Pre-Authorization Clinical Case Manager- Onc/Haem

HCA Healthcare UK; Greater London; On-site; GBP 40,000 - 50,000; Full time

Job summary

A leading healthcare provider is seeking a Clinical Case Manager specializing in Oncology and Haematology. This role offers a permanent contract with full-time hours and a competitive salary. The successful candidate will manage pre-authorization processes and collaborate with stakeholders to ensure quality patient care.

Benefits

Health and wellbeing support

Qualifications

• Extensive post-qualification hospital experience.
• Oncology/Haematology knowledge/experience.
• 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 for patient care.
• Assess, plan, implement, coordinate, monitor, and evaluate care options.

Skills

Communication

Organizational

Problem-Solving

Stakeholder Management

Education

Registered Nurse with NMC Pin

Job description

Pre-Authorization Clinical Case Manager- Onc/Haem

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 seeking a Clinical Case Manager with senior inpatient bedside nursing experience, Band 6 or above, in Oncology/Haematology to join the Case Management Team at HCA Healthcare UK.

This role offers an excellent opportunity for a Registered Nurse to advance their career as a Clinical Case Manager.

Responsibilities include obtaining Pre-Authorization for complex cases within the service line prior to admission (e.g., Chemotherapy, Radiotherapy, Bone Marrow Transplant), ensuring requests meet national standards and contractual obligations. You will collaborate with third-party payers to promote quality and cost-effective patient care, assessing, planning, implementing, coordinating, monitoring, and evaluating care options.

At HCA UK, we prioritize care for our staff as we do for our patients, supporting your health and wellbeing, and fostering a career you can be proud of.

Requirements include:

• Registered Nurse with NMC Pin
• Extensive post-qualification hospital experience
• Utilisation review and discharge planning expertise
• Oncology/Haematology knowledge/experience
• Experience as a Senior Staff Nurse/Band 6 or above
• Stakeholder management skills
• Desirable: experience in Private Medical Insurance industry
• Excellent communication, organizational, and computer skills; proactive problem-solving approach
• Ability to work independently and within teams