Oncology Consult Service Nurse Care Coordinator - eviCore - Work At Home

Job Description

Summary The oncology nurse coordinator is the primary point of contact for the Oncology Consult Service. Delivers on delegated tasks assigned by manager or supervisor(s) of the Oncology Consult Service. Completes day-to-day tasks with oversight by immediate supervisor and takes direction from manager and/or supervisor(s). While working independently, the oncology nurse coordinator must track and manage all assigned customer cases through the process and outcomes of each case. This encompasses: New Case consult eligibility evaluation involving coordination with manager, supervisor(s) and Oncology Consult Medical Director as appropriate Notifiying Cigna oncology case management of customer eligibility to participate in Oncology Consult Service Notifiying oncology provider office of customer benefit eligibility Notifying and educating customer of benefit eligibility and obtaining consent to participate Follow-up with oncology provider office and customer as needed Coordinate referrals to vendors and follow-up accordingly for customer throughout Oncology Consult process flow Collaboration with Oncology Consult Medical Director for Oncology Consult cases, as needed Track and document each Oncology Consult case through the entire process in OCS system Problem solving and escalation of issues as needed Report any provider and customer concerns Other tasks as assigned Hours: Monday-Friday; 8a-5p Eastern Minimum Education, Licensure and Professional Certification requirement Current unrestricted Registered Nurse or Licensed Practical Nurse licensure. Minimum Experience required Minimum 3 years clinical experience preferred; strong oncology experience preferred 2 – 4 years’ experience in utilization management preferred Required Skills High level of motivation and independence while maintaining accountability to immediate supervisor and manager Experience with Isaac and Image One preferred Exceptional time management skills required High level attention to detail in understanding and solving problems Computer skill proficient Microsoft Excel and Adobe experience preferred Excellent organizational, verbal communication, and written communication skills If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 56,600 - 94,400 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: [email protected] for support. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances. Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Apply tot his job Apply To this Job