Job Title: Value-Based Care Manager
Position OverviewThe Value-Based Care Manager is responsible for coordinating and managing the care of oncology patients participating in value-based care programs. This role serves as a central point of contact for patients and caregivers, ensuring care coordination, reducing duplication of services, and supporting positive clinical and cost-effective outcomes. Working collaboratively with physicians, nurse navigators, and interdisciplinary teams, the Value-Based Care Manager helps patients navigate the healthcare system while ensuring compliance with program requirements and practice redesign initiatives.
Key Responsibilities- Serve as a central point of contact for patients at high risk for complications to ensure coordinated, efficient care.
- Utilize a collaborative care management process including assessment, planning, facilitation, coordination, evaluation, and advocacy.
- Work closely with the patient's primary care team, particularly nurse navigators, to prevent overlap or redundancy in care.
- Assess patient, family, and caregiver needs and provide education, anticipatory guidance, and resources to reduce barriers to care.
- Perform appropriate clinical actions within the scope of nursing practice and training.
- Educate patients on preventive care practices and reinforce individualized care plans to prevent unnecessary admissions and readmissions.
- Track patient progress and outcomes; adjust care plans as needed in collaboration with oncologists.
- Schedule appointments, coordinate with physicians and specialists, and arrange outside services to support patient care and well-being.
- Assist patients in managing chronic conditions, prioritizing healthcare needs, and preventing complications through standardized care protocols.
- Support care transitions for patients discharged from the hospital, including medication management and follow-up scheduling.
- Collaborate with provider clinic staff to ensure accurate documentation of staging, oncology/hematology diagnoses, and other relevant clinical information.
QualificationsEducation & Experience- Required:
- Bachelor's degree in Nursing.
- Minimum of three (3) years of nursing experience.
- Preferred:
- Master's degree.
- Case management experience.
Credential/Licensure- Required:
- Current RN license to practice in the state where work is performed.
Skills & Abilities- Required:
- Strong knowledge of healthcare management resources and care coordination services.
- Excellent verbal and written communication skills with strong problem-solving and conflict resolution abilities.
- Ability to communicate effectively with patients, families, physicians, and staff at all levels.
- Proficiency in Microsoft applications (Word, Excel) and understanding of patient privacy and security requirements.
- Ability to work independently, exercise sound judgment, and manage multiple tasks and projects effectively.
- Strong organizational skills with the ability to maintain control of workflow in a fast-paced environment.
- Preferred:
- Experience working within oncology or value-based care programs.
No nights, weekends, or holidays. Comprehensive benefits package.Join UsIf you are passionate about care coordination, patient advocacy, and improving oncology outcomes through value-based care, we invite you to apply. Join West Cancer Center as a Value-Based Care Manager and help make a meaningful difference in patients' lives every day.
