Oncology Certified Nurse Practitioner

NantHealth   •  

Phoenix, AZ

Industry: Healthcare

  •  

8 - 10 years

Posted 31 days ago

Position Summary
The Oncology Certified Nurse Practitioner (NP) will assist the NantHealth medical operations team through the application of oncology-specific medical expertise to complete customized treatment plan reviews as well as clinical trials revi in our eviti web based application. The NP will work closely with the Clinical Support and Case Review Nurses and the Medical Directors to insure that customized treatment plan reviews and clinical trials are accurately reviewed based on published literature and evidenced based guidelines. The NP will ensure that customized treatment plans and clinical trials submitted to eviti are reviewed in 72 hours or per client instruction. As an initial reviewer, the NP will conduct initial clinical review and will issue a recommendation for certification; however, as an initial reviewer, the NP will never issue a non-certification determination. The NP will have access to a qualified physician reviewer during standard operating hours to assist in initial clinical review. The physician will be responsible for issuing any non-certification determinations. Position Locations: Culver City, CA, Philadelphia, PA or remote/work from home. Responsibilities

  • Review of customized treatment plans and clinical trials for compliance with evidence-based medical practice, medical appropriateness, and compliance with health planlanguage (where applicable)
  • Request Peer to Peer when appropriate based on a review of the case and current evidenced based standards
  • Present complex cases to the Medical Director at tri-weekly team meetings for guidance in decision making as needed
  • Identify potential new standards in care that may be then added to the evidenced based library and notify the Director, Clinical Informatics
  • Recommend approval of certification of cases that meet evidenced based guidelines to standard of care
  • Refer all cases that do not appear to meet evidenced based guidelines or standard of care to a qualified physician for review

Required Certifications or License

  • Current Active Unrestricted Registered Licensure as a Nurse Practitioner in a state or territory of the United States

Education & Experience

  • Masters Degree in Nursing or a health related field
  • Minimum 7 years prior experience in Oncology Care
  • Oncology Nursing Certification from the ONCC

Knowledge Skills and Abilities:

  • Strong knowledge of oncology and insurance industry
  • Ability to communicate with health care providers, client representatives, patients and eviti staff in a peer-to-peer fashion
  • Initiative/independence in problem solving and literature research