Transitions Of Care Nurse

Summary

Join Thyme Care as an Oncology Nurse - Transitions of Care and be on the frontlines serving members diagnosed with cancer. You will conduct clinical assessments, monitor health changes, coordinate care transitions, and educate members and caregivers. This role requires strong clinical focus, cultural competency, and communication skills to improve service offerings. You will handle clinical escalations, prioritize member needs, and coordinate care with providers and payers. The position can be remote or hybrid in Nashville and involves telephonic assessments, virtual home safety evaluations, and providing referrals as needed. Success in this role depends on a member-first approach, strong communication skills, and comfort with ambiguity in a fast-paced startup environment.

Requirements

• A Bachelor of Science Degree in Nursing
• An unrestricted Registered Nurse (RN) license
• A willingness to obtain additional state licenses as needed
• At least 5 years of nursing experience with 3 years of oncology nursing or case management experience
• A Certified Case Manager (CCM)
• OCN certification at time of hire or a commitment to obtain within 2 years of hire at Thyme Care

Responsibilities

• Conduct clinical assessments, monitor for changes in health, coordinate care, including transitions, and educate members and caregivers about their diagnosis and treatment over the phone to support our members as they move through the oncology care continuum
• Demonstrate a strong clinical focus, supporting the need for culturally competent care
• Help improve Thyme Care’s service offerings by communicating feedback from members and providers to our clinical leadership
• Assist with other administrative projects as needed
• Identify and prioritize a member's needs and help them remain safe in the community
• Assist members with care coordination and care management following admissions
• Coordinate discharge plans with hospital case managers and follow-up care with providers
• Monitor member progress, provide regular updates, and establish targeted support plans with the healthcare team in case conferences
• Build strong, trusting relationships with payers and providers to optimize care and prevent readmissions for our members
• Partner with non-clinical Care Team members to support the member’s social determinants of health needs, such as food resources, transportation access, and support at home
• Conducting telephonic assessments, including pain assessments and medication reconciliation
• Ensure members have access to medications and appointments, providing referrals and support as appropriate
• Perform virtual home safety evaluations and assess the need for DME/supplies
• Provide referrals to PT, OT, skilled nursing, palliative care, hospice care, etc., as appropriate
• Be available for urgent clinical escalations and clinical consult support
• Have completed training and are up to speed on Thyme Care systems, tools, technology, partners, and expectations
• Have built strong, trusting relationships with your members, where listening and empathy are the foundation for every interaction
• Be comfortable following Care Team policies and procedures, escalation pathways, communications best practices, and documentation standards
• Your ability to effectively engage and support our members is reflected in our efficiency metrics and quality standards

Preferred Qualifications

• Organized. You’re skilled in juggling multiple tasks and working under pressure without sacrificing organization in your communications and documentation
• Effective listener and communicator. You are winsome and articulate, but you always start with listening and hearing what may not be voiced because you listen intently to others. You build rapport and great working relationships with members and colleagues
• Comfort with ambiguity. Start-ups are fast-paced environments, and you understand that rapid changes to the business, strategy, organization, and priorities are par for the course… and part of the adventure
• A desire to learn how to use new technologies. We are a technology company focused on interacting with folks during the season when they need it most. Experience with video chatting, Google Suite, Slack, electronic health records, or comfort in learning new technology is important
• Identify priorities and take action. You know how to identify and prioritize a member's needs and do what it takes to address urgent and important needs immediately

Benefits

• The pay rate for this role is $45.67/hour
• This is a non-exempt, full-time position
• The shift for this role will be 8:30 am-5:00 pm EST or 11:30 am-8 pm EST
• To ensure sufficient clinical coverage, we ask that our Care Team be prepared to work up to 2 holidays per year, compensated at a 1x hourly rate and a 1.5x holiday rate
• This role can be remote or hybrid based in our Nashville office