Oncology RN Case Manager, Grand Valley Oncology, Full Time

Community Hospital•Grand Junction, CO

9d•$39 - $45•Onsite

About The Position

Position Highlights: Position: Oncology Case Manager Job Type: Full-Time Schedular: Mon-Fri. No weekends or nights. Location: Grand Valley Oncology Responsibilities: Coordinates with other multidisciplinary team members to enhance and achieve positive outcomes with the patient’s new cancer diagnosis. A patient navigation process, driven by needs, is established and monitored along their disease trajectory, in collaboration with all team members. Identifies patients who are suitable for case management intervention based on criteria such as cost, case complexity, frequency of admission or patient/family/provider or other healthcare team member request. Monitors and documents quality of care to ensure patient care plan goals are appropriate and achievable. Routinely assesses patient needs and makes appropriate referrals to other clinicians and providers. Facilitates cost effective outcomes by collaborating with physicians, pharmacy or outside providers for medically necessary care. Assesses and discusses funding and insurance issues with client, family, and healthcare providers to enhance cost effective utilization of services and quality outcomes. Provides education and information regarding funding, copay assistance, and insurance concerns as needed. Provides clinical support to prior authorization staff for medical necessity as needed.

Requirements

Bachelor’s degree – preferred
2 years’ Oncology RN experience – preferred
1 year Case management, and/or utilization management – preferred
OR Equivalent combination of education and experience.
Current CO Nursing License
Current BCLS
ONS or Huntsman Chemotherapy/Biotherapy Certification – obtained within 6 months
OCN – required upon hire

Responsibilities

Coordinates with other multidisciplinary team members to enhance and achieve positive outcomes with the patient’s new cancer diagnosis.
A patient navigation process, driven by needs, is established and monitored along their disease trajectory, in collaboration with all team members.
Identifies patients who are suitable for case management intervention based on criteria such as cost, case complexity, frequency of admission or patient/family/provider or other healthcare team member request.
Monitors and documents quality of care to ensure patient care plan goals are appropriate and achievable.
Routinely assesses patient needs and makes appropriate referrals to other clinicians and providers.
Facilitates cost effective outcomes by collaborating with physicians, pharmacy or outside providers for medically necessary care.
Assesses and discusses funding and insurance issues with client, family, and healthcare providers to enhance cost effective utilization of services and quality outcomes.
Provides education and information regarding funding, copay assistance, and insurance concerns as needed.
Provides clinical support to prior authorization staff for medical necessity as needed.