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 Remote Customer Service Representative – Part-Time Weekend Shifts | $18/hr

Work from home Full-time role

Part-Time Beauty Advisor - Sephora

Work from home Full-time role

MLOps Engineer: ML Risk Platform

Work from home Full-time role

Associate Account Manager

Work from home Full-time role

Health Equity Specialist (State)

Work from home Full-time role

Experienced Remote Automotive Customer Service Representative – Delivering Exceptional Customer Experiences

Work from home Full-time role

Regional Marketing Manager Capacitors (m/w/d)

Work from home Full-time role

Remote Senior Full Stack Developer – .NET Core & Angular

Work from home Full-time role

Remote Social Media Customer Support Specialist - Delivering Magical Experiences for blithequark Fans Worldwide

Work from home Full-time role

Analyst - Fraud/Loss Prevention - Part time - Evening shift

Work from home Full-time role