Pre authorization Clinical Case Manager-Oncology/Haematology

NHS; London; On-site; GBP 42,000 - 50,000; Full time

Job summary

Join a leading healthcare provider as a Clinical Case Manager in Oncology and Haematology in London. This role involves obtaining pre-authorizations for complex cases and ensuring patient care standards are met. You will leverage your extensive nursing experience to collaborate with third-party payers and enhance patient care efficiency, while enjoying a supportive work environment that prioritizes your wellbeing.

Benefits

25 days holiday plus bank holidays

Private Healthcare Insurance

Private pension contribution

Season Ticket Loan

Critical illness cover

Enhanced Maternity and Paternity pay

Qualifications

• Registered nurse with NMC Pin required.
• Extensive post qualification experience in a hospital setting.
• Oncology/Haematology knowledge and senior nursing experience essential.

Responsibilities

• Obtain Pre-Authorization for complex cases within oncology/haematology.
• Work with third-party payers to assess and coordinate patient health needs.
• Evaluate treatment options based on national standards.

Skills

Communication

Organisation

Problem Solving

Education

Registered nurse with NMC Pin

Job description

Pre authorization Clinical Case Manager-Oncology/Haematology

Pre authorization Clinical Case Manager-Oncology & Haematology

London: Corporate

Full time: 37.5 hours per week

Shifts: 8-4 or 9-5

Permanent contract

Salary: 'up to £50,000 per annum'

Were 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.

Main duties of the job

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, Radio-therapy, & Bone Marrow Transparent (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 patients 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

About us

Originally founded over 50 years ago by Dr Thomas Frist, HCA has gone on to become one of the worlds leading healthcare providers. In the UK, were 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. Thats why we offer a host of flexible benefits that reflect the invaluable contribution they make every day. As a Clinical Case Manager, youll 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

Job responsibilities

What youll 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/experienceessential

Experience as a Senior Staff Nurse/ band 6 or above essential

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

Person Specification

Experience

• Extensive post qualification experience working in a hospital
• Experience of utilisation review and extensive discharge planning experience essential
• Oncology/Haematology knowledge/experience essential
• Experience as a Senior Staff Nurse/ band 6 or above essential
• 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
• Previous exposure to the Private Medical Insurance Industry-Desirable

Qualifications

• Registered nurse with NMC Pin
• Experience as a Senior Staff Nurse/ band 6 or above onc/haem essential

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.