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US Unlimited PTO

  • Manage the member's clinical experience from request through desired outcome, including account activation and medical history drafting.
  • Coordinate video or phone consults with specialists and schedule monitors in advance, troubleshooting issues as needed.
  • Conduct ongoing follow-up post-consult and facilitate local recommendations, communicating with primary care physicians or specialists.

Communication Time Management Organization Critical Thinking Customer Service

20 jobs similar to Registered Nurse I, Oncology - Expert Medical Opinion

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US Unlimited PTO

  • Act as a liaison for a patient panel of medically stable patients, coordinating care between internal and external providers.
  • Monitor and triage lab orders and results, providing education and medical management support to patients and families.
  • Triage emergent issues in a time-sensitive manner and coordinate care with hospitals for medical stabilization admissions.

Equip is the leading virtual, evidence-based eating disorder treatment program on a mission to ensure everyone with an eating disorder can access treatment that works. Founded in 2019, the company is fully virtual and has been recognized as one of the most influential companies of 2023, with a diverse and passionate team.

US

  • Coordinate care and collaborate with multiple disciplinary team members to improve the quality of care and clinical outcomes.
  • Conduct thorough assessments to determine unmet needs and develop individualized care plans.
  • Promote quality cost-effective outcomes with the goal of improved care coordination.

Dignity Health Medical Foundation works hand-in-hand with physicians and providers throughout California to provide comprehensive health care services. They strive to create purposeful work settings where staff can provide great care, while advancing in knowledge and experience through challenging work assignments and stimulating relationships.

US

  • Lead multiple Nurse Team Leads and nursing teams to deliver high standards of clinical care and efficiency.
  • Coach and mentor Nurse Team Leads, setting goals, providing feedback, and fostering accountability.
  • Champion NCQA-compliant workflows and use data to drive performance and compliance across teams.

Thyme Care is a market-leading value-based oncology care enabler that partners with health plans, providers, and employers to improve outcomes and lower costs for people with cancer. As a tech-native organization of several hundred employees, it combines high-touch human support with technology and AI, fostering a culture of compassion, trust, and growth.

US

  • Support care navigation for oncology members by facilitating treatment, symptom tracking, and re-education.
  • Collaborate with RNs and providers to coordinate care plans, referrals, and authorizations.
  • Maintain regular contact with members via phone, text, email, and video calls for follow-up and support.

Renalogic helps clients manage the human and financial costs of chronic kidney disease. We hire people who are humble, hungry, and smart, and our 96% client retention shows we're building a company we're proud of.

US

  • Serve as the main point of contact for patients and families transitioning from or seeking post-acute services.
  • Make clinical level-of-care determinations using discussions, medical records, and other clinical data.
  • Provide patient education on home health, hospice, palliative care, Medicare coverage, and billing.

Gentiva is a national leader in hospice, palliative, and home health care, providing compassionate care to patients in their homes. With nearly 600 locations and thousands of clinicians across 38 states, they offer a collaborative environment where inspiring achievements are recognized.

US

  • Perform case reviews and process requests for elective services and durable medical equipment.
  • Collaborate with physicians, vendors, and providers to ensure regulatory compliance and timely service.
  • Provide high-quality customer service to members and healthcare professionals.

Elderplan provides Medicare and Medicaid managed care health plans designed to help people stay independent. They are part of MJHS, a supportive community committed to excellence, respect, and collaboration.

United States 5w PTO 14w maternity 14w paternity

  • Provide clinical review and correspondence for utilization management, including medical necessity reviews and member communications.
  • Collaborate with Medical Directors to ensure evidence-based decisions that meet NCQA and CMS standards.
  • Maintain productivity and quality while working 100% remotely in a fast-paced environment.

Cohere Health’s clinical intelligence platform and agentic AI-powered solutions connect health plans’ strategic goals and providers’ needs, optimizing the speed, cost, and quality of care. With over 250 employees, the company fosters a supportive, growth-oriented environment and has been named to the Inc. 5000 list and a Top 5 LinkedIn Startup.

US

  • Provide education and clinical support to healthcare professionals on the PROVENGE treatment process from enrollment to infusion.
  • Collaborate with commercial teams and Key Account Managers to identify and educate accounts using data-driven reports.
  • Support patient navigation and foster relationships between apheresis sites and infusion sites to minimize treatment delays.

Dendreon is a biotechnology company focused on developing and commercializing PROVENGE, an immunotherapy for prostate cancer. It operates as a fast-paced, high-volume, adaptive commercial environment emphasizing team building and multidisciplinary problem-solving.

$60,000–$60,000/yr
US 4w PTO 12w maternity

  • Conduct compassionate advance care planning conversations with patients.
  • Educate patients and families about medical interventions in understandable terms.
  • Accurately document conversation details to generate state-specific advance care planning documents.

Aledade empowers independent primary care practices. Founded in 2014, they've become the largest network of independent primary care in the country and have a collaborative, inclusive and remote-first culture.

US

  • Provide timely, efficient, and accurate triage response and documentation according to nursing standards and physician protocols.
  • Evaluate patient needs, perform triage, and coordinate with the clinical team in an ambulatory practice setting.
  • Maintain accurate documentation in medical records, schedule patient visits, and provide education on patient care and health promotion.

Piedmont Healthcare is a healthcare provider offering services across Georgia. It is a large organization with a focus on patient care and corporate operations.

