Oncology RN Case Manager, Grand Valley Oncology, Full Time

Position Highlights

• Position: Oncology Case Manager
• Job
• Type: Full-Time
• Schedular: Mon-Fri. No weekends or nights.
• Location: Grand Valley Oncology

Responsibilities

• Coordinates with other multidisciplinary team members to enhance and achieve positive outcomes with the patient’s new cancer diagnosis.
• A patient navigation process, driven by needs, is established and monitored along their disease trajectory, in collaboration with all team members.
• Identifies patients who are suitable for case management intervention based on criteria such as cost, case complexity, frequency of admission or patient/family/provider or other healthcare team member request.
• Monitors and documents quality of care to ensure patient care plan goals are appropriate and achievable. Routinely assesses patient needs and makes appropriate referrals to other clinicians and providers.
• Facilitates cost effective outcomes by collaborating with physicians, pharmacy or outside providers for medically necessary care.
• Assesses and discusses funding and insurance issues with client, family, and healthcare providers to enhance cost effective utilization of services and quality outcomes.
• Provides education and information regarding funding, copay assistance, and insurance concerns as needed.
• Provides clinical support to prior authorization staff for medical necessity as needed.

Requirements

• Bachelor’s degree – preferred
• 2 years’ Oncology RN experience – preferred
• 1 year Case management, and/or utilization management – preferred OR Equivalent combination of education and experience.
• Current CO Nursing License
• Current BCLS
• ONS or Huntsman Chemotherapy/Biotherapy Certification – obtained within 6 months
• OCN – required upon hire

Compensation

• $39.00 - $44.85 per hour, depending on education and experience.