[Hiring] Case Management Nurse - Oncology or Transplant Experience @Innovative Care Management, Inc.

Role Description

The Case Manager Nurse plays a critical role in supporting members with complex medical conditions by providing proactive, telephonic case management grounded in a whole-person approach. This position will primarily support members with oncology and transplant-related needs, helping patients navigate some of the most complex healthcare journeys while improving care coordination, outcomes, and the overall member experience.

As a trusted clinical resource, you'll partner closely with members, providers, transplant centers, oncology teams, and health plans to:

• Assess needs
• Develop individualized care plans
• Advocate for appropriate, cost-effective services

This position is ideal for an experienced RN with a background in oncology and transplant nursing who brings strong clinical judgment, exceptional communication skills, and a passion for supporting patients through complex episodes of care in a collaborative, remote environment.

This is a fully remote role. Candidates must reside in Iowa, Arizona, or Idaho.

Schedule: This position works four 10-hour shifts per week and must be able to support ICM’s standard operating hours of 8:00 AM–5:00 PM Pacific Time. Specific shift times may vary based on business needs and the candidate’s time zone.

Qualifications

• Active, unrestricted Registered Nurse (RN) license in good standing
• Associate’s or Bachelor’s degree in Nursing
• 5+ years of clinical nursing experience
• Current or recent oncology nursing experience
• Current or recent transplant nursing experience (solid organ, living donor, HSCT/BMT, or tissue transplant)
• Strong knowledge of chronic disease management, utilization management, and social determinants of health
• Experience managing complex, high-utilization patient populations
• Excellent written and verbal communication skills with empathy, professionalism, and emotional intelligence
• Strong organizational skills with the ability to manage multiple priorities independently
• Sound clinical judgment and confidence navigating complex or sensitive situations
• Comfort working independently in a remote environment with strong accountability and follow-through
• Ability to manage confidential information in compliance with HIPAA
• Must reside in Iowa, Arizona, or Idaho
• Ability to work four 10-hour shifts per week and support coverage during ICM’s standard operating hours of 8:00 AM–5:00 PM Pacific Time

Requirements

• Case management or utilization certifications (e.g., CCM, CPUR, CPHM)
• Certified Clinical Transplant Nurse (CCTN) credential
• Certification through the American Association of Transplant Management (AATM)
• Oncology Certified Nurse certification (OCN)
• Experience in case management
• Experience in a TPA or self-funded health plan environment
• Knowledge of health insurance regulations and utilization management processes
• Experience using medical necessity criteria and utilization review tools
• Experience with EMRs and care management platforms
• Multi-state licensure

Company Description