Oncology Nurse Practitioner - Aetna Oncology Care Team

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary

Aetna is starting a new Oncology Care Model providing specialized care pathways to our members throughout their oncology treatment.

The Oncology Nurse Practitioner will be part of an Oncology Care Model team that includes a Medical Director, Pharmacist, Nurse, Behavioral Health Specialist and Oncology Companion.

This is a fully remote position. Eligible candidates may live anywhere in the contiguous United States.

The Oncology Nurse Practitioner provides telephonic and virtual clinical support to members with cancer across the continuum of care. The role delivers comprehensive assessment, symptom management, care coordination, and member education while collaborating with treating providers and interdisciplinary care teams to improve outcomes and member experience.

Core Responsibilities

• Patient-centered oncology care

• Motivational interviewing and health coaching
• Ultra-complex case management and consultations
• Oversight of RN-managed complex cases
• Advanced clinical escalations

• Preparation and review of appeals and requests

• Care coordination with other providers, specialists, testing facilities, and agencies.
• Assisting the care team with phone triage and outreach.
• Educate members and caregivers regarding diagnoses, treatment plans, symptom monitoring, medications, survivorship, and supportive services.

• Conduct comprehensive telephonic oncology assessments and develop individualized care plans.
• Provide evidence-based clinical consultation and symptom-management support for members receiving cancer treatment.
• Monitor treatment adherence, side effects, changes in condition, and emerging clinical concerns; escalate urgent needs appropriately.
• Identify gaps in care and contribute to quality, population health, and program-improvement initiatives.
• Maintain accurate, timely documentation in accordance with privacy, regulatory, accreditation, and organizational standards.

Required Qualifications

• 3 years of oncology experience

• Active, unrestricted Registered Nurse and Nurse Practitioner licenses in state of residence; ability to obtain and maintain additional state licenses as required by the program.

• Clinical knowledge of oncology treatments, treatment-related toxicities, symptom management, and care coordination.
• Excellent telephonic communication, clinical judgment, documentation, and member-engagement skills.
• Ability to work independently in a remote environment and navigate multiple clinical and technology platforms.

Preferred Qualifications:

• Prior utilization management experience
• Advanced Oncology Certified Nurse Practitioner (AOCNP) certification
• Certified Case Manager (CCM) or Advanced Certified Hospice and Palliative Nurse (ACHPN) certification.
• Experience in telehealth, care management, disease management, or a health-plan environment.
• Experience supporting members receiving chemotherapy, immunotherapy, targeted therapy, radiation therapy, or hematologic oncology treatment.

• Adept at problem solving and decision-making skills
• Mastery multi-tasking abilities with the ability to handle competing deadlines; flexible and adaptable.
• Ability to deal tactfully with customers and community.
• Mastery communication skills used to lead a team.
• Mastery execution and delivery (planning, delivering, and supporting) skills
• Ability to consider the relative costs and benefits of potential actions to choose the most appropriate one.
• Ability to function in clinical settings with diverse cultural dynamics of clinical staff and patients.
• Mastery knowledge of phases of care transitions and resources available for patients.
• Mastery knowledge of digital literacy skills.
• Ability to handle sensitive information ethically and responsibly.

Education:

Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP) from an accredited Nurse Practitioner program.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$87,035.00 - $187,460.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

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