Oncology Prior Authorization Case Manager, Non-RN - Remote
Core
Review clinical utilization and manage ongoing authorizations for oncology patients to ensure continued care and avoid treatment delays.
Role type
Utilization Case Manager (Non-RN)
Builds
Patient care continuity and authorization workflows
Domain
Healthcare / Oncology / Insurance Utilization
Deliverable
client delivery
Required skills
Review clinical utilization, manage authorization processes, verify coverage benefits, communicate with clinical teams and patients, identify treatment delays, maintain knowledge of payer policies
Preferred skills
None stated
Technologies
None stated
Responsibilities
Perform timely reviews for services requiring authorization, follow payer authorization processes, review coverage benefits and limitations, facilitate interdepartmental communication regarding authorization status, maintain communication with clinical teams and patients about authorization progress, identify potential treatment delays and communicate barriers
Seniority
Mid-level, hands-on IC