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Case Manager RN - MMF Oncology
MMC001 Marshall Medical Center · Cameron Park, CA, United States
About The Role
- panel of oncology members that range in health status/severity and clinical needs.
- The incumbent assesses health management needs of the assigned member panel and utilizing
- data/analytics in conjunction with professional clinical judgement to identify the right clinical
- intervention for each member.
- The incumbent is responsible for assisting members who have been newly diagnosed with Cancer
- and/or need assistance with a complex Oncology treatment plan and coordination of care. They will
- possess the knowledge and skills to help members with anticipatory guidance (symptom management,
- managing signs/symptoms as a complication of treatment plan. The incumbent will be supported by a
- multi-disciplinary team and will use clinical judgment to refer members to appropriate multi-disciplinary
- resources. In addition to identifying the appropriate clinical interventions and referrals, the incumbent
- will manage an active case load of members in his/her panel that are enrolled in case management.
POSITION QUALIFICATIONS
Education/Licensure/Certification
- Current CA Registered Nursing (RN) license required.
Knowledge
- Minimum 3 years nursing experience within inpatient and/or outpatient treatment settings
preferred.
- Knowledge of oncology disease processes and treatments, coordination of care management,
symptom management and the ability to address psychosocial aspects of the disease preferred.
- Experience in oncology, with patient education, counseling, care coordination, case management
and/or “navigation” strongly preferred.
Skills
- Excellent verbal and written communication skills
- Ability to function independently
- Self-directed and proven effective organization and prioritization skills
- Comfortable with regularly verifying and processing insurance eligibility and obtaining
- authorization requests, including verifying personal credentials with external partners to obtain
- this information (e.g., ID.me for identity verification for VA insurance coordination).
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