RN II – Oncology Case Manager

Role Overview

• Perform RN duties using established guidelines for appropriate level of care
• Assess patient's clinical need against established guidelines
• Evaluate the necessity and appropriateness of medical services
• Coordinate and assist in implementation of care plans
• Monitor and coordinate services rendered outside the network
• Interact with multidisciplinary teams to ensure continuity of care
• Advocate for member/family among various sites
• Document accurately based on standards of practice
• Mentor/trainer to new RN's and other staff as needed
• Build trusting relationships using Motivational Interviewing techniques

Requirements

• High School Diploma/GED required
• Bachelor degree preferred or relevant experience in lieu of degree
• Minimum of two (2) years clinical experience required
• Two (2) years’ experience with health care payer experience required
• Active Unrestricted NJ RN License or active Compact License required
• CCM certification preferred for Clinical Advocate roles
• Proficient in MS Office products (Word, Excel, PowerPoint, Outlook)
• Knowledge of hospital structures and payment systems required
• Working knowledge of case/care/disease management principles
• Ability to understand and communicate member benefits, claims, and coordination

Benefits

• Comprehensive health benefits (Medical/Dental/Vision)
• Retirement Plans
• Generous PTO
• Incentive Plans
• Wellness Programs
• Paid Volunteer Time Off
• Tuition Reimbursement