Oncology Prior Authorization Case Manager

University of Miami

Utilization Review Case Manager conducting utilization and authorization reviews for patient care. Providing coordination between patients, healthcare teams, and insurers remotely while ensuring optimal outcomes.

Posted 7/20/2026full-timeRemote • Florida • 🇺🇸 United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in conducting clinical chart reviews and coordinating with healthcare teams to ensure optimal patient outcomes. Proficient in evaluating patient needs and facilitating resources for effective care management.

Highest-signal resume keywords

Clinical Chart ReviewPatient CoordinationHealthcare LiaisonPatient Needs EvaluationOncology Experience

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Chart ReviewUtilization ManagementAuthorization ProcessesPatient Outcome Evaluation

Soft Skills

CommunicationCollaborationProblem-Solving

Industry Keywords

HealthcareOncologyPatient CareClinical Utilization

About the role

Key responsibilities & impact

conducts initial, concurrent and retrospective chart reviews for clinical utilization and authorization
coordinates with the healthcare team for optimal and efficient patient outcomes
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

Requirements

What you’ll need

Bachelor’s degree in relevant field; or equivalent
Minimum of 2 years of relevant experience
Oncology - Preferred

Benefits

Comp & perks

medical
dental
tuition remission