Top 10833 Rn Oncology Jobs

Oncology Prior Authorization Case Manager, Non-RN - Remote
University of Miami —Miami, FL
- Full-time
- Remote
- Mid-level
- Bachelor's degree
- Experience equivalent to degree accepted
- Health insurance
- Dental insurance
Oncology Triage Nurse (Telehealth) [Full-Time]
Guideway Care —Remote
- $30 an hour
- Weekends as needed
- Remote
- Background check
- Nursing
- RN License
- Disability insurance
- Health insurance
Quick Apply
12d
Registered Nurse - Oncology
Central Maine Medical Center —Lewiston, ME
- $36.00 - $589.92 an hour
- 12 hour shift
- Nursing
- RN License
- Bachelor of Science
- Health insurance
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Registered Nurse - Dialysis - Part-Time - Sign on Bonus Eligible!
Cheyenne Regional Medical Center —Cheyenne, WY
- Part-time
- Nursing
- Management
- RN License
- Wellness program
- 403(b) matching
RN - MedSurg, Days - Midtown
Piedmont Healthcare —Columbus, GA
- Full-time
- Nursing
- Patient monitoring
- RN License
RN - Registered Nurse - Perioperative
Geisinger —Wilkes-Barre, PA
- 8 hour shift
- Nursing
- RN License
- Computer literacy
- Wellness program
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RN - Registered Nurse - Hospital-based Outpatient and Clinic
Geisinger —Danville, PA
- Full-time
- Nursing
- RN License
- Hospital
- Wellness program
- Health savings account
RN - MedSurg, Nights - Northside
Piedmont Healthcare —Columbus, GA
- Full-time
- Nursing
- Patient monitoring
- RN License
RN - Registered Nurse - Ophthalmology
Geisinger —Danville, PA
- Full-time
- Nursing
- Vital signs
- RN License
- Wellness program
- Health savings account
Charge RN - MedSurg, Nights - Northside
Piedmont Healthcare —Columbus, GA
- Full-time
- Nursing
- Surgery
- RN License
RN - MedSurg, Nights - Northside
Piedmont Healthcare —Columbus, GA
- Full-time
- Nursing
- Surgery
- RN License
Registered Nurse RN- Medical Oncology
MyMichigan Health —Midland, MI
- Full-time
- Nursing
- Current TB test
- RN License
RN - MedSurg, Nights, PRN - Northside
Piedmont Healthcare —Columbus, GA
- Full-time
- Nursing
- Patient monitoring
- RN License
RN - MedSurg, Neuro - Midtown
Piedmont Healthcare —Columbus, GA
- Full-time
- Nursing
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RN - Registered Nurse - Echocardiography Laboratory
Geisinger —Danville, PA
- Full-time
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- RN License
- Wellness program
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Registered Nurse (RN) – Inpatient Acute Care
Mary Free Bed Rehabilitation Hospital —Grand Rapids, MI
- From $36 an hour
- Full-time
- Acute care
- Nursing
- Float pool
- Paid holidays
- Health insurance
Registered Nurse (RN) – Inpatient Acute Care Rotating Schedule
Mary Free Bed Rehabilitation Hospital —Grand Rapids, MI
- From $34 an hour
- Full-time
- Acute care
- Nursing
- RN License
- Paid holidays
- Health insurance
Registered Nurse (RN) - Operating Room (RN)
ECU Health —Ahoskie, NC
- $34.00 - $46.75 an hour
- Rotating weekends
- Surgery
- RN License
- BLS Certification
- Health insurance
Registered Nurse RN - Medical Oncology
MyMichigan Health —Saginaw, MI
- Weekends as needed
- Nursing
- Current TB test
- RN License
Registered Nurse RN- Medical Oncology
MyMichigan Health —Midland, MI
- Full-time
- Nursing
- Current TB test
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Oncology Prior Authorization Case Manager, Non-RN - Remote

University of Miami -
Miami, FL

Apply Now

Job Details

Full-time

Benefits

Health insurance
Dental insurance

Qualifications

Patient resource coordination
Medical insurance coverage verification
Patient advocacy
Mid-level
Overseeing care coordination
Bachelor's degree
Pre-authorization review for utilization management
Utilization management
Task prioritization
Resource utilization in healthcare
Insurance policy review
Concurrent review in utilization management
Patient progress monitoring
Health insurance referral requirements
Oncology
Care coordination
Managing patients as a clinical case manager
2 years
Documentation review

Full Job Description

Current Employees:

If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position, please review this tip sheet .

The University of Miami Health System Department of UMHC SCCC Business Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote. The incumbent conducts initial, concurrent and retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for optimal and efficient patient outcomes, while avoiding treatment delays and authorization denials. They are accountable for a designated patient caseload and provide intervention and coordination to decrease avoidable delays, at all times they provide communication of progress and or determination to the clinical team and or the patient. He/she monitors care and acts as a liaison between patient/family, healthcare personnel, and insurers. Evaluates the needs of the patient, the resources available, and recommends and facilitates for the best outcome to meet ongoing patient needs that encourages compliance with medical advice.

CORE FUNCTIONS:

Adhere and perform timely prospective review for services requiring prior authorization as well as timely concurrent review for continuation of care services
Follows the authorization process using established criteria as set forth by the payer or clinical guidelines
Accurate review of coverage benefits and payer policy limitations to determine appropriateness of requested services
Refers to the treatment plan for clinical reviews in accordance with established criteria and guidelines
Facilitates communication of denials and or Peer to Peer requests between payers and the healthcare team
Identifies potential delays in treatment or inappropriate utilization by reviewing the treatment plan, serves as a resource to provide education regarding payer policies and assists with coordination of alternative treatment options
Ensures and Maintains effective communication regarding authorization status and determination to the clinical team and on occasion the patient.
Proactive communication with leadership regarding barriers and or potential delays in care Identifies opportunities for expedited requests and prioritizes caseload accordingly
Maintains knowledge regarding payer reimbursement policies and clinical guidelines.
This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

CORE QUALIFICATIONS:

Education:

Bachelor’s degree in relevant field; or equivalent

Experience:

Minimum of 2 years of relevant experience

Oncology - Preferred

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

The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.

The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law.

Job Status:

Full time

Employee Type:

Staff

Apply Now

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