Description

Introduction

Do you have the career opportunities as a(an) Oncology Case Manager Outpatient Clinic you want with your current employer? We have an exciting opportunity for you to join Methodist Hospital which is part of the nation's leading provider of healthcare services, HCA Healthcare.

Benefits

Methodist Healthcare System, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
  
• Fertility and family building benefits through Progyny
  
• Free counseling services and resources for emotional, physical and financial wellbeing
  
• Family support, including adoption assistance, child and elder care resources and consumer discounts
  
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  
• Employee Stock Purchase Plan
  
• Retirement readiness and rollover services and preferred banking partnerships
  
• Education assistance (tuition, student loan, certification support, dependent scholarships)
  
• Colleague recognition program
  
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Our teams are a committed, caring group of colleagues. Do you want to work as a(an) Oncology Case Manager Outpatient Clinic where your passion for creating positive patient interactions are valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise!

Job Summary and Qualifications

As an Oncology Case Manager Outpatient Clinic you will be responsible for executing high cost drug authorizations by reviewing the patient’s medical record, discussing the medical criteria with the physician and/or care team, and requesting the authorization/s to the patient’s insurance company. You will work with patients and their families on additional needs outpatient of the inpatient setting (clinic and outpatient) by coordinating efforts between the clinical care team and the patient’s insurance company. We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you. We want you to apply now!

What you will do in this role:

• You will work with the BMC care team to identify high cost drug utilization and requesting the appropriate authorization from the patient’s insurance company
• You will obtain information from the patient, caregivers, insurance company, benefits administrators as necessary to complete the authorization process
• You will also work closely with the pharmacy department (Director and Manager of Pharmacy) on drug needs and/or issues
• You will convey complete and accurate clinical information to payers throughout the patient’s care
• You will coordinate Peer-to-Peer (P2P) needs with the physician if the drug is initially denied
• You will utilize payer websites and clinical bulletins to establish documentation needs for the high cost drug (will be utilized in the authorization process)
• You will communicate pertinent reimbursement information or issues to healthcare team while working the patient’s case
• You will work closely with the Transplant Finance Department on payer/contract changes, LOAs, SCAs, etc.
• You will also work closely with the oncology floor clinical teams to coordinate necessary follow-up care

What qualifications you will need:

• Graduate of an accredited diploma, associates, or baccalaureate degree nursing program.
• Currently licensed as a Registered Nurse in the state(s) of practice according to law and regulation
• Minimum of 5 years clinical experience in area in which Case Management will be performed.
• 1+ year of Transplant or Oncology experience working as an RN. Discharge planning experience. Experience working with bone marrow transplants.

This role requires you to be fully vaccinated for COVID-19 based on local, state and /or federal law or regulations (unless a medical or religious exemption is approved).

Methodist Healthcare is recognized as the most respected and preferred healthcare provider in the South Texas region. As San Antonio’s second largest private employer, we employ more than 11,000 individuals, including 2,700 physicians in all specialties. Methodist Healthcare is a 50-50 co-ownership between Methodist Healthcare Ministries of South Texas, Inc. and HCA Healthcare. Since 1963, our commitment has never wavered in consistently improving the health and wellness of our community by “Serving Humanity to Honor God.”

Our network of greater San Antonio hospitals includes nine acute care facilities: Methodist Hospital, Methodist Children's Hospital, Methodist Hospital Ambulatory Surgery, Methodist Hospital Metropolitan, Methodist Hospital Northeast, Methodist Hospital South, Methodist Hospital Specialty and Transplant, Methodist Hospital Stone Oak and Methodist Hospital Texsan. We also offer 4 freestanding emergency centers in Boerne, Converse, Westover Hills, and the Quarry. At each of our facilities, we offer an outstanding selection of doctors, healthcare professionals, equipment and health services from wellness events to transplant services, pediatrics, dermatology, cardiology, oncology and a complete range of other medical services. For more information, please visit our website at www.sahealth.com.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Bone Marrow Outpatient Clinic Case Manager opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.