Care Manager - Oncology
Bcidaho

Job Info

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Join Blue Cross of Idaho's growing Healthcare Operations team! In this role, care mangers will effectively partner with member's care from oncology diagnosis to remission through assessment, care planning, and monitoring. Evaluate care and provide intervention required to meet individuals' health needs and promotes quality, cost-effective outcomes.

What we are looking for in Case Manager:

Experience: 3 years' relevant oncology experience including but not limited to: hospital setting, acute care setting, direct care, or oncology infusion experience.

Education: Associates Degree in Nursing or Bachelor's Degree in Social Work; or equivalent work experience (Two years' relevant work experience is equivalent to one-year college)

Licenses/Certifications: Must hold one of the following:

• Valid unrestricted Idaho Registered Nurse License
• Valid unrestricted Idaho Social Worker License

Preferred License:

LMSW

What your day may look like:

• Conduct an evaluation of the members' current status including physical, mental, and social determinants of health.
• Identify, plan, implement, and evaluate appropriate health care interventions in conjunction with the physician treatment plan.
• Collaborate with member, family, healthcare provider and team members to coordinate care and guide members to the most appropriate, cost-effective resources.
• Collaborate with members, providers, staff, and stakeholders to assure continuity for members throughout different levels of care they may require.
• Provide education and referrals to appropriate community resources.
• Track and report quantifiable impact, quality of care, and/or quality of life improvements as measured against long and short-term goals.
• Act as a peer mentor for training new personnel as well as on-going training for staff.
• Conduct quality review of work completed by peers and new hires.
• Perform other duties and responsibilities as assigned.

Knowledge, Skills and Abilities (KSAs):

• Managed care delivery systems
• Utilization management
• Care Coordination/Case Management
• Quality Improvement (QI)
• National Commission on Quality Assurance (NCQA) accreditation standards
• Verbal & written communication
• Good decision-making
• Independent & critical thinking
• Ability to handle assigned caseload in a quality and cost-effective manner
• Respond to families in crisis and assess coping skills
• Maximize discharges to the highest level of independence
• Establish and maintain a collaborative relationship with contracting facilities and physicians
• Connect with diverse audiences
• Give and receive constructive feedback in a team environment

Preferred Requirements:

• Bachelor's degree in Nursing (BSN)
• Registered Nurse

Reasonable accommodations

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

This job has expired.