Oncology Care Manager Lead - Full Time - Wolf River

West Cancer Center•Germantown, TN

About The Position

The Oncology Care Manager Lead serves as the department representative for Value-Based Care Committee meetings and is responsible for reporting and data collection related to the Value-Based Care Manager role. This position oversees the Value-Based Care Manager team, trains new team members, and serves as a resource for staff. The role also manages the care of oncology patients participating in value-based care programs by matching patient needs with appropriate services, maintaining patient records, reviewing clinical diagnoses and treatments, and ensuring compliance with required practice redesign elements. The position models the Mission, Vision, and Values of West Cancer Center. The Lead coordinates patient-centered care through assessment, planning, facilitation, care coordination, evaluation, and advocacy. The role collaborates with patients’ primary care teams, nurse navigators, clinic staff, physicians, and outside organizations to address barriers, coordinate appointments and services, support transitions from hospital to outpatient care, and promote quality, cost-effective outcomes. The position also supervises the Value-Based Care Manager team and works with clinic leadership and data teams to support effective workflows, accurate reporting, and program progress.

Requirements

Bachelor of Science in Nursing (BSN).
At least three years of nursing experience, including one year of Case Management experience.
Current Registered Nurse (RN) license in the state where work is performed or a compact nursing license.
Knowledge of healthcare management resources for matching patient needs with appropriate services.
Excellent verbal and written communication, problem-solving, and conflict-resolution skills.
Proficiency in Microsoft applications, including Word and Excel, and knowledge of patient privacy security measures and legislation.
Ability to communicate effectively with associates at all levels, physicians, patients, and families.
Ability to work without close supervision and exercise independent judgment.
Ability to organize multiple tasks and projects and maintain control of workflow.
Ability to perform physical activities that may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion.
Good balance and coordination.
Ability to perform medium work, exerting up to 50 pounds of force occasionally and/or up to 25 pounds frequently.
Close visual acuity, including color, depth perception, and field of vision, for patient assessment, data and figure preparation and analysis, transcribing, computer use, and extensive reading.
Ability to tolerate frequent invasive and non-invasive patient contact and exposure to patient body fluids and hazardous or poisonous materials.
Ability to react quickly to emergency situations.

Nice To Haves

Master's degree.
Oncology Case Management experience.

Responsibilities

Attend Value-Based Care meetings and report on Value-Based Care Manager processes, patient enrollment volumes, and program-related issues.
Collaborate with data teams to review program metrics and check reports for accuracy; work with EMR and data teams to correct reporting issues.
Assign patients to the Value-Based Care Manager team.
Train and support Value-Based Care Managers on patient interactions, management and interventions, documentation, and referrals.
Collaborate with clinic leadership to integrate the Value-Based Care Manager role into clinic operations and coordinate workflows with nursing and clinic staff.
Provide feedback regarding Value-Based Care Management staff performance and supervise the team.
Serve as a central contact for managing patients at high risk for complications while avoiding redundant services.
Assess, plan, facilitate, coordinate, evaluate, and advocate for care that meets individual healthcare needs and promotes quality, cost-effective outcomes.
Coordinate with patients’ primary care teams, particularly nurse navigators, to support care coordination without overlap or redundancy.
Identify healthcare barriers by assessing the needs of patients, families, and caregivers, and provide anticipatory guidance and education.
Provide clinical interventions within the scope of nursing practice and clinical training.
Educate patients about preventive care and reinforce individualized care plans to help prevent unnecessary admissions, readmissions, and overuse of resources.
Track patient progress and outcomes and adjust care plans in collaboration with the oncologist.
Coordinate appointments, communicate with physicians and specialists, contact outside agencies and organizations, and arrange services that support patient care and well-being.
Help patients manage health conditions, prioritize healthcare needs, prevent complications using standardized care protocols, and navigate the healthcare system.
Support transitions of care after hospital discharge, including return to outpatient care, discharge medication management, and follow-up appointment scheduling.
Work with provider clinic staff to ensure accurate documentation of staging, oncology and hematology diagnoses, other medical conditions, and pertinent clinical information.