Primary Nurse Care Administrator Specialty / Oncology RN

Company: Health Care Service Corporation
Location: Richardson
Posted on: September 12, 2021

Job Description:

Description:

~~ $5000 SIGN ON BONUS ~~

** BONUS applies only to this position Job ID # DLP-1044440 **



Job Purpose:

This position's primary focus is the management of members with Specialty ( Oncology / Diabetes ) diagnoses. This position will be responsible for performing all functions of Case Management (CM) and is a primary source of contact for members, health care personnel and all other entities involved in managing Specialty care. The Primary Nurse Case Administrator performs care coordination; identifies alternate treatment programs; consults with physicians, providers, members, and other resources to evaluate options and services required to meet an individual's health needs; promotes quality and cost- effective outcomes; and serves as liaison to physicians and members. Provide education/local resource information and encourage member (self) education. Functioning in a clinical care advisory role, the Primary Nurse Case Administrator assesses members for Case Management, introduces members to our website tools, educates members regarding their specific condition, and facilitates the coordination of care for identified members.

Required Job Qualifications:
* Registered Nurse (RN) with current, valid, unrestricted license in state of operations
* 4 years clinical practice experience of direct clinical care, to include 3 years of recent Specialty (oncology / diabetes ) clinical experience
* Knowledge of specialty diagnosis drugs, adjunct therapies and treatment protocols including side effects and complications
* Current certification in one of the following: ONS/ ONCC /AOCN/CPON/AOCNP/ CDE /CDCDS
* PC proficiency to include Word, Excel, Lotus Notes and database experience
* Clear and concise verbal and written communication skills
* Knowledge of UM/CM/DM activities and standardized criteria set
* Familiarity of ancillary services including HHC, SNF, Hospice, etc
* Verbal and written communication skills; analytical skills; sound clinical judgment
* Incumbents with nursing licenses in positions/departments requiring multi-state licenses are required to obtain and maintain additional current, valid, and unrestricted applicable nursing licenses in other states as determined by management. Multi-state license fees will be provided by HCSC.
* Knowledge of drugs and treatment protocols including side effects and complications
* Knowledge of diets relating to assist members
* Knowledge of Problem Solving, Healthy Coping and establishing SMART goals.
* Current Certified Specialists must maintain their certification (ONCC - Oncology or CDE - Diabetes)

Preferred Job Qualifications:

* Inpatient and Outpatient experience preferred.
* 1-year experience in Care Management in a health insurance/managed care setting
* Current CCM certification
* Knowledge of medical management policies and procedures
* 1-year education experience in Specialty area

* Sign on Bonus is only applicable for applicants hired prior to 12.31.21
*CA
*LI-DP1

Location: TX - Richardson
Activation Date: Friday, August 13, 2021
Expiration Date: Saturday, January 1, 2022

Keywords: Health Care Service Corporation, Richardson , Primary Nurse Care Administrator Specialty / Oncology RN, Other , Richardson, Texas