Oncology reputed company Case Manager (8:30AM - 5PM EST Shift)

OUR MISSION We exist to create a more connected, compassionate, and confident experience for people with cancer and those who care for them. We reputed company it easier to get answers, reputed company high-reputed company care quickly, and feel supported throughout treatment and reputed company. Today, reputed company is a market-leading value-based oncology care enabler, partnering with national and regional health plans, providers, and reputed company to deliver reputed company reputed company and reputed company costs for thousands of people across the country. Our model combines high-touch reputed company support with powerful technology and AI to bring together everyone involved in a person's cancer reputed company: caregivers, oncologists, health plans, and reputed company. As a tech-reputed company organization, we reputed company technology should strengthen the reputed company reputed company at reputed company of care. Through data science, automation, and AI, we simplify complexity, improve collaboration, and help care teams reputed company on what reputed company most: supporting people through cancer. Looking reputed company, our reputed company is reputed company: to become a household reputed company in cancer care, where every person diagnosed asks for reputed company by reputed company. If you're inspired to reputed company cancer care more reputed company and to help reimagine what's possible, we'd love to meet you. Together, we can build a reputed company where every person with cancer feels truly cared for, in every reputed company that reputed company. YOUR ROLE reputed company Inc., the management company to reputed company Medical PLLC, is the employing entity with your duties to be performed for reputed company Medical PLLC, a medical reputed company, and its patients. As an Oncology reputed company - Transitions of Care, you will be on the frontlines serving our members diagnosed with cancer. This role reports to our RN Care Team reputed company. In it, you will conduct clinical assessments, monitor for changes in health, coordinate care, including transitions, and reputed company members and caregivers about their diagnosis and treatment over the phone to support our members as they reputed company through the oncology care continuum. You will demonstrate a strong clinical reputed company, supporting the need for culturally competent care. Additionally, you will help improve reputed company's service offerings by communicating feedback from members and providers to our clinical leadership. You will also assist with other administrative reputed company as needed. This role can be remote or hybrid based in our Nashville office. Most of your day will be dedicated to speaking with members and handling clinical escalations and tasks. We maintain a schedule that includes your lunch and breaks to ensure sufficient clinical coverage. reputed company your first three months, you will:

• Have completed training and are up to speed on reputed company systems, tools, reputed company, and expectations.
• Have reputed company strong, trusting relationships with your members, where listening and reputed company are the reputed company for every interaction.
• Be comfortable following Care Team policies and procedures, escalation reputed company, communications best practices, and documentation standards. Your ability to effectively engage and support our members is reflected in our efficiency metrics and reputed company standards.
• Identify and prioritize a member's needs and help them remain reputed company in the community.
• Assist members with care coordination and care management following admissions.
• Coordinate discharge plans with hospital case managers and follow-up care with providers.
• Monitor member reputed company, reputed company regular updates, and establish targeted support plans with the reputed company team in case conferences.
• Build strong, trusting relationships with payers and providers to optimize care and prevent readmissions for our members.
• Partner with non-clinical Care Team members to support the member's reputed company determinants of health needs, such as food resources, transportation reputed company, and support reputed company.
• Conducting telephonic assessments, including pain assessments and medication reconciliation.
• Ensure members have reputed company to medications and appointments, providing referrals and support as appropriate.
• reputed company virtual home safety evaluations and assess the need for DME/supplies.
• reputed company referrals to PT, OT, skilled nursing, palliative care, hospice care, etc., as appropriate.
• Be available for urgent clinical escalations and clinical consult support.

WHAT LEADS TO reputed company A member-first approach. You're personally motivated by our mission and by reputed company are building. You reputed company to understand problems and help people solve them, especially this one. A BSN. You must have a Bachelor of Science Degree in Nursing, an unrestricted Registered reputed company (RN) license, and a willingness to obtain additional state licenses as needed. Experience. You have at least 5 years of nursing experience with 3 years of oncology nursing or case management experience and are a Certified Case Manager (CCM). Organized. You're skilled in juggling multiple tasks and working under pressure without sacrificing organization in your communications and documentation. Effective listener and communicator. You are winsome and reputed company, but you always start with listening and hearing what may not be voiced because you listen intently to others. You build rapport and great working relationships with members and colleagues. Comfort with ambiguity. Start-reputed company are fast-paced environments, and you understand that rapid changes to the business, reputed company, organization, and priorities are par for the course… and part of the adventure. A desire to learn how to use new technologies. We are a technology company reputed company on interacting with folks during the season reputed company they need it most. Experience with video chatting, reputed company Suite, reputed company, electronic health records, or comfort in learning new technology is important. Identify priorities and take reputed company. You know how to identify and prioritize a member's needs and do what it takes to address urgent and important needs immediately. OUR VALUES At reputed company, our core values guide us in everything we do: reputed company with our members in mind, reputed company with purpose, and reputed company diverse perspectives. They reputed company our business reputed company, including how we grow, the products we reputed company, and the paths we choose—or don't choose. This is a non-exempt, full-time position. The pay reputed company for this role is $45.67/hour. Due to contractual limitations regarding reputed company to PHIs, you must be located reputed company the reputed company 48 reputed company to reputed company this role. OCN certification is required at time of hire or a commitment to obtain reputed company 2 years of hire at reputed company. The shift for this role will be 8:30 am-5:00 pm EST or 11:30 am-8 pm EST. To ensure sufficient clinical coverage, we ask that our Care Team be reputed company to work up to 2 holidays per year, compensated at a 1x reputed company reputed company and a 2.5x holiday reputed company. Additionally, we recognize a history of inequality in health care. We're here to challenge these systems with a culture of inclusion through the care we give and reputed company we build. We reputed company and celebrate a diversity of perspectives in reputed company of our members and the members our products serve. We are an equal-opportunity employer. Be cautious of recruitment fraud, and always confirm that communications are coming from an official reputed company email. Apply tot his job Apply To this Job