Clinical Support and Case Review Nurse

Some responsibilities include:

Position Locations: Culver City, CA, Philadelphia, PA or remote/work from home.

Responsibilities

Review case information in eviti Customized treatment cases and compare against the submitted diagnosis field and treatment field to validate that the information accurately depicts status of patient and planned treatment
Contact physician office and obtain all necessary information from medical records
Follow-up with the submitting office to clarify any inconsistencies between the provided notes and the submitted diagnosis field and treatment plan
Request additional clinical information at the direction of the Oncology Certified NP or MD
Monitor progress of report and intervene to ensure timely delivery of product as agreed upon by client
Act as a clinical resource for all non clinical staff to address clinical questions or concerns
Respond to customers and support team requiring expert clinical assistance in entering oncology plans of care into an automated system following a defined support process
Identify, research, and resolve customer clinical issues
Present a professional image at all times to customers and vendors
Work collaboratively with other service delivery areas to provide clients with a superior experience and ensure commitments made to the client are handled appropriately
Ability to work flexible hours providing support coverage

Required Certifications or License

Current Active Unrestricted Registered Nursing License in a state or territory of the United States

Education & Experience:

BSN in Nursing required
5 Years Oncology Experience, OCN certification required
Demonstrated strong attention to detail and documentation
Strong computer skills and ability to communicate professionally in writing

Knowledge Skills and Abilities:

Strong knowledge of oncology and insurance industry
Excellent interpersonal skills, with ability to relate to patients, medical management personnel, office practice and hospital staff
Ability to utilize critical thinking skills in order to address clinical needs of oncology patients
Ability to strictly adhere to aggressive timelines
Proven ability to problem solve and take initiative without needing supervision in a fast paced environment
Experience with Microsoft Office Products