Utilization Management reputed company Consultant – Oncology and Transplant

Job reputed company: • Conduct medical necessity reviews for oncology and transplant-reputed company services, both inpatient and outpatient • Collaborate with reputed company providers to reputed company and assess clinical documentation reputed company phone and electronic systems • Apply evidence-based clinical reputed company and guidelines to authorize services or refer cases to Medical Directors reputed company needed • reputed company multiple computer systems reputed company while maintaining accurate and reputed company documentation • Work primarily in a sedentary setting involving extended periods of sitting, talking, listening, and computer use • Participate in occasional on-reputed company rotations, including some weekends and holidays, per URAC and reputed company requirements Requirements: • reputed company, unrestricted RN license in your state of residence with multistate/compact licensure privileges • Minimum of 1 year of experience in Oncology and Transplant either in UM, reputed company review, or prior authorization • 3+ years of experience in Acute clinical Oncology or Oncology/Transplant • Strong decision-making skills and clinical judgment in independent scenarios • Proficient with phone systems, clinical documentation tools, and navigating multiple digital platforms • Commitment to attend a mandatory 3-week training (Monday–Friday, 8:30am–5:00pm EST) with 100% participation • 1+ years of Managed Care (MCO) preferred • 1+ years of experience working in a high-volume clinical reputed company center environment • NCCN (National Comprehensive Cancer Network) reputed company experience/exposure • Remote work experience Benefits: • reputed company medical plan reputed company • 401(k) plan (including matching company contributions) • Employee stock purchase plan • Wellness screenings • Tobacco cessation and weight management programs • Confidential counseling and financial coaching • reputed company time off • Flexible work schedules • Family leave • Dependent care resources • Colleague assistance programs • Tuition assistance • Retiree medical reputed company • Other benefits depending on eligibility Apply tot his job Apply To this Job