Oncology Nurse Case Manager

This is a fully remote position, open to applicants in United States.

📋 Description

• Evaluate customer requirements, formulate personalized care strategies, and document actions and results in Cigna's medical management systems.

• Work alongside customers and healthcare providers to set objectives, interventions, and evidence-based care plans.

• Utilize motivational interviewing, behavior change techniques, and shared decision-making to enhance engagement and improve health outcomes.

• Empower customers to navigate the healthcare landscape and effectively communicate with healthcare providers.

• Facilitate care coordination among customers, caregivers, providers, and internal stakeholders through phone and digital platforms.

• Collaborate with multidisciplinary teams, including pharmacists, nutritionists, behavioral health clinicians, Medical Directors, and Medical Management initiatives.

• Monitor, evaluate, and record daily activities, volumes, and outcomes to uphold performance and quality objectives.

• Adhere to established policies, procedures, and Case Management performance standards.

• Efficiently navigate various systems and applications in a dynamic, customer-centric environment.

• Complete mandatory training and sustain clinical expertise, licensure, and certifications.

⛳️ Requirements

• Valid and unrestricted Registered Nurse (RN) license in your state of residence.

• At least two (2) years of full-time direct patient care experience as an RN.

• Prior specialty case management experience is preferred.

• ONCOLOGY experience is preferred for specialty positions.

• Capability to obtain a URAC-recognized Case Management certification within four (4) years of employment.

• Strong clinical judgment with the ability to assess risks, prioritize care, and make prompt decisions.

• Exceptional verbal and written communication skills across phone and digital channels.

• Proficient in Microsoft Word, Excel, Outlook, and online research tools.

• Proven ability to resolve conflicts, collaborate with diverse teams, and engage with varied populations.

• Strong organizational abilities, flexibility, and comfort in managing multiple complex cases concurrently.

• Reliable internet connection via a cable broadband or fiber optic service provider with a minimum of 10Mbps download and 5Mbps upload speeds for remote work.

🏝️ Benefits

• Eligibility for an annual bonus plan.

• Medical, vision, and dental coverage starting from the first day.

• Access to well-being and behavioral health programs.

• 401(k) retirement plan.

• Company-sponsored life insurance.

• Tuition reimbursement opportunities.

• At least 18 days of paid time off annually.

• Paid holidays and leaves of absence.

• Option for remote work arrangements.

• Requirement of cable broadband or fiber optic internet service for home-based work.