Overview
Clinical Case Manager - Oncology & Haematology Pre Authorization
London: Corporate | Full time: 37.5 hours per week | Shift times: Monday - Friday | Shifts: 8-4 or 9-5
Permanent contract | Salary: up to £50,000 per annum (DOE)
We are looking for a Clinical Case Manager with senior experience in inpatient bedside nursing (Band 6 or above) within Oncology/Haematology to join the Case Management Team at HCA Healthcare UK. This is a great opportunity for a Registered Nurse to join us as a Clinical Case Manager.
As a Clinical Case Manager, you will obtain pre-authorization for all complex cases within the service line prior to admission (Chemotherapy, Radiotherapy, and Bone Marrow Transplant (BMT), among others) and ensure requests meet national standards and contractual requirements. You will work with third party payers to promote the quality and cost effectiveness of patient care, participating in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options and services to meet patient health needs.
At HCA UK we care about what you care about. We care about delivering the very best care, supporting your career, and providing working conditions that support your health and wellbeing.
Responsibilities
* Obtain pre-authorization for all complex cases prior to admission (Chemotherapy, Radiotherapy, Bone Marrow Transplant and related therapies) ensuring requests meet national standards and contractual requirements.
* Collaborate with third party payers to promote quality and cost-effective patient care.
* Assess, plan, implement, coordinate, monitor and evaluate options and services to meet patient health needs.
* Participate in the collaboration process across case management to optimize patient outcomes.
What you'll bring
* Registered nurse with NMC Pin
* Extensive post-qualification hospital experience
* Experience of utilization review and extensive discharge planning
* Oncology/Haematology knowledge/experience - essential
* Systematic Anti-Cancer Therapy (SACT) Passport - essential
* Experience as a Senior Staff Nurse/Band 6 or above - essential
* Stakeholder management (Desirable)
* Previous exposure to the Private Medical Insurance industry (Desirable)
* Excellent communication, organisation and computer skills; proactive problem solving
* Ability to work independently and within teams
Benefits
* 25 days holiday per year plus bank holidays, with option to buy/sell leave
* Private healthcare insurance for treatment at leading hospitals
* Private pension contribution
* Season Ticket Loan and Cycle to Work scheme
* Group Life Assurance from day one
* Critical illness cover
* Enhanced maternity and paternity pay
* Corporate staff discounts and additional benefits
Note: This description reflects the role as described by the employer. If you are viewing other postings, those are separate opportunities and not part of this role.
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