Clinical Case Manager (Oncology Team) - Clinical Services
Core
Support customers and healthcare providers with treatment authorizations, eligibility queries, and benefit explanations within the oncology domain.
Role type
Registered Nurse (Oncology) Clinical Case Manager
Builds
Treatment pathways and care plans for oncology patients
Domain
Healthcare / Oncology
Deliverable
client delivery
Required skills
Clinical case management, oncology expertise, treatment authorization assessment, policy compliance, risk identification, clinical record maintenance
Preferred skills
Contact centre experience, independent working, multi-system proficiency
Responsibilities
Support customers and healthcare providers with treatment authorisations, eligibility queries and benefit explanations; Assess requests against policy terms and ensure customers are directed to the most appropriate treatment pathway; Manage clinically complex cases and provide support to colleagues across the business; Maintain accurate clinical records and ensure all activity complies with data protection and regulatory requirements; Identify potential concerns, incidents or risks and escalate appropriately; Help improve customer outcomes by identifying suitable treatment options and pathways
