Oncology Clinical Case Manager Pre authorization

HCA Healthcare UK; City Of London; On-site; GBP 40,000 - 55,000; Full time

Job summary

A leading healthcare provider in London is seeking a Clinical Case Manager specializing in Oncology and Haematology. The ideal candidate will demonstrate senior nursing experience and will be responsible for obtaining pre-authorization for complex cases, collaborating with payers, and ensuring quality patient care. This role offers competitive benefits and a full-time work schedule.

Benefits

25 days holiday per year

Private healthcare insurance

Enhanced maternity and paternity pay

Corporate staff discounts

Qualifications

• Extensive post-qualification experience in a hospital setting.
• Experience in utilization review and discharge planning.
• Experience as a Senior Staff Nurse / Band 6 or above.

Responsibilities

• Obtain pre-authorization for complex cases prior to admission.
• Collaborate with third-party payers.
• Engage in assessment, planning, and evaluation of patient needs.

Skills

Registered nurse with NMC PIN

Excellent communication skills

Organizational skills

Proactive problem solver

Ability to work independently

Extensive post-qualification experience

Oncology/Haematology experience

Education

Nursing qualification

Job description

Overview

Clinical Case Manager-Oncology & Haematology Pre Authorization
Location: London, Corporate
Contract: Permanent, Full time 37.5 hours per week
Shift times: Monday – Friday, 8:00–16:00 or 9:00–17:00

We’re looking for a Clinical Case Manager with senior experience in Inpatient Bedside Nursing (Band 6 or above) within Oncology/Haematology to join the Case Management Team at HCA Healthcare UK. This role involves obtaining pre-authorization for complex cases prior to admission (chemotherapy, radiotherapy, and bone marrow transplant (BMT), among others) and ensuring requests meet national standards and contractual requirements. You will work with third‑party payers to promote quality and cost‑effective patient care, participating in the collaborative process to assess, plan, implement, coordinate, monitor and evaluate options and services to meet patient health needs.

At HCA UK we care about what you care about. We care that you want to deliver the very best care, build a career you can be proud of, and work in conditions that support your health and wellbeing. Let us care for you and your career, the same way you do for others.

Responsibilities

• Obtain pre‑authorization for all complex cases within the service line prior to admission (Chemotherapy, Radiotherapy, and Bone Marrow Transplant or related Treatments) and ensure requests meet national standards and contractual requirements.
• Collaborate with third party payers to promote quality and cost‑effective patient care.
• Engage in the assessment, planning, implementation, coordination, monitoring and evaluation of options and services to meet patient health needs.

What you’ll bring

• Registered nurse with NMC PIN
• Extensive post‑qualification experience in a hospital setting
• Experience in utilisation review and extensive discharge planning
• Oncology/Haematology knowledge or experience
• Systematic Anti‑Cancer Therapy (SACT) Passport
• Experience as a Senior Staff Nurse / Band 6 or above
• Stakeholder management
• Private Medical Insurance industry exposure (desirable)
• Excellent communication, organisation and computer skills; proactive problem solver
• Ability to work independently and within teams

Why HCA UK?

Originally founded over 50 years ago by Dr Thomas Frist, HCA is a leading healthcare provider. In the UK, we are one of the largest providers of privately funded healthcare and have invested in the latest treatments, technology, and facilities. As part of a multisite, established healthcare group, we offer opportunities for career progression through internal and external courses, with working conditions prioritising wellbeing.

Benefits

• 25 days holiday per year (plus bank holidays), increasing with service, with option to buy or sell leave
• Private healthcare insurance for treatment at leading hospitals
• Private pension contribution, increasing with length of service
• Season Ticket Loan and Cycle to Work scheme
• Group Life Assurance from day one
• Critical illness cover
• Enhanced maternity and paternity pay
• Corporate staff discounts, including maternity packages at The Portland
• Comprehensive range of flexible health, protection and lifestyle benefits
• Discounts with over 800 retailers

Culture and values

• Unique and Individual: we recognise and value everyone as unique
• Kindness and compassion
• Honesty, integrity and fairness
• Loyalty, respect and dignity

Reasonable adjustments

We are a Disability Confident committed organisation and are happy to discuss flexible working arrangements and reasonable adjustments throughout recruitment and in the workplace, to anyone who needs them.

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