Oncology RN Case Manager, Full-Time

Position Highlights:

• Position:Oncology RN Case Manager
• Job Type:Full-Time
• Location:Grand Valley Oncology

Responsibilities:

1. Coordinates with other multidisciplinary team members to enhance and achieve positive outcomes with the patients new cancer diagnosis.
2. A patient navigation process driven by needs is established and monitored along their disease trajectory in collaboration with all team members.
3. Identifies patients who are suitable for case management intervention based on criteria such as cost case complexity frequency of admission or patient/family/provider or other healthcare team member request.
4. Monitors and documents quality of care to ensure patient care plan goals are appropriate and achievable. Routinely assesses patient needs and makes appropriate referrals to other clinicians and providers.
5. Facilitates cost effective outcomes by collaborating with physicians pharmacy or outside providers for medically necessary care
6. Assesses and discusses funding and insurance issues with client family and healthcare providers to enhance cost effective utilization of services and quality outcomes.
7. Provides education and information regarding funding copay assistance and insurance concernsas needed.
8. Provides clinical support to prior authorization staff for medical necessity as needed.
9. Identifies actual and potential delays in service requests and treatment and communicates back to provider pharmacy and other involved staff as indicated.
10. Collaborates with in-hospitalCase Manager/Discharge Plannerto plan appropriate and timely discharges. May assist physician with transition to Hospice or Palliative Care status. Coordinates care plans with home care agencies to enhance quality of outpatient oncology care and prevent repeat hospitalizations ER visits and safety of patient at home.
11. May set up patients follow up appointments as needed. Provides triage support to patient and family if primary oncologist or nurse not available

Requirements:

Bachelors degree in nursing. Two (2) to five (5) years experience in oncology case management and/or utilization management preferred. Knowledge of the Patient-Centered Medical Home initiative. The individual must demonstrate knowledge of the principles of life span growth and development and the ability to assess data regarding the patients status and provide care as described in the departments policies and procedures manual.

OR

Equivalent combination of education and experience.

Current Colorado RN license required.

Current BLS Certification

Compensation:

• $39.00 - $44.85 per hour depending on education and experience
• Discretionary bonuses relocation expenses merit increase market adjustments recognition bonuses and other forms of discretionary compensation may be available.

Benefits:

• Medical dental vision insurance
• Life Insurance
• Free Parking
• Paid time off
• Education assistance
• 403(b) with employer matching
• Wellness Program
• Additional benefits based on employment status

Additional Information:

• Relocation: Must relocate to Grand Junction CO 81505 before starting work.
• Work Location: In-person/onsite
• Application Deadline: Posting will remain open until November 30 2025 or until the position is filled

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Community Hospital recognizes and appreciates the rich array of talents and perspectives that equal employment and diversity can offer our institution. As an equal opportunity employer Community Hospital is committed to making all employment decisions based on valid requirements. No applicant shall be discriminated against in any terms conditions or privileges of employment or otherwise be discriminated against because of the individuals race creed color religion gender national origin or ancestry age mental or physical disability sexual orientation gender identity transgender status genetic information or veteran status. Community Hospital does not discriminate against any qualified applicant with a disability as defined under the Americans with Disabilities Act and will make reasonable accommodations when they do not impose an undue hardship on the organization.

Required Experience:

Manager