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Manager, Clinical Health Services – Oncology Care Model, RN
CVS Health Careers. Manage assigned clinical teams and ensure adherence to practices, policies, procedures, and contractual requirements .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing clinical teams and operations within oncology, ensuring adherence to policies and quality standards while fostering professional development and collaboration across multidisciplinary healthcare teams.
Highest-signal resume keywords
Active RN LicenseOncology ExperienceUtilization Management ExperienceLeadership ExperienceKnowledge of Oncology Treatment Modalities
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Clinical Operations ManagementPerformance ManagementCare CoordinationQuality ImprovementClinical GuidanceEvidence-Based Clinical GuidelinesSymptom ManagementDigital Health ToolsPredictive AnalyticsAI-Enabled Workflows
Soft Skills
CoachingCommunicationCollaborationTeam DevelopmentProblem Solving
Certifications & Qualifications
Active RN LicenseMulti-State Licensure
Industry Keywords
OncologyUtilization ManagementCulturally Competent CareQuality of CareOperational Change Initiatives
About the role
Key responsibilities & impact- Manage assigned clinical teams and ensure adherence to practices, policies, procedures, and contractual requirements
- Lead clinical operations and build a new multidisciplinary oncology team from the ground up
- Lead, develop, and support high-performing clinical teams through coaching, performance management, and professional development
- Participate in recruitment and hiring
- Develop, monitor, and communicate performance expectations and productivity standards
- Assess developmental needs and implement employee and team growth plans
- Ensure execution of care management and care coordination across the continuum of care
- Support management of complex physical and behavioral health cases through clinical guidance, consultation, and collaboration
- Provide clinical leadership and support culturally competent, member-centered interventions
- Conduct individual and team meetings focused on service delivery, quality, professional development, and operational performance
- Collaborate with care managers, medical directors, social support teams, provider partners, and market leadership
- Communicate strategic plans and implement tactics supporting quality, operational, and financial objectives
- Evaluate clinical, operational, and quality performance data and implement improvement interventions
- Identify and escalate quality-of-care concerns and drive corrective action
- Champion best practices, innovation, and continuous improvement initiatives
- Lead organizational and operational change initiatives
- Maintain compliance with policies, procedures, regulations, and contractual obligations
- Serve as a point of contact for health plan partners, customers, and internal stakeholders
- Participate in customer meetings and implementation initiatives
- Achieve clinical, operational, quality, and financial objectives for the assigned team
Requirements
What you’ll need- Active and unrestricted RN license in the state of residence
- Ability to obtain multi-state licensure upon hire
- 5+ years of oncology experience
- Minimum of 2 years of utilization management experience, including oversight or management of UM activities or teams
- Demonstrated leadership experience; managing direct reports preferred
- Knowledge of oncology treatment modalities, supportive care, and symptom management
- Strong understanding of medical necessity principles and evidence-based clinical guidelines
- Experience working with multidisciplinary healthcare teams
- Experience leveraging digital health tools, predictive analytics, and AI-enabled workflows
- Master's degree or equivalent experience
- If candidate has an associate's degree, additional 4 years of experience is needed
- If candidate has a bachelor's degree, an additional 2 years of experience is required
Benefits
Comp & perks- CVS Health bonus, commission or short-term incentive program in addition to base pay
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources supporting physical, emotional, and financial well-being