Oncology Case Manager Coverage Specialist

4 days ago

Omaha, Nebraska, United States Nebraska Medicine Full time
About the Role

We are seeking a highly skilled Oncology Case Manager Coverage Specialist to join our team at Nebraska Medicine. As a key member of our healthcare team, you will play a vital role in upholding our promise to our patients and their families.

Job Summary

The Oncology Case Manager Coverage Specialist will be responsible for managing a system of patient care delivery for a designated group of patients to achieve high-quality, cost-effective outcomes across the continuum of healthcare. This role requires a strong understanding of healthcare financial environments and reimbursement systems, as well as excellent communication and critical thinking skills.

Key Responsibilities
  • Manage a system of patient care delivery for a designated group of patients to achieve high-quality, cost-effective outcomes across the continuum of healthcare.
  • Develop and implement effective care plans to meet the unique needs of each patient.
  • Collaborate with an interdisciplinary team to ensure seamless care coordination and communication.
  • Monitor and evaluate patient outcomes to identify areas for improvement and implement changes as needed.
  • Stay up-to-date with the latest developments in oncology care and best practices in case management.
Requirements
  • Minimum of three years of nursing experience required.
  • Bachelor's degree in nursing (BSN) required unless candidate meets all of the factors to qualify for Exception A or Exception B.
  • Effective verbal and written communication skills required.
  • Ability to prioritize and make independent clinical judgments required.
  • Experience with basic patient care equipment, policy procedure, and protocol manuals required.
  • Ability to work collaboratively and cooperatively with an interdisciplinary team required.
  • Effective critical thinking/analytical skills required.
  • Ability to effectively evaluate care across the continuum required.
  • Currently licensed as a Registered Nurse in the state of Nebraska or current compact state license required.
  • Basic Life Support (BLS) certification required, must be from an American Heart Association (AHA) endorsed program.
  • Pediatric Advanced Life Support (PALS) department dependent required.
Preferred Qualifications
  • Prior nursing experience in related field preferred.
  • Based on position, prior experience in one or more of the following areas including oncology, cardiovascular care, neonatal intensive care, nephrology, solid organ transplantation, general medical/surgical care, emergency care, critical care, med spa, dialysis, interpretation, and explanation of physical/laboratory/screening results preferred.
  • Master's of Science in Nursing (MSN) degree preferred.
  • Based on position, successful completion of nephrology nurse education program preferred.
  • Knowledge of health care financial environment and reimbursement systems preferred.
  • Experience with Microsoft Office applications including Word and Excel preferred.
  • Experience with graphic software preferred.
  • Experience with patient teaching materials preferred.
  • Understanding of related patient registries and data bases preferred.
  • Experience leading/supervising a team preferred.
  • Based on position, certification preferred in one or more of the following areas including Advanced Cardiac Life Support (ACLS), Blood and Marrow Transplant Certified Nurse, Certified Diabetes Educator (CDE), International Board Certified Lactation Consultant (IBCLC), Oncology Nursing Certification (OCN), Oncology Nursing Society Chemotherapy and Biotherapy, transplant coordination, and/or Trauma Nursing Core Course (TNCC) preferred.

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