Clinical Review RN, Oncology AI Review

Job not on LinkedIn

🔥 13 hours ago

🇺🇸 United States – Remote

💵 $82.4k - $110k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🤖 Artificial Intelligence

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Natera

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2004

🏥 Healthcare

🧬 Biotechnology

⚕️ Healthcare Insurance

Healthcare • Biotechnology • Healthcare Insurance

Natera is a global leader in cell-free DNA testing technology, specializing in non-invasive genetic testing and diagnostics. The company's innovative solutions focus on areas such as prenatal screening, cancer detection, and organ transplant monitoring. By using advanced bioinformatics and DNA analysis, Natera provides healthcare professionals and patients with critical information to make more informed medical decisions.

📋 Description

• Review oncology patient records to determine whether cases meet clinical and payer policy requirements • Serve as an escalation point for complex cases that cannot be accurately classified by AI workflows • Analyze challenging clinical scenarios, including multiple cancer diagnoses, complex treatment histories, and ambiguous documentation • Document findings and recommendations in Salesforce, LIMS, and other workflow tools • Ensure accuracy and consistency of clinical review outcomes • Audit AI-generated clinical determinations and data classifications • Evaluate AI performance against established clinical review standards • Identify errors, trends, and opportunities to improve automation accuracy • Participate in validation activities for new AI models, workflows, and clinical review processes • Provide structured feedback to improve future AI performance • Partner with Product, Engineering, and Data Science teams to improve clinical AI capabilities • Help define clinical decision logic and requirements for AI-driven workflows • Translate clinical review findings into actionable automation recommendations • Support testing and implementation of AI-enabled solutions • Contribute to Natera's oncology clinical intelligence platforms • Develop expertise in payer coverage policies relevant to Signatera and oncology testing • Evaluate clinical documentation against coverage requirements • Identify cases requiring additional clinical review or reimbursement support • Stay current on oncology standards, treatment pathways, and reimbursement trends

🎯 Requirements

• Active RN license (state or compact) • BSN preferred; ADN with significant oncology experience considered • 5+ years of oncology nursing experience in inpatient, outpatient, infusion, navigation, utilization review, clinical review, case management, or related settings • Strong understanding of cancer biology, oncology treatment pathways, disease staging, and patient treatment journeys • Experience reviewing and interpreting medical records and clinical documentation • Strong critical thinking and clinical decision-making skills • Ability to work independently in a fast-paced, evolving environment • Excellent written communication and documentation skills • Comfortable working extensively within technology platforms and digital workflows • Oncology Certified Nurse (OCN) highly preferred • Experience with payer policies, utilization management, prior authorization, or medical necessity review highly preferred • Experience supporting AI, automation, clinical decision support systems, or technology-enabled healthcare workflows highly preferred • Experience using Salesforce, Epic, LIMS, or other healthcare technology platforms highly preferred • Familiarity with molecular diagnostics, precision medicine, or MRD testing highly preferred

🏖️ Benefits

• Comprehensive medical, dental, vision, life and disability plans for eligible employees and their dependents • Free testing for employees and their immediate families • Fertility care benefits • Pregnancy and baby bonding leave • 401k benefits • Commuter benefits • Employee referral program • Equal Opportunity Employer and inclusive workplace commitment