Oncology Nurse Case Manager

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

📋 Description

• Evaluate customer requirements, create personalized care plans, and record interventions and outcomes in Cigna's medical management systems.

• Partner with customers and healthcare providers to set goals, implement interventions, and develop evidence-based care plans.

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

• Assist customers in navigating the healthcare landscape and facilitate communication with providers.

• Coordinate care among customers, caregivers, providers, and internal teams through both phone and digital channels.

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

• Monitor, evaluate, and document daily activities, volume, and outcomes to support performance and quality objectives.

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

• Navigate various systems and applications in a dynamic, customer-oriented environment.

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

⛳️ Requirements

• Current, 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.

• Must reside in the Mountain or Pacific Time zone.

• Experience in specialty case management is preferred.

• Oncology experience is preferred for specialized positions.

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

• Strong clinical judgment with the ability to evaluate risk, prioritize care, and make informed decisions.

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

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

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

• Excellent organizational skills, adaptability, and comfort in managing multiple complex cases at the same time.

• For remote work, a cable broadband or fiber optic internet service with a minimum of 10Mbps download/5Mbps upload speed is required.

🏝️ Benefits

• Eligibility for an annual bonus plan.

• Medical benefits available from the first day of employment.

• Vision benefits available from the first day of employment.

• Dental benefits available from the first day of employment.

• Well-being and behavioral health programs accessible from day one.

• 401(k) plan.

• Company-paid life insurance.

• Tuition reimbursement opportunities.

• At least 18 days of paid time off per year.

• Paid holidays.

• Leaves of absence.