Oncology Case Manager

University of Miami; United States; Remote; USD 70,000 - 90,000; Full time

Job summary

A leading healthcare institution is seeking an Oncology Prior Authorization Case Manager for a remote position. The successful candidate will conduct thorough chart reviews and coordinate with the healthcare team to ensure optimal patient outcomes. Required qualifications include a Bachelor's degree and at least 2 years of relevant experience, preferably in oncology. This role supports the healthcare process by liaising between patients and insurers.

Qualifications

• Minimum of 2 years of relevant experience, preferably in oncology.
• Experience with prior authorization processes.

Responsibilities

• Conduct initial, concurrent, and retrospective chart reviews.
• Coordinate with the healthcare team to optimize patient outcomes.
• Monitor care and act as a liaison between patients and insurers.

Skills

Knowledge of payer reimbursement policies

Clinical reviews

Oncology experience

Education

Bachelor's degree in a relevant field

Job description

A company is looking for an Oncology Prior Authorization Case Manager, Non-RN - Remote.

Key Responsibilities

• Conduct initial, concurrent, and retrospective chart reviews for clinical utilization and authorization
• Coordinate with the healthcare team to optimize patient outcomes and avoid treatment delays
• Monitor care and act as a liaison between patients, healthcare personnel, and insurers

Required Qualifications

• Bachelor's degree in a relevant field or equivalent experience
• Minimum of 2 years of relevant experience, with oncology experience preferred
• Knowledge of payer reimbursement policies and clinical guidelines
• Experience with prior authorization processes and clinical reviews
• Any relevant education, certifications, and/or work experience may be considered