RN Oncology Care Navigator & Case Manager (Hybrid)

Socket.dev; Pittsburgh (Allegheny County); Hybrid; USD 75,000 - 95,000; Full time

Job summary

UPMC Health Plan is seeking a full-time Clinical Care Manager (RN) - Oncology Nurse Navigator to join a multidisciplinary team for discharge planning and case management. The role is hybrid with at least two days onsite at Hillman Cancer Center.

The ideal candidate has 2+ years of clinical and case management experience, Oncology experience preferred, and RN licensure. Strong organization, communication, and computer skills are required to support preventive care and care transitions.

Qualifications

• Requires 2+ years clinical setting and case management nursing experience.
• Oncology experience strongly preferred (2+ years).
• 1 year health insurance experience required.
• Experience in clinical/utilization management, home care, discharge planning, or case management preferred.

Responsibilities

• Assist members with transition of care between facilities and share plan of care.
• Document activities in care management tracking system and maintain records.
• Develop individualized care plans with PCP collaboration to improve health and reduce readmissions.
• Coordinate care plan with member, caregivers, PCP, specialists, and health plan departments.
• Review medication profiles, address adherence issues and refer for Comprehensive Medication Review as needed.
• Refer members to case management or health management programs and provide education materials.

Skills

Clinical experience

Case management

Oncology experience

Insurance experience

Discharge planning

Organization

Communication

Computer proficiency

Education

RN license

BSN preferred

Job description

UPMC Health Plan is seeking a full-time Clinical Care Manager (RN) - Oncology Nurse Navigator to join a multidisciplinary team for discharge planning and case management. The role is hybrid with at least two days onsite at Hillman Cancer Center.

The ideal candidate has 2+ years of clinical and case management experience, Oncology experience preferred, and RN licensure. Strong organization, communication, and computer skills are required to support preventive care and care transitions.