US

  • Provide exceptional care, disease management and health education to patients.
  • Support goal setting for individual patients asynchronously to help them better manage their chronic conditions.
  • Create personalized action plans with guidelines to reduce or eliminate unwanted behaviors.

Salvo Health is a new approach to help millions of Americans facing chronic health conditions, centered on chronic gut health and metabolic conditions from IBS to obesity. They bring multidisciplinary virtual care to patients at community specialty care practices. Salvo offers a competitive salary and health benefits, a remote work environment, flexible time-off, a larger sense of mission, and professional development and entrepreneurial opportunities.

US

  • Perform concurrent inpatient utilization review using InterQual criteria to determine medical necessity.
  • Engage in clinical collaboration with physicians and care teams to support appropriate level-of-care decisions.
  • Maintain documentation, comply with regulations, and ensure quality customer service.

WNS, part of Capgemini, is an Agentic AI-powered leader in intelligent operations serving over 700 clients across 10 industries. With over 66,000 employees across 13 countries and 65 delivery centers, the company combines scale and expertise to create meaningful impact.

United States

  • Provide patient information and education to ensure safe, effective, and appropriate use of Provenge from enrollment to completed infusions.
  • Collaborate with Patient Services, Sales Teams, and Medical Affairs to support patients and healthcare professionals.
  • Document all communications and conduct activities within legal and compliance guidelines, with potential field travel.

Dendreon is a biotechnology company focused on developing immunotherapy treatments for cancer, harnessing the power of the immune system to attack cancer cells. Headquartered in Seal Beach, California, with locations in Georgia and nationwide teams, they foster a purpose-driven, value-based culture putting patients first.

$26–$31/hr
US

  • Conduct outbound telephonic patient outreach and provide one-on-one coaching and support to patients managing chronic conditions.
  • Help patients execute personalized care plans and achieve their goals by providing education and coaching focused on behavior modification, nutrition, physical activity, and self-management strategies.
  • Document patient interactions, outcomes, and follow-up plans in the Cadence platform; identify barriers to care and connect patients with resources or internal support pathways.

Cadence is a clinical AI company that delivers continuous, proactive care for older adults with chronic conditions. They pair patients with a dedicated clinical team, integrate deeply into health system EMRs and workflows, and use their Clinical Intelligence platform.

US

  • Review and process appeals submitted by members and providers, ensuring timely and accurate resolution.
  • Evaluate cases, determine next steps, and manage multiple priorities while meeting strict turnaround times.
  • Review clinical and medical records, summarize findings for Medical Director review, and operate within turnaround times as short as 24–72 hours.

BlueCross BlueShield of Tennessee has been helping Tennesseans find their own unique paths to good health since 1945. At BCBST, they empower their employees to thrive both independently and collaboratively, creating a collective impact on the lives of their members.

$78,000–$82,000/yr
US

  • Providing remote health coaching to members at risk for chronic kidney disease or have chronic kidney disease.
  • Working in partnership with participating members to increase their understanding and management of conditions that impact kidney health.
  • Establishing and maintaining contact with assigned and active members via video, phone, text, and email.

Renalogic is dedicated to helping clients manage the human and financial costs of chronic kidney disease. They hire people who are humble, hungry, and smart, and they have a 96% client retention rate.

US 12w maternity

  • Supports clinical safety, accuracy, and oversight of integrated AI tools by reviewing AI-assisted outputs and surfacing risks.
  • Applies nursing judgment to review charts, calls, messages, and other member interactions to assess quality, safety, and member experience.
  • Assists with data collection and basic analysis for quality and safety work, and participates in cross-functional improvement efforts.

Included Health is a healthcare company delivering integrated virtual care and navigation. They are on a mission to raise the standard of healthcare for everyone, and offer members care guidance, advocacy, and access to personalized virtual and in-person care.

US

  • Rapidly assess and prioritize patients' healthcare needs and direct them to the appropriate level of care.
  • Conduct patient interviews, evaluate symptoms, perform initial assessments, and apply critical thinking to determine urgency and disposition.
  • Provide advice, educate, and coordinate care, while managing priorities effectively under pressure to ensure timely and appropriate patient attention.

Virginia Mason Franciscan Health provides exceptional healthcare. They have a comprehensive network of 10 hospitals and nearly 300 care sites across the greater Puget Sound region.

$78,000–$83,000/yr
US

  • Pulling, sorting, and analyzing data to determine member eligibility for the Population Health management Program.
  • Coordinating and providing care that is timely, effective, equitable, safe, and member-centric while following HMO processes.
  • Managing case assignments which includes outreach, documentation, monitoring for case progression, and case closure.

Guidehealth is a data-powered healthcare company dedicated to operational excellence. They aim to make healthcare affordable, improve patient health, and restore fulfillment in practicing medicine. Guidehealth is a growing and innovative organization and employees are expected to adapt to evolving business needs.

$80,000–$100,000/yr
US

  • Lead the day-to-day operations of a remote team of RNs and LPNs responsible for reviewing and resolving real-time patient alerts.
  • Conduct clinical audits and chart reviews to evaluate triage quality, documentation accuracy, and adherence to care protocols.
  • Provide structured coaching, real-time feedback, and formal performance management to improve both clinical judgment and productivity.

Cadence is a clinical AI company that delivers continuous, proactive care for older adults with chronic conditions. They pair patients with a dedicated clinical team and integrate deeply into health system EMRs and workflows. Cadence operates as a full clinical care delivery organization.