Oncology Clinical Case Manager Pre authorization

HCA Healthcare UK; Yeovil; On-site; GBP 42,000 - 50,000; Full time

Job summary

A leading healthcare provider in the UK is seeking a Clinical Case Manager specializing in oncology and haematology. The successful candidate will obtain pre-authorization for complex cases and ensure adherence to national standards. Candidates must be registered nurses with significant hospital experience, especially in oncology. This full-time role offers a salary of up to £50,000 per annum, alongside comprehensive benefits including private healthcare and flexible holidays.

Benefits

25 days holiday each year

Private Healthcare Insurance

Private pension contribution

Season Ticket Loan

Group Life Assurance

Critical illness cover

Discounts with major retailers

Qualifications

• Registered nurse with NMC Pin.
• Extensive post qualification experience in a hospital setting.
• Experience in oncology/haematology is essential.

Responsibilities

• Obtain pre-authorization for complex cases.
• Work with third-party payers to promote patient care quality.
• Coordinate and evaluate services to meet patient health needs.

Skills

Registered nurse with NMC Pin

Extensive post qualification experience working in a hospital

Oncology/Haematology knowledge/experience

Experience with utilisation review and discharge planning

Stakeholder management

Excellent communication skills

Dynamic problem-solving approach

Education

Registered Nurse Degree

Job description

Overview

Clinical Case Manager-Oncology & Haematology Pre Authorization
London: Corporate
Full time: 37.5 hours per week
Shift times: Monday –Friday

Shifts: 8-4 or 9-5

Permanent contract
Salary: up to £50,000 per annum (DOE)

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 is a great opportunity for a Registered Nurse to join us as a Clinical Case Manager.

As a Clinical Case Manager, you will obtain pre-authorization for all complex cases within the service line prior to admission (Chemotherapy, Radiotherapy, & Bone Marrow Transplant (BMT)) but not limited to these treatments, and ensure the requests meet national standards and contractual requirements.

Working with third party payers to promote the quality and cost effectiveness of patient care using clinical acumen, you will participate in the collaboration process, which assesses, plans, implements, coordinates, monitors, and evaluates 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. We care that you want a career you can be proud of. We care that you want working conditions that support your health and wellbeing. Let us care for you and your career, the same way you do for others.

What you’ll bring

• Registered nurse with NMC Pin
• Extensive post qualification experience working in a hospital
• Experience of utilisation review and extensive discharge planning experience essential
• Oncology/Haematology knowledge/experience - essential
• Systematic Anti-Cancer Therapy (SACT) Passport - essential
• Experience as a Senior Staff Nurse/ band 6 or above - essential
• Stakeholder management
• Previous exposure to the Private Medical Insurance Industry - Desirable
• Possess excellent communication, organisation and computer skills and have a dynamic approach to problem solving
• Possess ability to take initiative to work independently and within teams

Why HCA UK?

Originally founded over 50 years ago by Dr Thomas Frist, HCA has gone on to become one of the world’s leading healthcare providers. In the UK, we’re one of the largest providers of privately funded healthcare and have invested over £500 million in the latest treatments, technology, techniques, medication and facilities. Being part of a large multisite, established healthcare group we can offer you unrivalled opportunities for career progression through internal and external courses, as well as working conditions that prioritise both your mental and physical wellbeing.

We believe that by caring for our employees, we empower them to provide exceptional care for our patients. That’s why we offer a host of flexible benefits that reflect the invaluable contribution they make every day. As a Clinical Case Manager, you’ll be eligible for:

• 25 days holiday each year (plus bank holidays) increasing with service, with option to buy or sell leave to suit you
• Private Healthcare Insurance for treatment at our leading hospitals
• Private pension contribution which increases 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 discount for all facilities including Maternity packages at The Portland
• Comprehensive range of flexible health, protection and lifestyle benefits to suit you
• Discounts with over 800 major retailers

Culture and values

At HCA UK we believe exceptional care starts with our people. We celebrate the unique perspectives and different experiences each of us bring as we know that when you feel seen, heard and supported you can be at your best for our patients, and each other.

Our mission is simple: above all else we’re committed to the care and improvement of human life, a clear statement that extends to both our patients and colleagues. To achieve this, we live and breathe four core values:

• Unique and Individual: We recognise and value everyone as unique and individual
• Kindness and compassion: We treat people with kindness and compassion
• Honesty, integrity and fairness: We act with absolute honesty, integrity and fairness
• Loyalty, respect and dignity: We trust and treat one another as valued members of the HCA UK family with loyalty, respect and dignity

Reasonable adjustments

We believe everyone should feel comfortable to bring their full self to work and be afforded the same opportunities. As a Disability Confident committed organisation, we’re happy to discuss flexible working arrangements to suit your needs as well as offer reasonable adjustments throughout our recruitment process, and in the workplace, to anyone that needs them.

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