Company Description

Hi, we’re Gravie. Our mission is to improve the way people purchase and access healthcare through innovative, consumer-centric health benefit solutions that people can actually use. Our industry-changing products and services are developed and delivered by a diverse group of unique people. We encourage you to be your authentic self - we like you that way. A Little More About Us: · We know healthcare - our company was founded and is still led by industry veterans who have started and grown several market-leading companies in the space · We are quickly becoming one of the fastest growing health benefits companies in the country · We have received numerous awards and accolades, including Inc. Magazine Best in Business Gold Medal award in 2021, and JMP Securities Top 50 Private Companies in Insurtech in 2022 · Our culture is unique · We tend to be non-hierarchical, merit-driven, opinionated but kind people who thrive working in a high-performance, fast-paced environment · People at Gravie care deeply about making a positive impact in the lives of the people we serve · We may not be the right place for everybody, but if you get energized by doing work every day that focuses on putting consumers at the front of the line, we could be a great place for you · It takes unique people and diverse perspectives to deliver our results · We encourage you to be your authentic self – we like you that way

Job Description

We’re looking for an experienced Registered Nurse Specialist with deep knowledge and experience in oncology. You’ll take what we’re doing - creating a health plan people will love – and support shared decision making with members and their families to guide cost-effective, optimal healthcare decisions. You’ll work directly with our Clinical Services, Gravie Care, Claims, and network partner teams to understand the needs of our members to drive evidenced based and innovative solutions. You’ll have a passion for educating others and find that you have a strong sense of empathy for those you serve.

Requirements

You bring: · Bachelor’s degree in Nursing · Active RN licensure in state hired · Strong experience with in depth knowledge of oncology disease processes and treatment plans · Reside in a Nurse Licensure Compact (NLC) state. · At least 5 years of experience in clinical and managed care roles such as case management or care navigation · Exceptional verbal and written communication skills · Demonstrated customer service, communication, and organizational skills · A passion for helping people and finding unique ways to communicate care plans and ideas. · Ability to work independently, prioritize effectively, and make sound decisions Extra Credit · OCN preferred

Responsibilities

You will: · Research and analyze member health needs to develop an effective care plan for the members to reach goals and obtain optimal health outcomes · Leverage your clinical experience, perceptive business sense, and critical thinking skills to optimize resources and guide members to cost effective outcomes · Combine your experience of evidenced based practice with being innovative to drive new solutions for the best member experience · Educate members or member representatives to empower them in making better healthcare decisions for higher quality care while lowering costs for the member and plan · Collaborate and communicate with all members of the healthcare team from the member, to the family, and other team members at Gravie · Communicate with external partners including providers, vendors, and network representatives · Document and follow procedures according to the standardized processes in place · Demonstrate understanding of healthcare benefits and how they play a role in member behavior so you can navigate the healthcare system · Use your knowledge of case management, disease processes, chronic conditions, and complex situations to help identify the next best actions for members · Be flexible and excited about change in a fast-paced, growing environment · Demonstrate a strong sense of accountability for clinical program success · Create effective relationships, listen, communicate and be a helpful team member across the organization

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