Senior Case Manager RN – Oncology

. Manage a caseload of members with complex health needs .

Posted 10/7/2026full-timeUnited StatesSenior💰 $79,300 - $127,100 per yearWebsite

Key responsibilities & impact

Manage a caseload of members with complex health needs
Conduct comprehensive assessments and develop complex care plans
Assess members’ health status, needs, and available resources
Develop individualized care plans with members, physicians, and healthcare providers
Implement and coordinate care plans and access to services
Monitor member progress and adjust care plans
Evaluate intervention and service effectiveness
Advocate and liaise to meet members’ individual healthcare needs
Collaborate with physicians, providers, coworkers, and healthcare team members
Document activities in compliance with business processes, company policies, regulations, and accreditation standards
Provide guidance and mentorship to lower-level Case Managers
Serve as a resource for clinical expertise and problem-solving
Perform other duties as assigned

What you’ll need

5 years in any combination of clinical, case/utilization management, disease condition management, provider operations, and/or health insurance experience
High School/GED
Current State RN licensure OR current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC)
Certified Case Manager (CCM) certification must be obtained within 36 months of hire
Expertise in clinical assessment and care planning
Strong leadership and mentoring skills
Excellent negotiation and advocacy skills
Proficiency in Microsoft suite of applications, case management software, and electronic health records
Strong understanding of healthcare systems and case management principles
Ability to comply with HIPAA, data security, legal, regulatory, accreditation, and company policy requirements

Comp & perks