Description: Remote work from home role anywhere in the US with virtual training, 8:30am - 5pm shift within time zone of residence, Telephonic case manager with patients and their care team, Application and/or interpretation of applicable criteria and clinical guidelines, Applies clinical judgment for risk factors and barriers, Consults with supervisor and others to overcome barriers, Utilizes motivational interviewing skills for member engagement, Identifies and escalates members needs appropriately, Performs medical necessity reviews. Requirements: 5+ years experience as a Registered Nurse with at least 1 year of experience in a hospital setting, Active, unrestricted license in state of residence, Willingness to receive multi-state/compact privileges, 1+ years current or previous experience in Oncology, Transplant or Specialty Pharmacy, 1+ years experience documenting electronically using a keyboard, 1+ years Case Management experience or discharge planning, 1+ years' experience in Utilization Review, CCM and/or other URAC recognized accreditation preferred, 1+ years experience with MCG, NCCN and/or Lexicomp, Bilingual in Spanish preferred. Benefits: Affordable medical plan options, 401(k) plan (including matching company contributions), Employee stock purchase plan, No-cost programs for all colleagues including wellness screenings, Tobacco cessation and weight management programs, Confidential counseling and financial coaching, Benefit solutions that address different needs and preferences, Paid time off, Flexible work schedules, Family leave, Dependent care resources, Colleague assistance programs, Tuition assistance, Retiree medical access, Many other benefits depending on eligibility. Apply Job!