RN Care Manager – Oncology
Capital Blue Cross
full-time
Posted on:
Location Type: Remote
Location: Pennsylvania • United States
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Salary
💰 $28 - $53 per hour
About the role
- Responsible for the coordination of services for members who meet established criteria
- Use a collaborative process to assess Member needs, review options for services and resources, develop and implement a plan of care
- Coordinate resources, monitor progress, evaluate Member status, discharge Members, and fully document the individualized member care management process and outcome
- Address medical, psychosocial, clinical needs, and behavioral health needs including members with mental health and substance use disorder needs
Requirements
- At least three (3) years’ recent/related experience in care management, home health, medical/surgical behavioral health, and/or critical care preferred
- Registered Nurse with active licensure in home state; additional state’s licensure as needed/required to meet customer needs
- Certified Case Management certification within 2 years of employment
- Knowledge of NCQA standards for Population Health Management for health plan accreditation
- Knowledge of clinical and managed care principles and operations
Benefits
- Medical, Dental & Vision coverage
- Retirement Plan
- Generous time off including Paid Time Off, Holidays, and Volunteer time off
- Incentive Plan
- Tuition Reimbursement
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
care managementhome healthmedical/surgical behavioral healthcritical carepopulation health managementclinical principlesmanaged care operations
Soft Skills
collaborationassessmentresource coordinationmonitoringevaluationdocumentation
Certifications
Registered NurseCertified Case Management