# Clinical Case Manager (Pre-Authorisation)

**Company**: HCA Healthcare UK
**Location**: London
**Work arrangement**: onsite
**Experience**: senior
**Job type**: full-time
**Salary**: Competitive
**Category**: Healthcare
**Industry**: Healthcare

**Apply**: https://www.jobs.nhs.uk/candidate/jobadvert/E0115-0054255?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/jobs/job_87382cc5-396

## Description

We're looking for a Clinical Case Manager - Pre-Authorisation to join our Case Management team. This opportunity is ideally suited to an experienced Band 6 nurse or healthcare professional with extensive inpatient bedside nursing experience across both adult and paediatric care, or a senior nurse with a strong background within the healthcare insurance sector.

As a Clinical Case Manager, you'll use your clinical expertise to assess pre-authorisation requests for complex treatments including chemotherapy, radiotherapy and bone marrow transplant cases, ensuring all reviews are completed in line with national standards, evidence-based practice and contractual requirements.

Main duties of the job:

- Manage pre-authorisation requests for complex treatments and ensure timely completion in line with contractual requirements.

- Conduct clinical reviews using nationally recognised, evidence-based standards and escalate cases where appropriate.

- Assess medical necessity and level of care requirements, making recommendations to Physicians and Medical Directors.

- Collaborate with clinical teams, provider networks and third-party payors to coordinate patient treatment plans and authorisations.

- Maintain accurate clinical documentation, support audit activity and contribute to quality improvement initiatives.

Benefits:

- 25 days holiday each year, plus bank holidays, increasing with service, with option to buy or sell leave to suit you

- Private Healthcare Insurance for treatment at our leading hospitals

- Private pension contribution which increases with length of service

- Season Ticket Loan and Cycle to Work scheme

- Group Life Assurance from day one

- Critical illness cover

- Enhanced Maternity and Paternity pay

- Corporate staff discount for all facilities including Maternity packages at The Portland

- Comprehensive range of flexible health, protection and lifestyle benefits to suit you

- Discounts with over 800 major retailers

## Skills

### Required
- Systemic Anti-Cancer Therapy (SACT) Passport
- NMC registration as an Adult Nurse
- extensive inpatient bedside nursing experience
- clinical case management
- utilisation review

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Source: [Apply at jobs.nhs.uk](https://www.jobs.nhs.uk/candidate/jobadvert/E0115-0054255?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)