teams to promote quality outcomes and ensure effective care coordination for patients.

Benefits

Health and wellness benefits

401(k) and pension plans

Paid time off

Tuition reimbursement

Employee assistance programs

Qualifications

• 4 years of clinical practice, with 3 years in oncology.
• Knowledge of oncology drugs, treatments, and side effects.
• Multi-state nursing licensure if required.

Responsibilities

• Manage members with specialty oncology diagnoses.
• Coordinate care and facilitate education for members.
• Act as a liaison between members and healthcare entities.

Skills

Communication

Clinical Judgment

Analytical Skills

Education

Registered Nurse (RN) License

Oncology Certfication

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 invests in your professional development.

Job Summary

This position focuses on managing members with specialty (ONCOLOGY) diagnoses. It involves performing case management functions and serving as a primary contact for members, healthcare personnel, and other involved entities. The primary nurse case administrator coordinates care, identifies treatment options, consults with physicians and members, promotes quality and cost-effective outcomes, and acts as a liaison. Responsibilities include providing education, introducing members to website tools, and facilitating care coordination for identified members.

Job Requirements

• Registered Nurse (RN) with current, valid, unrestricted license in the state of operation
• 4 years of clinical practice, including 3 years of recent Oncology clinical experience
• Knowledge of oncology drugs, 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, and disease management activities
• Familiarity with ancillary services such as HHC, SNF, Hospice
• Strong clinical judgment, analytical skills, and communication skills
• Multi-state nursing licensure as required, with fees covered by HCSC
• Knowledge of drugs, treatment protocols, diets, problem solving, and SMART goals
• Maintenance of current certifications for specialized roles

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

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

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Referral Process: If referred, ask your connection at HCSC about our Employee Referral process.

Pay Transparency

At HCSC, employees enjoy benefits such as health and wellness, 401(k), pension, paid time off, parental leave, disability, life insurance, employee assistance, holidays, tuition reimbursement, and incentives. More details are available at https://careers.hcsc.com/totalrewards.

Compensation varies based on skills, education, and experience. The role may include an annual incentive bonus based on plan terms.

Employment Statement

HCSC is an Equal Opportunity Employer committed to a diverse and inclusive environment. All qualified applicants will receive consideration without regard to race, religion, gender, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics.

Base Pay Range

$69,200.00 - $146,700.00