Oncology Case Manager

To 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