Specialty Case Manager RN

3 days ago


Richardson, Texas, United States Health Care Service Corporation Full time

Nurse Care Coordinator Job Description:

We are seeking a skilled Nurse Care Coordinator to join our team at Health Care Service Corporation. In this role, you will be responsible for managing members with specialty (oncology) diagnoses and performing all functions of case management.

You will serve as a primary source of contact for members, healthcare personnel, and other entities involved in managing specialty care. Your responsibilities will include care coordination, identifying alternate treatment programs, consulting with physicians, providers, members, and other resources, and promoting quality and cost-effective outcomes.

Key Responsibilities:

  • Care coordination
  • Alternate treatment program identification
  • Consultation with physicians, providers, members, and other resources
  • Evaluation of options and services
  • Quality and cost-effective outcomes promotion

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/diabetes) clinical experience
  • Knowledge of specialty diagnosis drugs, adjunct therapies, and treatment protocols including side effects and complications
  • Current certification in one of the following: ONS/ONCC/AOCN/CPON/AOCNP
  • PC proficiency to include Word, Excel, Lotus Notes, 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

Salary: $67,500.00 - $143,100.00 per year.



  • Richardson, Texas, United States UnitedHealth Group Inc Full time

    Unlock a new path in healthcare with UnitedHealth Group Inc.We're making a significant impact on the lives of millions, and now you can be part of it. As a Clinical Case Manager RN in our Richardson, TX location, you'll play a crucial role in delivering exceptional patient care and driving health equity forward.**About the Role:**This is a hybrid position...


  • Richardson, Texas, United States UnitedHealth Group Inc Full time

    At UnitedHealth Group Inc, we strive to create a healthier world by addressing the barriers to good health that are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We recognize that diversity creates a healthier atmosphere and aim to provide equitable care that addresses health disparities...


  • Richardson, Texas, United States UnitedHealth Group Inc Full time

    We are seeking a highly skilled Telephonic RN Case Manager to join our team at UnitedHealth Group Inc. in Richardson, TX. As a key member of our healthcare team, you will play a vital role in supporting a diverse member population with education, advocacy, and connections to the resources they need to feel better and get well.Estimated Salary Range:...


  • Richardson, Texas, United States UnitedHealth Group Inc Full time

    Job SummaryWe are seeking a Senior Case Manager RN, Team Lead to join our team in Richardson, TX. As a key member of our healthcare team, you will play a crucial role in improving health outcomes by connecting patients with the care and resources they need.


  • Richardson, Texas, United States UnitedHealth Group Full time

    **Company Overview**UnitedHealth Group is a global organization that delivers care, aided by technology to help millions of people live healthier lives. Our mission is to help people live healthier lives and make the health system work better for everyone.We're seeking a highly skilled Telehealth Case Manager Professional to join our team. As a telehealth...


  • Richardson, Texas, United States UnitedHealth Group Full time

    Telephonic Nurse Case Manager at UnitedHealth Group: Drive meaningful change in healthcare.Job Summary: As a Telephonic Nurse Case Manager, you'll be at the forefront of delivering high-quality care and improving health outcomes for our diverse member population. You'll leverage your expertise to develop and implement comprehensive care plans, collaborate...


  • Richardson, Texas, United States UnitedHealth Group Inc Full time

    Telephonic RN Case Manager RoleWe are seeking a skilled Registered Nurse to join our team as a Telephonic RN Case Manager. In this role, you will be responsible for assessing the health status of our members, making referrals to outside sources, identifying gaps or barriers in treatment plans, and providing patient education to assist with...


  • Richardson, Texas, United States UnitedHealth Group Inc Full time

    Job SummaryServe as a healthcare leadership manager and registered nurse to oversee the delivery of patient care services. Ensure that patients receive the best possible treatment by interacting directly with vendors and account management, making outbound calls to assess members' current health status, identifying gaps or barriers in treatment plans,...


