Registered Nurse I – Expert Medical Opinion (Oncology)

Role Overview

As a registered nurse supporting members remotely, you will help people understand their healthcare coverage and find appropriate care throughout their health journey. You’ll assess individual needs, coordinate services ranging from oncology support to virtual primary care, and provide reliable follow-up so members can make informed decisions and access timely help.

Key Responsibilities

• Explain available health benefits, care options, and services in a clear, member-focused way.
• Support members through cancer diagnosis, treatment planning, survivorship, and supportive care needs.
• Assess clinical concerns, determine urgency, and guide members toward suitable next steps.
• Connect members with specialists, expert medical opinions, and complex case management when appropriate.
• Coordinate access to virtual primary care, diabetes programmes, physical therapy, behavioural health, and other care services.
• Share evidence-based health information and follow up to support members’ care plans.
• Document assessments, guidance, and coordination accurately while protecting confidential health information and meeting HIPAA and other applicable privacy requirements.
• Work with multidisciplinary colleagues and contribute to improvements in care coordination and member support.

Requirements & Qualifications

• Bachelor of Science in Nursing or an equivalent nursing qualification.
• Active, unrestricted registered nurse licence, with an active Nurse Licensure Compact licence or eligibility under applicable requirements.
• At least three years of recent, direct patient-care experience.
• Strong clinical assessment, triage, critical-thinking, communication, and digital skills.
• Experience in oncology, telephone triage, medical-surgical nursing, maternity, emergency care, behavioural health, or home healthcare is preferred.
• Familiarity with medical benefits, insurance claims, or care coordination is an advantage.
• A compassionate, empathetic approach, sound judgment in handling confidential information, and a commitment to ongoing professional development.