See all roles

Primary Nurse CA Specialty - Oncology Certification Required (ERS)

Work from home Full-time role Hiring

About the position The Primary Nurse for Oncology at HCSC is responsible for managing members with specialty oncology diagnoses. This role involves performing all functions of case management, serving as the primary contact for members and healthcare personnel, and coordinating care to promote quality and cost-effective outcomes. The position emphasizes education, resource identification, and facilitating care coordination for members, ensuring they receive the necessary support and information regarding their health needs. Responsibilities • Manage members with specialty oncology diagnoses. , • Perform all functions of case management as the primary contact for members and healthcare personnel. , • Coordinate care and identify alternate treatment programs. , • Consult with physicians, providers, and members to evaluate options and services required for health needs. , • Promote quality and cost-effective outcomes in care management. , • Educate members about their specific conditions and available resources. , • Facilitate the coordination of care for identified members. Requirements • Registered Nurse (RN) Compact License with a current, valid, unrestricted license in the state of operations. , • 4 years of clinical practice experience in direct clinical care, including 3 years of recent specialty (oncology certification) 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/CDE/CDCDS. , • Proficiency in PC applications including 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 with ancillary services including HHC, SNF, Hospice, etc. , • Strong analytical skills and sound clinical judgment. Nice-to-haves • Experience in managing complex or catastrophic health cases. , • Inpatient and outpatient experience preferred. , • 1-year experience in Care Management in a health insurance/managed care setting. , • Current CCM certification. , • Knowledge of medical management policies and procedures. , • 1-year education experience in a specialty area. Benefits • Professional development opportunities. , • Remote work flexibility. , • Inclusive workplace culture. Apply Job!

You might like

100% Remote State Farm Office Team-Member - Apply Now

Work from home Full-time role

Remote Mortgage Broker / Loan Originator | WFH Opportunity

Work from home Full-time role

Denials Sr. Billing & Follow Up Rep - Remote

Work from home Full-time role

Remote Audit Manager | CPA - Financial Statement Audits

Work from home Full-time role

CEO-Minded Leader (Bloomington IL) -Operate A State Farm Agency

Work from home Full-time role

Remote Associate Inside Sales Associate (Licensed) - National General

Work from home Full-time role

Landman / Title Abstractor (Oil & Gas Experience Required)

Work from home Full-time role

Case Manager Virtual Intensive Case Management (2 Positions Open)

Work from home Full-time role

Lead Data Engineer, Data Mgmt Optimization - Shopping (Remote)

Work from home Full-time role

Complex Claims Manager - NE or Mid-Atlantic Region (Remote)

Work from home Full-time role

Experienced Chat Specialist – Customer Service Representative – arenaflex

Work from home Full-time role

Senior PostgreSQL Database Engineer (Remote) ID-2729 – Amazon Store

Work from home Full-time role

Experienced Full Stack Data Scientist – Web & Cloud Application Development at arenaflex

Work from home Full-time role

Tax Preparer REMOTE (Weekend Seasonal)

Work from home Full-time role

Experienced Remote Customer Service Chat Support Specialist - Flexible Hours, No Phone Calls Required

Work from home Full-time role

Gerätebetreuer (m/w/d) - Hamburg/Hannover - Medizintechnik

Work from home Full-time role

Business Development Associate

Work from home Full-time role

[Work From Home] Walmart Remote Jobs USA $35 Hours, Walmart

Work from home Full-time role

Experienced Data Entry Assistant / Jr. Level – Remote Opportunity at arenaflex

Work from home Full-time role

Medical Reviewer LPN/LVN - Work From Home

Work from home Full-time role