Oncology Prior Authorization Case Manager, Non-RN - Remote

Alumni Network Job Board(5 months ago)

RemoteFull TimeMedior$92,670 - $124,152 (estimated)Business Operations

About this role

The University of Miami Health System is recruiting a Utilization Review Case Manager to perform initial, concurrent and retrospective chart reviews and manage authorizations to ensure appropriate clinical utilization. The role supports a designated patient caseload, acting as a liaison between patients, clinical teams and insurers to prevent treatment delays and authorization denials. This is a full-time remote position within the UMHC SCCC Business Operations department.

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Required Skills

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

Qualifications

Bachelor’s Degree
2 Years Relevant Experience
Oncology Experience Preferred

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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