RN Care Manager – Oncology

🕒 2 dias atrás

🔔 Pennsylvania – Remoto

info

💵 $28 - $53 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

🦅 Patrocina Visto H1B

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🗣️🇺🇸🇬🇧 Inglês obrigatório

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Capital Blue Cross

1001 - 5000 funcionários

Fundada em 1938

⚕️ Seguro de Saúde

💸 Finanças

👥 B2C

Healthcare Insurance • Finance • B2C

A Capital Blue Cross é uma companhia de seguros de saúde que oferece uma gama de planos de saúde para indivíduos, famílias e empregadores. Eles atendem clientes na região central da Pensilvânia e no Vale de Lehigh, com foco em fornecer serviços de cobertura de saúde, como planos Medicare, planos de saúde estudantil e recursos para gerenciar cuidados médicos. A Capital Blue Cross se posiciona como uma parceira na saúde, enfatizando o apoio ao bem-estar geral dos membros e medidas de saúde preventiva.

Descrição

• Responsible for the coordination of services for members who meet established criteria, with an emphasis on education/self-management and promoting quality care and cost-effective outcomes • Use a collaborative process to assess Member needs, review options for services and resources, develop and implement a plan of care, coordinate resources, monitor progress, evaluate Member status, discharge Members, and fully document the individualized member care management process and outcome • Address medical, psychosocial, clinical needs, and behavioral health needs including members with mental health and substance use disorder needs • Provide counseling and referrals to community/local/state programs; collaborate with caregivers, providers, community agencies, behavioral health, and other resources to coordinate care to achieve member’s optimal health status • Responsible for the management and oversight of a caseload of moderate - high risk Members with complex medical/behavioral /psychosocial needs.

🎯 Requisitos

• At least three (3) years’ recent/related experience; care management, home health, medical/surgical behavioral health, and/or critical care preferred • Health plan experience preferred • Experience related to Oncology highly preferred • Experience in health coaching and motivational interviewing techniques preferred • Registered Nurse with active licensure in home state; additional state’s licensure as needed/required to meet customer needs • Certified Case Management certification within 2 years of employment.

🏖️ Benefícios

• Medical, Dental & Vision coverage • Retirement Plan • Generous time off including Paid Time Off • Holidays • Volunteer time off • Incentive Plan • Tuition Reimbursement

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