RN Care Manager (Oncology)Christian Care Ministry (Medi-Share)

The RN Care Manager serves as the key point of contact and coordinator of care to members experiencing an acute, catastrophic, or costly health care event. The RN Care Manager assists members and their providers in best navigating and utilizing the Medi-Share provisions and provider network for improved clinical outcomes, clinically substantiated courses of treatment, timely and improved access to cost-effective care, and greater member satisfaction.

• Performs within licensed scope of nursing practice and under the direction of the Sr. Director, Clinical Services
• Identifies, screens, and enrolls members meeting criteria into Care Management Services
• Educates members and providers (as appropriate) regarding the Medi-Share provisions and processes
• Confirms member’s condition and plan of care are eligible for sharing based on Medi-Share and FDA/CMS approved evidence-based clinical management guidelines; suggests resources for those conditions/plan of care not eligible for sharing
• Identifies, educates, and facilitates member participation in appropriate member stewardship including, but not limited to patient assistance programs for medication, laboratory, and genetic testing
• Provides disease/condition specific clinical education to include multimedia resources, if available
• Identifies opportunities for and facilitates transitional care
• Partners with organizational resources to facilitate effective and cost-efficient outcomes for members
• Delivers accurate and comprehensible verbal and written communication to external customers while complying with organizational HIPAA requirements
• Documents case work, all telephone conversations, correspondence, and tasks completely and accurately in appropriate IT systems
• Maintains and independently manages assigned caseload and departmental workflows within agreed service levels
• Presents accurate, complete, and concise case information to Sr. Director, Clinical Services within agreed upon service levels
• Completes medically related special projects independently as assigned with minimal supervision
• Attends all required departmental and organizational meetings
• Prays with members and providers as appropriate
• Contribute to the exercise and expression of Christian Care Ministry’s Christian beliefs
• Perform all other duties as assigned

Core Competencies/Demonstrable Behaviors

• Collaborates – builds partnerships and works collaboratively with others to meet
• Manages Conflict – handles conflict situations effecti This role requires patiently and respectfully accepting and responding to members and providers who do not agree with the determinations presented to them
• Interpersonal Savvy – relates openly and comfortably with a diverse group of Must be able to communicate effectively and build engagement across all audiences
• Drives Results – consistently achieves results even under tough circumstances
• Situational Adaptability – adapting approach and demeanor in real time to match the shifting demands of different
• Courage – ability to have tough conversations and deliver accurate advice and decisions
• Forward Thinking – the ability to anticipate the implications and consequences of situations and take appropriate action to be prepared for possible contingencies
• Initiative – identifying what needs to be done with a willingness to take action
• Thoroughness – ensures information is complete, accurate; remediates errors when identified and applies feedback to avoid future mistakes

Education and/or Experience

• Registered nurse with current unrestricted multi-state compact license or willingness to pursue required
• Bachelor of Science in Nursing (strongly preferred) or health-related field (required) 
• Associate’s Degree in Nursing (RN) required
• Inpatient and/or oncology direct clinical experience required
• 2+ years of case management/nurse navigation experience strongly preferred
• Infusion therapy and radiation oncology experience strongly preferred
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Christian Care Ministry (Medi-Share) offers the opportunity to join the leading healthcare sharing community, connecting with a nationwide network of Members who provide support through prayer. You can also access Telehealth providers through the Medi-Share app and earn rewards by referring friends. With the Medi-Share program, which began in 1993, you can be part of a healthcare movement that aims to share healthcare burdens and save on healthcare costs.

Incentives & Benefits

We work hard to serve our Medi-Share Members, but know we can only do that if we invest in our employees professionally, financially, physically, socially, and spiritually. We purposefully invest in our employees so that our employees can invest in others.

For full-time employees working 30 hours or more, some of our benefits include, but are not limited to:

• Medical
• Health Savings Account
• Employer Paid Life Insurance and Long-term Disability Insurance
• Dental
• Vision
• Short-term Disability
• Accident, Critical Illness, Hospital Indemnity
• 401(k) – up to 4% match
• Paid-time off – accrued bi-weekly
• Wellness plan
• Employee Assistance Program
• Anniversary Awards Program
• Birthday Awards