- University of Miami (Miami, FL)
- …CORE FUNCTIONS: + Adhere and perform timely prospective review for services requiring prior authorization as well as timely concurrent review for continuation of ... conducts initial, concurrent and retrospective chart reviews for clinical utilization and authorization . The Utilization Review Case Manager coordinates with the… more
- Hackensack Meridian Health (Neptune, NJ)
- …/Radiation Oncology services in the HMH Health care system. This pertains to Prior Authorization for Oncology services, as well as various specialized ... clinical data is submitted to substantiate the request for prior approvals for oncology services. **Responsibilities** A...in order to avoid technical denials for lack of prior authorization . Understand if payer rules governing… more
- GE HealthCare (CA)
- …support three patients every second around the world. This role is for the Oncology division and will work directly with the commercial team for additional expertise ... on breast cancer and clinical adoption of Cerianna. Oncology is a priority care area for us where...ensure clinical acceptance of Cerianna. + Follow up of prior educated customers to ensure long term acceptance and… more
- University of Virginia (Charlottesville, VA)
- Provide billing and compliance support within the Division of Radiation Oncology to include; compliance and charge capture, referral/medical necessity, denial ... support to clinic and administrative personnel within the Division of Radiation Oncology . + Assures that all referrals are managed effectively and efficiently for… more
- Pfizer (Bothell, WA)
- …but not limited to project teams, peers, partner lines and ORU ( Oncology Research Unit) leadership, you will be responsible for successfully leading research ... and coordinating experimental plans across group to support the business units' case for investment for continued investment. + Actively contribute to the broader… more
- MD Anderson Cancer Center (Houston, TX)
- …population. **EXPERIENCE** Preferred: Experience as Advanced Practice Registered Nurse. Prior Medical Oncology experience. **LICENSURE / CERTIFICATION** ... in a clearly understood manner. Coordination of tumor board conferences: Compiles case study data discussed at tumor board meetings. Reviews patient charts to… more
- LifePoint Health (Johnstown, PA)
- …Specialties is seeking a full-time Surgical Scheduler - CPG Medical Oncology in Johnstown, PA. The Scheduler is responsible forcoordinating patient's procedures ... in use of EPIC system for placing orders/prep for case and documenting needed information in appropriate place. This...Responsible for obtaining correct CPT and ICD 10 codes prior to obtaining authorizations for procedures. Will work with… more
- Trinity Health (Grand Rapids, MI)
- …to: managing toxicities, adherence to medication, tracking lab results, facilitating prior authorization and triaging financial constraints. Utilizing the ... An oral oncolytic clinic nurse, is a registered nurse with oncology -specific clinical knowledge who helps manage patient's oral oncolytic regimens. This… more
- Hackensack Meridian Health (Hackensack, NJ)
- …to transform healthcare and serve as a leader ofpositive change. The Oncology Clinical Research Nurse Solid Divisionis responsible for coordinating and overseeing ... of studies for feasibility and evaluates potential competition with other protocols prior to submitting study. + Reviews study with principal investigator and/or… more
- MD Anderson Cancer Center (Houston, TX)
- …to comply with institutional standards, initiatives, and guidelines (ABN's, prior authorization requirements, reimbursement optimization, formulary management, ... learning experiences. * Effectively precepts other trainee-required experiences including oncology forum, research projects, grand rounds, MUEs, etc. * Collaborates… more