Oncology Certified Nurse Practitioner | Remote | NantHealth

NantHealth • Dallas, TX

12d • Remote

About The Position

NantHealth is adding an Oncology Certified Nurse Practitioner (NP) to our Eviti clinical team. In this role, you'll assist the medical operations team with the application of oncology-specific medical expertise to complete customized treatment plan reviews as well as clinical trial reviews in our Eviti web based application. You'll partner with the Clinical Support and Case Review Nurses and the Medical Directors to insure that customized treatment plan reviews and clinical trials are accurately reviewed based on published literature and evidenced based guidelines. Time is of the essence in this role; you're responsible to ensure that customized treatment plans and clinical trials submitted to Eviti are reviewed in 72 hours or per client instruction. As an initial reviewer, you conduct initial clinical review and issue a recommendation for certification; however, as an initial reviewer, you never issue a non-certification determination (our physicians are responsible for this aspect). You'll partner with one of our qualified physician reviewer during standard operating hours to assist in initial clinical review. This position offers the opportunity to work remotely within the United States and is for our scheduled shift of: 12:00 PM–8:30 PM Eastern /9:00 AM–5:30 PM Pacific.

Requirements

• Current Active Unrestricted Registered Licensure as a Nurse Practitioner in a state or territory of the United States
• Masters Degree in Nursing or a health related field
• Minimum 7 years prior experience in Oncology Care
• Oncology Nursing Certification from the ONCC
• Strong knowledge of oncology and insurance industry
• Ability to communicate with health care providers, client representatives, patients and eviti staff in a peer-to-peer fashion
• Initiative/independence in problem solving and literature research

Responsibilities

• Review of customized treatment plans and clinical trials for compliance with evidence-based medical practice, medical appropriateness, and compliance with health plan language (where applicable)
• Request Peer to Peer when appropriate based on a review of the case and current evidenced based standards
• Present complex cases to the Medical Director at tri-weekly team meetings for guidance in decision making as needed
• Identify potential new standards in care that may be then added to the evidenced based library and notify the Director, Clinical Informatics
• Recommend approval of certification of cases that meet evidenced based guidelines to standard of care
• Refer all cases that do not appear to meet evidenced based guidelines or standard of care to a qualified physician for review

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level