INTERLINK COE Networks & Programs
INTERLINK is nationally known for collecting transplant outcomes and identifying transplant teams for insurance plans all across the United States. As outcome information becomes available for other medical procedures, INTERLINK is expanding its reach into other areas like cancer, ventricular devices and specializeds surgeries.
An Oncology Intermediate-Risk Nurse Case Manager is one whose clinical expertise and training can help guide patients to make informed decisions and provide supportive care throughout the cancer continuum to work in our Triage Center. The Navigator nurse will serve as an advocate for intermediate-risk cancer patients and reach out to them on a regular basis, educating them and receiving updates on their current phase in their treatment plan. He/She will review NCCN guidelines and work collaboratively with both the Member and his/her providers to ensure evidence-based care is being provided. If a case warrants it, he/she will coordinate either onsite or remote access to a Center of Excellence (COE) facility. He/she will transition members with complex cancer needs to an Oncology High-Risk Nurse Case Manager to coordinate member care.
RN with active license (Compact state license preferred) Excellent relationship-building skills Excellent verbal and written communication skills Exemplary computer and technical skills. Feel comfortable with learning new technology and troubleshooting technology Proficiently type directly into an electronic medical record while obtaining information telephonically from the patient Strong organizational skills with the ability to multi-task Proficient in Microsoft Office Strong analytical and problem-solving skills Self-motivated Able to work independently and in a team environment Education and Experience: RN with active license; Compact State license and Oncology experience preferred Management experience desired Must have familiarity with reviewing medical records Experience in or knowledge of insurance, TPA, or medical stop-loss and reinsurance industry preferred Bi-lingual candidates preferred
Work cohesively with triage center Intake Coordinators and Oncology High-Risk Nurse Case Managers Promote the use of evidence-based care through extensive use of NCCN GuidelinesĀ®, Clinical Trials.gov, McKesson Clear Value Plus, and the use of our COE networks Assess new patientsā need for treatment at a Center of Excellence Facility Document all activities in electronic medical record (EMR) Perform all duties efficiently while keeping cost containment and patient centric quality care a priority Effectively communicates the status of patient activities through the use of Notification Forms, email and/or telephone. Understands and makes decisions based upon benefit plan language. Additional Responsibilities: Maintain integrity of company image, philosophy, and methods in all communications Represent CancerCARE and health plans by being professional at all times.
Basic
Telehealth
$34
Resume Template Package
ATS optimized design for nurses
Matching Cover Letter
Matching Reference Page
Resume Tips and Tricks
ADVANCED
Telehealth
$79
Everything from Starter Pack
Resume Optimization Guide
7 Nurse Resume Examples
20+ Professional Summary Examples
How to Structure Unique Career Experiences
BEST VALUE
Telehealth
$149
Everything from Starter Pack
Everything from Pro Toolkit
Career Accelerator Success Guide
Proven method for landing your dream role
Lifetime Premium Job Board Access
Application Tracker
1:1 Expert Support