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Case Manager RN - MMF Oncology
Career Insights for Nurse Case Manager
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Scorecard
Based on California data
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What they do
A Nurse Case Manager applies nursing expertise to coordinate a patient's medical care and provides advocacy to help them get the best and most affordable care. Develop care plans including discharge planning, coordinate delivery among providers, and teach patients and families how to follow the plan. They may also help patients navigate insurance and other healthcare bureaucracies and access related social services. May work with patients who have chronic illnesses or other complex medical needs. Works at a hospital or other healthcare facility; may follow patients throughout the span of their treatment.
$100,868 / year median in California
+3% projected growth
Job Description
Department:
Cancer Resource Center Shift:
Primarily Days (United States of America)Employee Type:
Regular Per Diem Type (if applicable):Minimum Pay Range:
$70.00 - $86.07Job Description:
POSITION SUMMARY
As the Oncology Case Manager, RN, this job has primary ownership and oversight over a specified panel of oncology members that range in health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member panel and utilizing data/analytics in conjunction with professional clinical judgement to identify the right clinical intervention for each member. The incumbent is responsible for assisting members who have been newly diagnosed with Cancer and/or need assistance with a complex Oncology treatment plan and coordination of care. They will possess the knowledge and skills to help members with anticipatory guidance (symptom management, managing signs/symptoms as a complication of treatment plan. The incumbent will be supported by a multi-disciplinary team and will use clinical judgment to refer members to appropriate multi-disciplinary resources. In addition to identifying the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case management.POSITION QUALIFICATIONS
Education/Licensure/Certification:
- Current CA Registered Nursing (RN) license required.
Knowledge:
- Minimum 3 years nursing experience within inpatient and/or outpatient treatment settings preferred.
- Knowledge of oncology disease processes and treatments, coordination of care management, symptom management and the ability to address psychosocial aspects of the disease preferred.
- Experience in oncology, with patient education, counseling, care coordination, case management and/or "navigation" strongly preferred.
Skills:
- Excellent verbal and written communication skills
- Ability to function independently
- Self-directed and proven effective organization and prioritization skills
- Comfortable with regularly verifying and processing insurance eligibility and obtaining authorization requests, including verifying personal credentials with external partners to obtain this information (e.