Medical Oncology Nurse
Posted Updated
About OncoHealth
OncoHealth delivers the industry's first integrated oncology management solution. Built on deep oncology expertise, our multidisciplinary team designs, delivers, and continuously advances solutions that help health plans and employers manage costs, close care gaps, and improve outcomes while ensuring people with cancer receive timely treatment and meaningful support.
About the Role
About the Role
The Medical Oncology Nurse is responsible for using effective relationship management, education, patient advocacy and related interventions for oncology requests.
Primary Responsibilities
- Obtain, review, present clinical or service information, and create specific letters in collaboration with pharmacy team and medical team members to enable medical decision on requested therapy
- Review supportive care drugs
- Review services such as site of care
- Review requests for medical necessity, referring to the Medical Director those that require clinical decision-making authority
- Create letters such as denials to support outcomes of cases
- Facilitate peer-to-peer phone calls to maximize patient outcomes
- Approve requests that meet clinical review criteria upon direction from the Medical Director
- Serve as initial clinical reviewer
- Build relationships with providers’ offices and staff
- Work closely with and provide advice and counsel to CRS team and other departments as needed
- Present clinical information to clinical staff to enable medical decision on requested therapy
- Maintain accurate records of all interventions and communications and provide timely verbal/written reports on each case
- Create Clinical Consultation Faxes
- Review medical records, laboratory results and other testing
- Manage assigned projects such as improved quality of care, workflow efficiency, promote cost effective medical outcomes, provide for continuity of care, assure appropriate levels of care are received by patients
About You
- Bachelor’s degree or relevant experience required
- Must have current unrestricted Registered Nurse licensure recognized in the United States
- Minimum 2 years of experience in direct patient care or relevant educational attainment required
- Oncology Nursing experience preferred
- Knowledge of guidelines for, Medicare, Medicaid, LCD, NCD and Insurance guidelines
- Must have ability to demonstrate knowledge and skills needed to obtain clinical information for assessment
- Must be able to promote cost effective medical outcomes
- Ability to work 12:30PM EST - 8:30PM EST Monday-Friday
- Willingness to participate in a rotational weekend schedule that includes both Saturday and Sunday
About the Location
OncoHealth is committed to remote, hybrid or in office work options. The majority of the team will be remote or in hybrid work arrangements with offices in Atlanta, GA and Guaynabo, PR. We are open to employees nationwide but work primarily in the Eastern and Central Time Zones.
Our Culture
Taking ownership of quick action, critically thinking through the needs, and working well with others are key competencies of team member success. Our leadership is dedicated to building a culture based on respect, clinical excellence, innovation – all with a focused mission of putting patients first!
We offer a full benefit package on your first day, along with a company bonus. You may visit or work from our very modern and engaging offices, and experience a fun, collaborative environment where social activities and community events matter. We enjoy being together!
OncoHealth is committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and team members without regard to race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law. All employment decisions are based on qualifications, merit, and business need.
The Opportunity
The cost of cancer related medical services and prescription drugs in the United States is expected to reach $246 billion by 2030. OncoHealth has enjoyed rapid growth over the past 3 years and seeks smart, collaborative people to join its team. We have just under 250 team members, so we can move swiftly but precisely to the market needs of our customers. Strongly backed financially by Arsenal Capital Partners & McKesson Corporation, we remain in an investment and growth mode. This means we are open-minded to how we get the work done – now is the perfect time to talk to us!
Our Current Solutions
OneUM™ by OncoHealth®
Oncology Specialized Management
Oncology Specialized Management
OneUM is our oncology-specific utilization management solution that streamlines prior authorizations, ensuring clinically appropriate, evidence-based care.
Expert Policy & Strategy Guidance
Our in-house team, including oncologists and board-certified oncology pharmacists, helps optimize your oncology program with clinical and drug management expertise.
Our in-house team, including oncologists and board-certified oncology pharmacists, helps optimize your oncology program with clinical and drug management expertise.
Streamlined Prior Authorization
Submit full treatment regimens in a single request, customized to each partner’s needs.
Submit full treatment regimens in a single request, customized to each partner’s needs.
Clinician-Led, Holistic Reviews
Oncology-trained reviewers evaluate cases holistically. For potential denials, only managed care oncologists conduct peer-to-peers, ensuring timely, appropriate care.
Oncology-trained reviewers evaluate cases holistically. For potential denials, only managed care oncologists conduct peer-to-peers, ensuring timely, appropriate care.
Iris by OncoHealth®
Oncology Supportive Care
Iris provides 24/7 access to oncology trained nurses, therapists, and dietitians to support the physical, emotional, and nutritional challenges of cancer, from diagnosis through survivorship.
Oncology Nurse Support
Building trusted relationships with members through phone, video, or secure messaging to help prevent avoidable complications while providing continuity of care and personalized support.
Specialized Multidisciplinary Care
Oncology-trained mental health therapists and dietitians offer 1:1 visits, small groups, and interactive events to support whole-person care, well-being, and member satisfaction.
Digital Tools that Empower
An evidence-based content library supports members between appointments to reinforce confidence, engagement, and quality of life.
Oncology Insights™
On-Demand Data Analytics
Gain a real-time, 360° view of your oncology program with insights from both claims and prior authorization data.