Providers of compassionate, evidence-based nursing care to Oncology patients and families living with cancer in a healing and innovative environment.
Facilitators of patient access to medical care.
Facilitate patient access to care and drawing upon Oncology nursing knowledge and an understanding of complex insurance landscapes.
Review an assigned caseload of oncologic and/or non-oncologic treatment plans requiring insurance authorization.
Utilize clinical nursing expertise to evaluate treatment orders.
Oversee the financial clearance of treatment plans for an assigned caseload of patients.
Collaborate with clinical teams throughout the institution to collect supporting documentation.
Responsible for timely submission of requests and thorough follow-up.
Facilitate appeals process and peer to peer discussions.
Develop and foster relationships with multiple key stakeholders including patients, clinical teams, and administration- providing information and education regarding the intersection of clinical treatment plans with insurance and regulatory processes.
Provide compassionate and knowledgeable customer service to all key stakeholders.
Provide RN assignment coverage as needed.
Current NYS Registered Nurse License/Registration
4-7 years of clinical experience including Oncology
Experience in Bone Marrow Transplant or Hematology preferred
Managed care/UR/CM experience strongly preferred
Excellent interpersonal, problem solving and communication skills essential
Strong decision-making and negotiation skills
Knowledge of state and federal regulations that govern health insurance coverage
Knowledge of Microsoft: Outlook, Word, Excel, Power Point, and Internet Explorer
OCN (Oncology Certified Nurse) or CCM (Certified Case Manager) preferred.
Hours: Monday-Friday9am-5pm ( Able to telecommuting following successful completion of six month on-site orientation)
Internal Number: 2020-40989
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.