Senior Case Manager RN - Oncology (Remote)
Core
Provide comprehensive case management services to members with complex health needs, developing care plans and coordinating services to ensure quality, cost-effective care delivery.
Role type
Senior Case Manager (Oncology)
Builds
Individualized care plans and coordinated service delivery for members
Domain
Health Insurance / Utilization Management
Required skills
Clinical assessment, care planning, care coordination, cost containment, advocacy, mentorship, healthcare systems knowledge
Preferred skills
Oncology specialty experience, cognitive behavioral therapy (CBT), motivational interviewing, dialectical behavior therapy (DBT), cultural competency
Technologies
Electronic health records (EHR), case management software, Microsoft suite
Responsibilities
Manage a caseload of members with complex health needs; Conduct comprehensive assessments and develop complex care plans; Monitor member progress and adjust care plans as needed; Act as an advocate and liaison to meet member health care needs; Provide guidance and mentorship to lower-level Case Managers; Ensure activities are documented in compliance with regulatory requirements
Seniority
Senior, hands-on IC with mentorship responsibilities