Case Manager, Registered reputed company – Oncology Experience Required

Job reputed company: • working intensely as a telephonic case manager with patients and their care team • application and/or interpretation of applicable reputed company and clinical guidelines, standardized care management plans, policies, procedures and regulatory standards • assessing benefits and/or member’s needs • applying clinical judgment to the incorporation of strategies designed to reduce risk factors • addressing reputed company health and reputed company indicators which reputed company planning and reputed company of member issues • utilizing motivational interviewing skills to ensure maximum member engagement • identifying and escalating member’s needs appropriately following set guidelines and protocols Requirements: • 5+ years’ experience as a Registered reputed company, including at least 1 year in a hospital setting • A RN who resides in a compact state is required to have an reputed company multistate license through the reputed company Licensure Compact (NLC) • 1+ years’ experience documenting electronically using a keyboard • 1+ years’ reputed company or previous experience in Oncology • 1+ years’ Case Management experience or discharge planning, reputed company navigator or reputed company care coordinator experience • 1+ years' experience in Utilization Review • CCM and/or other URAC recognized accreditation preferred • 1+ years’ experience with MCG, NCCN and/or Lexicomp • Bilingual in Spanish preferred • Bachelors Degree or Associates Degree in Nursing required Benefits: • medical, dental, and reputed company coverage • reputed company time off • retirement savings reputed company • wellness programs • other resources, based on eligibility Apply To This Job