Oncology RN Care Manager coordinating care for Medi-Share members experiencing critical health events. Aiding in navigation of healthcare provisions to improve clinical outcomes and member satisfaction.
Responsibilities
Performs within licensed scope of nursing practice and under the direction of the Sr. Director, Clinical Services
Identifies, screens, and enrolls members meeting criteria into Care Management Services
Educates members and providers (as appropriate) regarding the Medi-Share provisions and processes
Confirms member’s condition and plan of care are eligible for sharing based on Medi-Share and FDA/CMS approved evidence-based clinical management guidelines; suggests resources for those conditions/plan of care not eligible for sharing
Identifies, educates, and facilitates member participation in appropriate member stewardship including, but not limited to patient assistance programs for medication, laboratory, and genetic testing
Provides disease/condition specific clinical education to include multimedia resources, if available
Identifies opportunities for and facilitates transitional care
Partners with organizational resources to facilitate effective and cost-efficient outcomes for members
Delivers accurate and comprehensible verbal and written communication to external customers while complying with organizational HIPAA requirements
Documents case work, all telephone conversations, correspondence, and tasks completely and accurately in appropriate IT systems
Maintains and independently manages assigned caseload and departmental workflows within agreed service levels
Presents accurate, complete, and concise case information to Sr. Director, Clinical Services within agreed upon service levels
Completes medically related special projects independently as assigned with minimal supervision
Attends all required departmental and organizational meetings
Prays with members and providers as appropriate
Contribute to the exercise and expression of Christian Care Ministry’s Christian beliefs
Perform all other duties as assigned
Requirements
Registered nurse with a current unrestricted multi-state compact license or willingness to pursue required
Bachelor of Science in Nursing preferred
3+ years nursing experience required; acute and catastrophic care highly preferred
2+ years of case management and/or utilization management and adult Oncology experience required
Nurse coaching experience preferred
Transitional care and transplant clinical experience highly preferred
Benefits
100% paid Medical for employees/99% for family
Generous employer Health Savings Account (HSA) contributions
Employer-paid Life Insurance (3x salary) and Long-term Disability Insurance
6 weeks of paid parental leave (for both mom and dad)
Dental - two plans to choose from
Vision
Short-term Disability
Accident, Critical Illness, Hospital Indemnity
401(k) – up to 4% match on ROTH or Traditional contributions
Generous paid-time off and 11 paid holidays
Wellness plan including Financial, Occupational, Mental/Spiritual, and Physical health incentives up to $50/mo
Employee Assistance Program including no cost, in-person mental health visits and employee discounts
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