• Conducts initial clinical review of incoming cases, rendering authorization approval based on established clinical criteria or escalating to a Field Medical Director if authorization cannot be approved during initial review. • Responsible for acting as a clinical liaison to providers, clients, and patients as directed by the office of the Chief Medical Officer. • Responsible for clinical conversations with providers and their office staff regarding medical necessity decisions. • Responsible for maintaining and operating the Guideline Directed Treatment plans including communicating with offices regarding treatment recommendation. • Responsible for communicating need for additional clinical information to ordering providers. • Responsibility for prepping cases which cannot be approved and which the provider will not modify or withdraw for P2P discussions with one of the Oncologists. • Responsible for coordinating with UM staff to ensure timely and accurate communication of clinical decisions. • Responsible for completion of UM projects and participation in site visit reviews. • Respect and maintain HIPAA confidentiality guidelines. • Responsible for maintaining availability to clinical and non-clinical administrative staff during performance of initial and second level screening. • Acts as an interdepartmental liaison between all offices, departments, and committees. • Serve as subject matter expert and participate in meetings as assigned with practices and/or payers. • Will work with the Director of Clinical Operations to ensure client satisfaction. • Perform all peer clinical review activities while located in a state or territory of the United States. • Acts with honor and integrity, serving as a role model for the company. • Performs other duties as assigned.