Oncology Prior Authorization Case Manager, Non-RN - Remote

Alumni Network Job Board(2 months ago)

RemoteFull TimeMedior$92,662 - $124,142 (estimated)UMHC SCCC Business Operations

About this role

A Utilization Review Case Manager at the University of Miami Health System supports the management of clinical utilization and authorization processes within the UMHC SCCC Business Operations. This full-time, remote role works with clinical teams, patients, and payers and is accountable for a designated patient caseload. The position is part of the health system's operational team focused on efficient patient care coordination.

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Required Skills

Utilization Review
Prior Authorization
Chart Review
Case Management
Care Coordination
Payer Policy
Clinical Guidelines
Patient Advocacy
Communication

Qualifications

Bachelor's Degree

About Alumni Network Job Board

miami.edu

The University of Miami is a private research university in Coral Gables, Florida, serving more than 16,000 students from around the world. It is a vibrant, diverse academic community focused on teaching and learning, the discovery of new knowledge through research, and service to the South Florida region and beyond. UM offers a wide range of undergraduate, graduate, and professional programs with an emphasis on interdisciplinary scholarship, innovation, and community engagement.

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