Oncology Case Manager
virtual vocationsDenver, CO
Oncology Case Manager
L5
virtual vocationsDenver, COtoday
Industries
Offices of Physicians (except Mental Health Specialists)General Medical and Surgical HospitalsSpecialty (except Psychiatric and Substance Abuse) HospitalsTo enhance patient care, the full-time Oncology Prior Authorization Case Manager will conduct chart reviews for clinical utilization and authorization, coordinate with healthcare teams, and manage a designated patient caseload remotely.
Key responsibilities:
Perform timely prospective and concurrent reviews for services requiring prior authorization
Facilitate communication regarding authorization status and manage denials between payers and the healthcare team
Monitor treatment plans to identify potential delays and recommend alternative treatment options
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 in conducting clinical reviews in accordance with established criteria
Ability to communicate effectively with patients, families, and healthcare personnel
Apply now
Level
SeniorL5
Location
Denver, CO
Occupation
Medical Dosimetrists
Industry
Offices of Physicians (except Mental Health Specialists)
Posted
today
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