RN Case Manager, Cancer Screening Program (Full-Time)

Annual Salary Range: $87,000-91,000

Employee Benefits: Medical, Dental, Vision all with Carefirst Blue Cross Blue Shield, Paid Time Off (Vacation, Sick, Personal, Holidays), 403B Plan, Short-Term & Long Term Disability, Life Insurance.

Telework: This position is approved for hybrid in-person and telework. Job duties require at least two (2) days a week onsite as well as for in-person meetings and collaboration with other staff at PCC. This role is approved for telework when activities do not require a physical presence. Note: PCC employees must reside in the following five states or District of Columbia: MD. VA, WVA, DE. PA, DC. Relocation expenses are not reimbursed.

The Primary Care Coalition seeks a motivated and experienced Registered Nurse to serve as RN Case Manager for the Breast & Cervical Cancer Program (BCCP). The BCCP assists low-income, uninsured, and underinsured women in Maryland in accessing timely breast and cervical cancer screening, diagnostic, and treatment services, and patient navigation services to help women overcome barriers and get timely access to high quality care. This role collaborates with partners including safety-net health center staff, a network of specialty care providers, and other PCC program or department staff.

Reporting to the Director of Cancer Prevention Detection, the BCCP Nurse Case Manager provides the network of clinics with case management assistance in identifying and tracking BCCP patients with abnormal, incomplete, or unsatisfactory screening results. This position provides program coordination, clinical oversight, and case management for the BCCP to ensure clinical standards of care are met in compliance with the MD Department of Health minimal standards. On a day-to-day basis, the RN Case Manager actively collaborates with other BCCP team members, while also partnering with health center providers, medical directors and patient navigation staff.

Essential Duties

1. Clinical Oversight & Case Management:

• Implements policies and procedures for the BCCP to ensure clinical standards are met in compliance with MDH and clinical practice guidelines.
• Reviews patient breast and cervical cancer screening results weekly to determine compliance with the minimal standards of care.
• Runs BCCP CDC Edits & CaST Queries monthly and makes corrections to patient charts and BCCP database.
• Ensures Diagnostic Tracking Log is completed weekly to facilitate billing verification.
• Monitors and track routine and short-term recalls monthly to ensure we close out temporarily/permanently inactive patients at 90 days (3 months).
• Leads recall process coordinating with Recall Specialist and Health Center Patient Navigator as appropriate. Routinely reviews recall data to generate recall lists for Recall Specialist to ensure all data is accurate and is responsible for recalls in the absence of the Recall Assistant.

2. Care Coordination & Relationship Management:

• Weekly, runs reports from the medical record system, eClinicalWorks and retrieves Clinical Breast Exams, Pap smears, Colposcopies and Mammogram results from appropriate portals and databases to update the CaST database with the clinical disposition;
• Ensures timely follow-up with clinical providers regarding recommendations for abnormal findings, incomplete and/or unsatisfactory results whose follow-up plan of care is not in accordance with the program's Minimal Standards.
• Assists health centers and patients to complete State funded Diagnosis and Treatment applications and/or registration forms as needed. Serves as partner/service provider liaison and key PCC BCCP representative to verify Diagnosis and Treatment eligible patients.
• Provides exceptional customer service to patients, clinic managers, representatives from partner agencies, and members of the public through face-to-face, telephone calls and video conferencing.

3. Additional Responsibilities:

• Collects and analyzes data to support program planning and improvements.
• Assists in the compilation of materials needed and works in collaboration with the Program Director in the preparation of reports
• Provides clinical input regarding provider contracts, assists the Program Director with contract development, implementation and monitoring to ensure timely, quality and program-compliant delivery of care.
• Assists Data Quality Manager and Program Manager as needed to reconcile discrepancies and verify services submitted for billing.
• Attends and participates in all BCCP and/or PCC meetings and other PCC internal or external meetings, as requested.
• Participates in PCC Healthcare Access team meetings and contributes to improvement projects.
• Other duties as assigned.

EDUCATION AND EXPERIENCE:

• Registered Nurse with current license to practice in the state of Maryland required.
• 5-7 Years Experience, with 1-2 years in a multi-cultural and/or community-based setting preferred.
• Bi-lingual in English and Spanish preferred.
• Experience with Electronic Health Records (EMR) and/or public health databases.
• Experience interpreting screening results, CPT coding, and case management.
• Proficiency in Microsoft Office Suite (SharePoint, OneDrive, Word, Excel, PowerPoint).
• Experience and familiarity with online meeting platforms (Microsoft Teams, WebEx, Skype).
• Experience with eligibility criteria and guidelines of public health programs preferred.

SKILLS AND ABILITIES:

• Strong communication and interpersonal skills with an ability to handle sensitive communications and interface with individuals in crisis.
• Excellent oral and written communication skills
• Strong organizational and time-management skills without compromising attention to detail.
• Ability to work independently, manage multiple tasks and responsibilities, and meet deadlines.
• Computer literacy skills (proficiency in Microsoft Office, SharePoint, Adobe Acrobat, electronic medical records, etc.). Comfortable using technology to manage referrals, record data, and generate reports.
• Familiar with use of common office equipment (faxing, copy machine, scanner, etc.).
• Strong commitment to patient care and demonstrated excellent customer service skills.
• Ability to develop innovative ideas/methods to achieve program objectives.
• Strong analytical skills and demonstrated initiative in problem solving.
• Ability to collaborate with staff of different levels and coordinate team functions successfully.
• Experience with provider relations is helpful.

ADA Requirements

This job operates in a professional office environment. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• This role routinely uses standard office equipment such as computers, telephones, photocopiers, filing cabinets and fax machines.
• This is largely a sedentary role; however, some filing may be required.
• This would require the ability to lift files, open filing cabinets and bend or stand as necessary.
• Requires ability to learn new software applications as necessary.
• Must be able to lift up to 20 pounds.
• Must be able to travel.

Disclaimer

This job description indicates in general the nature and levels of work, knowledge, skills, abilities and other essential functions as covered under the Americans with Disabilities Act expected of an incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of an incumbent. An incumbent may be asked to perform other duties as required.

Primary Care Coalition is an Equal Opportunity Employer.

Salary : $87,000 - $91,000