Remote Oncology Nurse Consultant & Utilization Expert

CVS Health Corporation; United States; À distance; USD 61 000 - 130 000; Plein temps

Résumé du poste

CVS Health Corporation is seeking an experienced Oncology Nurse Consultant (RN) for a fully remote, nationwide role. You will lead oncology case management and utilization management for patients across the cancer journey, coordinating care from diagnosis through treatment and survivorship.

Collaborating with a multidisciplinary team, you will apply NCCN guidelines, assess medical necessity, and advocate for services and resources to support evidence-based, cost-effective care.

Qualifications

• Active, unrestricted RN license in state of residence.
• Ability to obtain multi-state licensure upon hire.
• Current ONCC certification, including one of: OCN, CPHON, CBCN, TCTCN, AOCNP, ROCN™, AOCNS, AOCN.
• 5+ years of oncology nursing experience.
• 2+ years of Utilization Management experience.
• Knowledge of Oncology treatment protocols, cancer symptom management, supportive care services, evidence-based oncology guidelines, medical necessity criteria.
• Experience collaborating with multidisciplinary healthcare teams.
• Excellent clinical judgment, critical thinking, and communication skills.

Responsabilités

• Clinical Case Management: conduct assessments, develop and monitor care plans, assess needs, advocate for benefits, support transitions of care, elevate quality concerns.
• Oncology Care Coordination: coordinate with oncologists, hospitals, providers, and community resources; assess health literacy and readiness; provide education and coaching.
• Utilization Management: perform reviews, apply guidelines and criteria, leverage NCCN guidelines, review documentation, support cost-effective treatment decisions.
• Collaboration & Program Development: participate in multidisciplinary discussions; consult with stakeholders; contribute to program improvements.

Connaissances

RN License

Multi-state Licensure

ONCC Certification

5+ years Oncology Nursing

2+ years Utilization Management

Knowledge of Oncology Guidelines

Evidence-based Practice

Cross-disciplinary Collaboration

Clinical Judgment

Formation

Associate Degree in Nursing

BSN preferred

Description du poste

CVS Health Corporation is seeking an experienced Oncology Nurse Consultant (RN) for a fully remote, nationwide role. You will lead oncology case management and utilization management for patients across the cancer journey, coordinating care from diagnosis through treatment and survivorship.

Collaborating with a multidisciplinary team, you will apply NCCN guidelines, assess medical necessity, and advocate for services and resources to support evidence-based, cost-effective care.