  • Richardson, Texas, United States UnitedHealth Group Inc Full time

    About UnitedHealth Group IncOptum, a part of UnitedHealth Group, is a global organization that delivers care and technology to help millions of people live healthier lives. The work you do with our team directly improves health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.We're making a solid...


  • Richardson, Texas, United States UnitedHealth Group Full time

    Job Title: Telephonic Nurse Case ManagerOverview: UnitedHealth Group is a global organization that delivers care and technology to help millions of people live healthier lives. Our mission is to help people live healthier lives and make the health system work better for everyone.Salary: $5,000 Sign-on Bonus for External Candidates and an estimated annual...

  • Clinical Case Manager

    4 weeks ago


    Richardson, Texas, United States The Travelers Companies Full time

    Company OverviewThe Travelers Companies is a leading property casualty insurer that has maintained its reputation as one of the best in the industry for over 160 years. We value our customers, communities, and employees, and we are committed to delivering extraordinary results through teamwork and innovation.SalaryThe annual base salary range for this...


  • Richardson, Texas, United States Health Care Service Corporation Full time

    Specialty Case Manager RN Job Summary:This position is responsible for managing members with specialty (oncology) diagnoses and performing all functions of case management. The primary focus is on serving as a primary source of contact for members, healthcare personnel, and other entities involved in managing specialty care.The specialty case manager RN...

  • Medical Case Manager

    4 weeks ago


    Richardson, Texas, United States The Travelers Companies Full time

    OverviewThe Travelers Companies is committed to providing exceptional service and support to our customers. As a Medical Case Manager - Return to Work Specialist, you will play a crucial role in helping us achieve this goal.


  • Richardson, Texas, United States UnitedHealth Group Inc Full time

    Senior Case Managers at UnitedHealth Group Inc play a vital role in the healthcare system, connecting people with the care and resources they need to live healthier lives. As a Senior Case Manager RN, Team Lead, you will be responsible for managing escalated cases, coaching staff on quality case and call audits, and participating in customer calls and...

  • RN Care Manager

    2 weeks ago


    Richardson, Texas, United States International Staff Consulting Full time

    Hospice Care Management OpportunityInternational Staff Consulting is seeking an experienced RN to fill the role of Patient Care Manager / Assistant Director of Nursing in our hospice team. This position offers a competitive salary and a comprehensive benefits package.The successful candidate will be responsible for implementing company policies and mission...


  • Richardson, Texas, United States UnitedHealth Group Full time

    Job Overview: At UnitedHealth Group, we're passionate about helping people live healthier lives. As a Telephonic Nurse Case Manager, you'll play a critical role in supporting our diverse member population. With your expertise and dedication, you'll help us deliver high-quality care and improve health outcomes.Key Responsibilities:* Conduct thorough...


  • Richardson, Texas, United States Allegiance Home Health Services LLC Full time

    As a Clinical Manager at Allegiance Home Health Services LLC, you will oversee clinical and administrative functions, including meticulous recordkeeping, and respond promptly and professionally to phone inquiries and referrals with compassion and expertise.Qualifications:Current RN license in good standing.Minimum of 1 year of experience in a home health...


  • Richardson, Texas, United States Travelers Insurance Company Full time

    OverviewAt Travelers Insurance Company, we prioritize the well-being of our customers and communities. As a valued member of our team, you will play a crucial role in delivering exceptional healthcare services to those in need.


  • Richardson, Texas, United States Allegiance Home Health Services LLC Full time

    Job Title: RN Clinical ManagerWe are seeking an experienced Registered Nurse to join our Richardson, Texas-based home health agency as a Clinical Manager. This key role will serve as a liaison between our Director of Nursing and clinical staff, ensuring seamless coordination and exceptional care delivery.About the Role:This is a full-time position with an...


  • Richardson, Texas, United States Symphony Risk Solutions LLC Full time

    About the JobSymphony Risk Solutions LLC is seeking a talented Commercial Lines Account Manager to join our team. As a key member of our specialty business focused on small business clients, you will be responsible for managing a property & casualty book of business and developing, maintaining, and expanding client relationships.Responsibilities and...