Primary Nurse Case Admin Specialty (Oncology Certification)

Health Care Service Corporation; Richardson (TX); Remote; USD 69,000 - 147,000; Full time

Job summary

Join a leading health care provider as a Primary Nurse Case Admin specializing in Oncology. This role focuses on managing care coordination for members, ensuring quality outcomes, and collaborating with healthcare professionals. If you are a dedicated RN with oncology experience, this opportunity allows for professional growth in a rewarding environment, offering telecommuting flexibility.

Qualifications

• 4 years clinical practice experience including 3 years in Oncology.
• Proficient in specialty diagnosis drugs and treatment protocols.
• Experience in managing complex health cases preferred.

Responsibilities

• Manage specialty care for members diagnosed with Oncology.
• Perform case management functions and coordinate care.
• Educate members about their conditions and available resources.

Skills

Clear and concise verbal and written communication skills

Analytical skills

Sound clinical judgment

Education

Registered Nurse (RN) license

Current certification in OCN/ONS/ONCC/AOCN/CPON/AOCNP

Tools

PC proficiency with Word and Excel

Job description

Primary Nurse Case Admin Specialty (Oncology Certification)

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Primary Nurse Case Admin Specialty (Oncology Certification)

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At HCSC, our employees are the cornerstone of our business and the foundation to 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.

This position’s primary focus is the management of members with specialty (ONCOLOGY) diagnoses. This position will be responsible for performing all functions of case management (CM) and is a primary source of contact for members, health care personnel and all other entities involved in managing specialty care. The primary nurse case administrator performs care coordination; identifies alternate treatment programs; consults with physicians, providers, members, and other resources to evaluate options and services required to meet an individual’s health needs; promotes quality and cost- effective outcomes; and serves as liaison to physicians and members. Provide education/local resource information and encourage member (self) education functioning in a clinical care advisory role, the primary nurse case administrator assesses members for case management, introduces members to our website tools, educates members regarding their specific condition, and facilitates the coordination of care for identified members.

Job Requirements

• Registered Nurse (RN) with current, valid, unrestricted license in state of operations
• 4 years clinical practice experience of direct clinical care, to include 3 years of recent Specialty (ONCOLOGY) clinical experience
• Knowledge of specialty diagnosis drugs, adjunct therapies and treatment protocols including side effects and complications
• Current certification in one of the following: OCN/ONS/ONCC/AOCN/CPON/AOCNP
• PC proficiency to include Word, Excel, and database experience
• Clear and concise verbal and written communication skills
• Knowledge of UM/CM/DM activities and standardized criteria set
• Familiarity of ancillary services including HHC, SNF, Hospice, etc
• Verbal and written communication skills; analytical skills; sound clinical judgment
• Incumbents with nursing licenses in positions/departments requiring multi-state licenses are required to obtain and maintain additional current, valid, and unrestricted applicable nursing licenses in other states as determined by management. Multi-state license fees will be provided by HCSC.
• Knowledge of drugs and treatment protocols including side effects and complications
• Knowledge of diets relating to assist members
• Knowledge of Problem Solving, Healthy Coping and establishing SMART goals.
• Current Certified Specialists must maintain their certification
  
  

Preferred Job Requirements

• RN Compact License required
• ONCOLOGY CERTIFICATION REQUIRED
• CCM certification PREFERRED
• Experience in managing complex or catastrophic health cases
• Inpatient and Outpatient experience preferred.
• 1-year experience in Care Management in a health insurance/managed care setting
• Knowledge of medical management policies and procedures
• 1-year education experience in Specialty area
  
  

This position is Telecommute (Remote) role: Must reside within 250 miles of the office or anywhere within the posted state.

#CA

Compensation: $69,200.00 - $146,700.00

Exact compensation may vary based on skills, experience, and location

HCSC Employment Statement

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

To learn more about available benefits, please click https://careers.hcsc.com/totalrewards

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

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