Manager, Clinical Health Services – Oncology Care Model, RN

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🔥 1 minute ago

🇺🇸 United States – Remote

💵 $87k - $187.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 0%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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CVS Health Careers

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🛒 Retail

📦 Logistics

Healthcare • Retail • Logistics

CVS Health Careers is the recruitment and employer branding arm of CVS Health, showcasing job opportunities across the company's broad operations—pharmacy retail stores, pharmacy services, health care clinics, distribution warehouses, corporate functions and transportation. The careers site emphasizes purpose-driven work focused on improving access, affordability and quality of health care, and highlights a large workforce (300,000+ employees), inclusive culture, benefits, and hiring resources for applicants.

📋 Description

• Manage assigned clinical teams and ensure adherence to practices, policies, procedures, and contractual requirements • Lead clinical operations and build a new multidisciplinary oncology team from the ground up • Lead, develop, and support high-performing clinical teams through coaching, performance management, and professional development • Participate in recruitment and hiring • Develop, monitor, and communicate performance expectations and productivity standards • Assess developmental needs and implement employee and team growth plans • Ensure execution of care management and care coordination across the continuum of care • Support management of complex physical and behavioral health cases through clinical guidance, consultation, and collaboration • Provide clinical leadership and support culturally competent, member-centered interventions • Conduct individual and team meetings focused on service delivery, quality, professional development, and operational performance • Collaborate with care managers, medical directors, social support teams, provider partners, and market leadership • Communicate strategic plans and implement tactics supporting quality, operational, and financial objectives • Evaluate clinical, operational, and quality performance data and implement improvement interventions • Identify and escalate quality-of-care concerns and drive corrective action • Champion best practices, innovation, and continuous improvement initiatives • Lead organizational and operational change initiatives • Maintain compliance with policies, procedures, regulations, and contractual obligations • Serve as a point of contact for health plan partners, customers, and internal stakeholders • Participate in customer meetings and implementation initiatives • Achieve clinical, operational, quality, and financial objectives for the assigned team

🎯 Requirements

• Active and unrestricted RN license in the state of residence • Ability to obtain multi-state licensure upon hire • 5+ years of oncology experience • Minimum of 2 years of utilization management experience, including oversight or management of UM activities or teams • Demonstrated leadership experience; managing direct reports preferred • Knowledge of oncology treatment modalities, supportive care, and symptom management • Strong understanding of medical necessity principles and evidence-based clinical guidelines • Experience working with multidisciplinary healthcare teams • Experience leveraging digital health tools, predictive analytics, and AI-enabled workflows • Master's degree or equivalent experience • If candidate has an associate's degree, additional 4 years of experience is needed • If candidate has a bachelor's degree, an additional 2 years of experience is required

🏖️ Benefits

• CVS Health bonus, commission or short-term incentive program in addition to base pay • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being

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