Oncology Care Management RN

Job Summary

Working remotely within Oregon, Washington, Idaho, or Utah, the full-time Oncology Care Management RN will conduct case management activities, applying clinical expertise to assess, plan, implement, coordinate, monitor, and evaluate care for members to promote quality and cost-effective health outcomes.

Key responsibilities

• Conduct case management activities to identify and meet member needs through assessment, planning, and evaluation
• Collaborate with healthcare providers and internal teams to resolve issues related to claims and quality of care
• Ensure compliance with medical policies and maintain accurate documentation in line with performance standards

Required qualifications

• Nursing or health/human services degree (Associate's or Bachelor's minimum) or equivalent experience
• Minimum of 3 years of direct clinical care or experience in case management or related fields
• Active, unrestricted RN license eligible for licensure in Idaho, Oregon, Utah, and Washington
• Experience with health care documentation systems and general computer skills
• Knowledge of health insurance industry trends and evidence-based care practices