Specialty Case Manager RN
3 days ago
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.
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