Health Care Service Corporation
Primary Nurse CA Specialty (Oncology Certification Required)
Health Care Service Corporation, Richardson, Texas, United States, 75080
At HCSC, our employees are the cornerstone of our business and the foundation of our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Join HCSC and be part of a purpose-driven company that will invest in your professional development.
Job Summary
This position's primary focus is managing members with specialty (ONCOLOGY) diagnoses. The role involves performing all functions of case management (CM) and serving as a primary contact for members, healthcare personnel, and other entities involved in managing specialty care. The primary nurse case administrator performs care coordination, identifies alternative treatment programs, consults with physicians, providers, members, and other resources to evaluate options and services required to meet health needs, promotes quality and cost-effective outcomes, and acts as a liaison to physicians and members. Additionally, they provide education and local resource information, encourage member self-education, assess members for case management, introduce members to website tools, educate about specific conditions, and facilitate care coordination. Job Requirements
Registered Nurse (RN) with current, valid, unrestricted license in the state of operation 4 years of clinical practice experience, including 3 years of recent specialty (ONCOLOGY) clinical experience Knowledge of specialty diagnosis drugs, adjunct therapies, treatment protocols, side effects, and complications Current certification in OCN, ONS, or ONCC Proficiency in Word, Excel, and database management Excellent verbal and written communication skills Knowledge of UM/CM/DM activities and standardized criteria Familiarity with ancillary services such as HHC, SNF, Hospice, etc. Strong clinical judgment, analytical skills, and communication abilities For positions requiring multi-state licenses, incumbents must obtain and maintain additional licenses as determined by management; fees covered by HCSC Knowledge of drugs, treatment protocols, diets, problem solving, healthy coping, and SMART goals Current Certified Specialists must maintain their certification Preferred Job Requirements
RN Compact License Oncology Certification CCM certification (preferred) Experience managing complex or catastrophic health cases Inpatient and outpatient experience 1 year of care management experience in health insurance or managed care Knowledge of medical management policies and procedures 1 year of education experience in a specialty area This is a remote (telecommute) role: Must reside within 250 miles of the office or anywhere within the posted state. #LI-Remote #LI-DP1 #CA Additional Information
Are you being referred to one of our roles? Ask your connection at HCSC about our Employee Referral process! Pay Transparency Statement: At HCSC, we offer comprehensive benefits including health and wellness programs, 401(k), pension, paid time off, parental leave, disability insurance, life insurance, employee assistance, paid holidays, tuition reimbursement, and more. Learn more at
https://careers.hcsc.com/totalrewards . Compensation varies based on skills, education, and experience, and may include an annual incentive bonus. HCSC Employment Statement
We are an Equal Opportunity Employer committed to a diverse and inclusive environment. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics. Base Pay Range
$69,200.00 - $146,700.00
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This position's primary focus is managing members with specialty (ONCOLOGY) diagnoses. The role involves performing all functions of case management (CM) and serving as a primary contact for members, healthcare personnel, and other entities involved in managing specialty care. The primary nurse case administrator performs care coordination, identifies alternative treatment programs, consults with physicians, providers, members, and other resources to evaluate options and services required to meet health needs, promotes quality and cost-effective outcomes, and acts as a liaison to physicians and members. Additionally, they provide education and local resource information, encourage member self-education, assess members for case management, introduce members to website tools, educate about specific conditions, and facilitate care coordination. Job Requirements
Registered Nurse (RN) with current, valid, unrestricted license in the state of operation 4 years of clinical practice experience, including 3 years of recent specialty (ONCOLOGY) clinical experience Knowledge of specialty diagnosis drugs, adjunct therapies, treatment protocols, side effects, and complications Current certification in OCN, ONS, or ONCC Proficiency in Word, Excel, and database management Excellent verbal and written communication skills Knowledge of UM/CM/DM activities and standardized criteria Familiarity with ancillary services such as HHC, SNF, Hospice, etc. Strong clinical judgment, analytical skills, and communication abilities For positions requiring multi-state licenses, incumbents must obtain and maintain additional licenses as determined by management; fees covered by HCSC Knowledge of drugs, treatment protocols, diets, problem solving, healthy coping, and SMART goals Current Certified Specialists must maintain their certification Preferred Job Requirements
RN Compact License Oncology Certification CCM certification (preferred) Experience managing complex or catastrophic health cases Inpatient and outpatient experience 1 year of care management experience in health insurance or managed care Knowledge of medical management policies and procedures 1 year of education experience in a specialty area This is a remote (telecommute) role: Must reside within 250 miles of the office or anywhere within the posted state. #LI-Remote #LI-DP1 #CA Additional Information
Are you being referred to one of our roles? Ask your connection at HCSC about our Employee Referral process! Pay Transparency Statement: At HCSC, we offer comprehensive benefits including health and wellness programs, 401(k), pension, paid time off, parental leave, disability insurance, life insurance, employee assistance, paid holidays, tuition reimbursement, and more. Learn more at
https://careers.hcsc.com/totalrewards . Compensation varies based on skills, education, and experience, and may include an annual incentive bonus. HCSC Employment Statement
We are an Equal Opportunity Employer committed to a diverse and inclusive environment. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics. Base Pay Range
$69,200.00 - $146,700.00
#J-18808-Ljbffr