State Licensed Oncology Nurse Reviewer
VirtualVocationsHuntington Beach, California, United Statesjob_description.job_card.1_day_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_description
A company is looking for a UM Nurse Reviewer - Oncology.
Key Responsibilities
Apply oncology clinical expertise to ensure outputs align with payer requirements and evidence-based guidelines
Monitor payer updates and oncology guideline changes to maintain a current knowledge base
Collaborate with product and engineering teams to translate oncology-specific review requirements into actionable design
Required Qualifications
Registered Nurse (RN) with an active license
3-5 years of experience in oncology utilization management or prior authorization
Strong understanding of payer policies and oncology authorization workflows
Working knowledge of ICD-10 and CPT coding
Comfort with technology platforms and interest in AI or decision support systems
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Nurse Oncology • Huntington Beach, California, United States
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