Oncology Case Manager RN - Lisle, IL more...
Location:Lisle, IL
Company:Optum Operations
First posted:August 30, 2017 (last updated 30+ days ago)
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Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. Bring your skills and talents to a role where you'll have the opportunity to make an impact on a huge scale. This is the place to do your life's best work.(sm) As a Cancer Support Program (CSP) RN Case Manager in our Lisle, IL office, you will review patient status over the phone while ensuring they are receiving the best oncology care. This role is for an 8 hour shift (40 hour work week) and the hours for this role will be Monday - Friday, within the hours of 8:30am-7pm with occasional consumer-centric hours that may be later. Primary Responsibilities:

Making outbound calls to assess oncology patients current health status

Identifying gaps or barriers in treatment plans

Providing patient education to assist with self-management

Interacting with Medical Directors on challenging cases

Coordinating care for members

Educating members on disease processes

Encouraging members to make healthy lifestyle changes

Documenting and tracking findings

Making post-discharge calls to ensure that discharged member receive the necessary services and resources

Utilization management through evaluating and approving the medical necessity, appropriateness and efficiency of requested health care services, procedures and cancer treatments under the provisions of the applicable health benefits plan

Required Qualifications:

A current, unrestricted RN license in the State of Illinois
3+ years experience in a hospital setting, acute care, direct care experience OR experience as a telephonic Oncology Case Manager for another insurance company
1+ years of clinical experience dealing with oncology patients
Chemotherapy administration experience
Preferred Qualifications:

BSN
OCN certification
A background in managed care
Case or disease management experience
Experience / exposure with discharge planning
Certified Case Manager (CCM)
Bilingual (Spanish/English) skills
Computer proficiency, to include strong data entry skills and the ability to navigate a Windows environment
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Job Keywords:RN, Registered Nurse, Case Manager, Nursing, Oncology, Cancer, CSP, OCN, Lisle, IL, Illinois


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