Oncology Case Management Nurse

Vālenz^® Health is the platform to simplify healthcare – the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. The Valenz mindset and culture of innovation combine to create a distinctly different approach to an inefficient, uninspired health system. With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey – from care navigation and management to payment integrity, plan performance and provider verification. With a 99% client retention rate, we elevate expectations to a new level of efficiency, effectiveness and transparency where smarter, better, faster healthcare is possible.
 
About Our Opportunity
As an Oncology Nurse Case Manager, you’ll be a key support for patients and families navigating a cancer diagnosis. You’ll use your oncology experience to understand each patient’s needs, build personalized care plans and keep everyone on the same page by working closely with doctors, nurses and other care team members. A big part of the role is helping patients move through the healthcare system, stay on track with their treatment plans and feel supported every step of the way. You’ll also provide education, answer questions and offer emotional support during what can be a very overwhelming time. Along the way, you’ll help with wellness efforts, make sure resources are being used effectively and support compliance with important guidelines. Overall, your work helps create a smoother experience and better outcomes for the oncology patients you serve.


Things You’ll Do Here:

• Coordinate and manage healthcare services for oncology patients, ensuring comprehensive care delivery and effective communication among healthcare providers.
• Assess patients' healthcare needs and develop personalized care plans based on their conditions and goals.
• Advocate for patients' rights, preferences, and needs, and help them navigate the healthcare system.
• Monitor patients' progress, adherence to treatment plans, and evaluate the effectiveness of interventions.
• Maintain accurate documentation of patient assessments, care plans, and outcomes.
• Generate reports on patient progress, outcomes, and utilization of healthcare resources.
• Provide patient education on medication administration, and self-care techniques.
• Offer emotional support and counseling to patients and their families, addressing their concerns and fears.
• Promote health and wellness by encouraging preventive measures and healthy lifestyle choices.
• Adhere to the applicable URAC Standards, CMSA’s Standards of Practice, state, local, and federal laws and Valenz’s policies and procedures.
• Partner with internal teams to identify health plan coverage savings as appropriate.

• RN License with an active and unrestricted license to practice in the state of primary residence.
• Experience in a clinical oncology setting with an understanding of complex care.
• 3+ years of direct case management experience, with a demonstrated ability to develop, implement, and monitor personalized care plans, coordinate healthcare services, and collaborate with multidisciplinary teams for optimal patient outcomes.
• Experience with NCCN guidelines.
• Experience in a deadline driven environment with a knack for organization and detail.
• Ability to comprehend the consequences of various problem situations and to refer such problems to the appropriate individual (or supervisor) for decision-making.
• Excellent communication skills to liaise between patients, families, and healthcare professionals.
• Patience and resilience, especially when faced with challenging situations.

• Compact State Nursing License (if not already held).
• Certifications: CCM, CCP, related case management certs or willingness to obtain CCM in 18 months of hire.
• Bilingual in Spanish

• Work Environment: You’ll need a quiet workspace that is free from distractions.
• Technology: Reliable internet connection—if you can use streaming services, you’re good to go!
• Security: Adherence to company security protocols, including the use of VPNs, secure passwords, and company-approved devices/software.
• Location: You must be US based, in a location where you can work effectively and comply with company policies such as HIPAA.

• Generously subsidized company-sponsored Medical, Dental, and Vision insurance, with access to services through our own products, Healthcare Blue Book and KISx Card
• Spending account options: HSA, FSA, and DCFSA
• 401K with company match and immediate vesting
• Flexible working environment
• Generous Paid Time Off to include vacation, sick leave, and paid holidays
• Employee Assistance Program that includes professional counseling, referrals, and additional services
• Paid maternity and paternity leave
• Pet insurance
• Employee discounts on phone plans, car rentals and computers
• Community giveback opportunities, including paid time off for philanthropic endeavors

At Valenz, we celebrate, support, and thrive on inclusion, for the benefit of our associates, our partners, and our products. Valenz is committed to the principle of equal employment opportunity for all associates and to providing associates with a work environment free of discrimination and harassment. All employment decisions at Valenz are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion or belief, national, social, or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. We will not tolerate discrimination or harassment based on any of these characteristics.