Oncology Case Manager

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 avoid treatment delays

Monitor care and serve 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, preferably in oncology

Knowledge of payer reimbursement policies and clinical guidelines

Experience with authorization processes and clinical reviews

Any relevant education, certifications, and / or work experience may be considered