Oncology Case Manager

Job Summary

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 ensure optimal patient outcomes and timely communication of authorization status
• Monitor care, act as a liaison between patients, healthcare personnel, and insurers, and facilitate education on payer policies

Required Qualifications

• Bachelor's degree in a relevant field or equivalent experience
• Minimum of 2 years of relevant experience
• Oncology experience is preferred
• Knowledge of payer reimbursement policies and clinical guidelines
• Any relevant education, certifications, and/or work experience may be considered