Memorial Sloan-Kettering Cancer Center RN Case Manager, Patient Care Advocacy Program (PCAP) in New York, New York

RN Case Manager, Patient Care Advocacy Program (PCAP)

Job Posting Number: 19478

Nursing – Case Management

New York,NY

March 5, 2018

Company Overview:

At Memorial Sloan Kettering (MSK), we’re not only changing the way we treat cancer, but also the way the world thinks about it. By working together and pushing forward with innovation and discovery, we’re driving excellence and improving outcomes.

For the 28th year, MSK has been named a top hospital for cancer by U.S. News & World Report. We are proud to be on Becker’s Healthcare list as one of the 150 Great Places to Work in Healthcare in 2018, as well as one of Glassdoor’s Employees’ Choice Best Place to Work for 2018. We’re treating cancer, one patient at a time. Join us and make a difference every day.

Job Details:

RN Case Manager, Patient Care Advocacy Program (PCAP)

Hours :Fulltime Five Days 9 am-5 pm (Monday to Friday) transition to Four Days x 10 hours

We are:

  • Providers of compassionate, evidence-based nursing care to Oncology patients and families living with cancer in a healing and innovative environment.

  • RN Case Manager ar MSK at

You are:

  • Action-oriented and eager to embrace new opportunities and tough challenges with a sense of urgency, high energy, and enthusiasm.

  • A good decision-maker, with proven success at making timely decisions that maintain high 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 determining 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.

You will:

  • Work with multidisciplinary team and act as a liaison to insurance carriers and staff.

  • Provide 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.

You need:

  • 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 problem solving 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.#LI-MM1

MSK is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, gender, gender identity or expression, sexual orientation, national origin, age, religion, creed, disability, veteran status or any other factor which cannot lawfully be used as a basis for an employment decision.

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