Are you passionate about using your Case Management/ Utilization Management experience to support Oncology Patients seeking to obtain health care services?
Providers of compassionate, evidence-based nursing care to Oncology patients and families living with cancer in a healing and innovative environment.
RN Case Manager at MSK
Willing to take action and embrace new opportunities and tough challenges with a sense of urgency, high energy, and enthusiasm.
A good decision-maker, successful at making timely decisions that maintains excellent standards of patient care within the organization.
Actively seeking new ways to grow and be challenged, using both formal and informal development.
Approachable and comfortable with diverse groups of people and able to make others comfortable with you.
An effective communicator, capable of figuring out how best to reach different audiences and executing communications based on that understanding.
Capable of building strong customer relationships and delivering customer-centric care solutions.
Passionate about continued professional developmentrelated to oncology nursing, case management, and utilization management.
Work with multidisciplinary team and act as a liaison to insurance carriers and staff.
Deliver information to staff/patient/family members on insurance provisions and benefits as related to care at MSKCC.
Analyze and implement strategies to obtain and/or optimize insurance coverage for patients who require MSKCC expertise.
Explain hospital and physician billing policies and counsels patients on their Insurance network options per regulatory compliance.
Demonstrate the ability to appreciate rationales for various oncologyplans of care and treatment modalities.
Possess a depth and breadth of nursing experience that will support efforts to pro-activelyanticipate actual and potential needs of oncology patients.
Current NYS RN License/Registration
Bachelors of Science or Arts with major related to healthcare Nursing or other related major
Minimum five years direct patient care clinical experience.
Managed Care/UR/CM experience strongly preferred
Denials and Appeals experience preferred
Oncology experience preferred
Excellent decision-making and negotiation skill
Knowledge of state and federal regulations that govern health insurance coverage.
Knowledge of Microsoft: Outlook, Word, Excel, Power Point, and Internet Explorer.
Certification in Case Managementor another area of Nursing expertise
Hours : Full-timeFive Days 9 am-5 pm (Monday to Friday) potential for telephonic Case Management role #
Internal Number: 2019-36753
About Memorial Sloan-Kettering Cancer Center
As one of the world's premier cancer centers, Memorial Sloan-Kettering Cancer Center is committed to exceptional patient care, leading-edge research, and superb educational programs. The close collaboration between our physicians and scientists is one of our unique strengths, enabling us to provide patients with the best care available today as we work to discover more effective strategies to prevent, control, and ultimately cure cancer in the future. Our education programs train future physicians and scientists, and the knowledge and experience they gain at Memorial Sloan-Kettering has an impact on cancer treatment and the biomedical research agenda around the world.