Oncology Transitions of Care Nurse
T
Thyme CareHealthcare
Lower 48 United States, ESTFull-TimeMiddle
Salary not disclosed
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Job Details
- Languages
- Spanish (preferred)
- Experience
- 5 years of nursing experience with 3 years of oncology nursing or case management experience
Requirements
- Bachelor of Science Degree in Nursing (BSN)
- Compact unrestricted Registered Nurse (RN) license
- Willingness to obtain additional state licenses as needed
- 5 years of nursing experience
- 3 years of oncology nursing or case management experience
- Certified Case Manager (CCM)
- OCN certification required at time of hire or a commitment to obtain within 2 years of hire
- Organized
- Effective listener and communicator
- Comfort with ambiguity
- Desire to learn how to use new technologies
- Ability to identify priorities and take action
Responsibilities
- Conduct clinical assessments
- Monitor for changes in health
- Coordinate care, including transitions
- Educate members and caregivers about their diagnosis and treatment over the phone
- Assist with other administrative projects as needed
- Identify and prioritize a member's needs and help them remain safe in the community
- Assist members with care coordination and care management following admissions
- Coordinate discharge plans with hospital case managers and follow-up care with providers
- Monitor member progress, provide regular updates, and establish targeted support plans with the healthcare team in case conferences
- Build strong, trusting relationships with payers and providers to optimize care and prevent readmissions for our members
- Partner with non-clinical Care Team members to support the member’s social determinants of health needs
- Conducting telephonic assessments, including pain assessments and medication reconciliation
- Ensure members have access to medications and appointments, providing referrals and support as appropriate
- Perform virtual home safety evaluations and assess the need for DME/supplies
- Provide referrals to PT, OT, skilled nursing, palliative care, hospice care, etc., as appropriate
- Be available for urgent clinical escalations and clinical consult support
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