Clinical Case Manager (Pre-Authorisation)

Job Advert Skip to main content Cookies on NHS Jobs We've put some small files called cookies on your device to help us make improvements to our site. To improve our site we'd also like to use cookies which will send information to Google Analytics. You can read more about our cookies before you choose. Accept analytics cookies Do not accept analytics cookies Jobs Menu Sign in Create an account English Cymraeg Menu Close menu Search Sign in Create an account Display in Welsh (Cymraeg) Search Sign in Create an account Display in Welsh (Cymraeg) BETA Your feedback will help us to improve this service. HCA Healthcare UK Clinical Case Manager (Pre-Authorisation) The closing date is 31 October 2026 Apply for this job Job summary 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. You'll bring the confidence to make complex clinical decisions, challenge where appropriate, and work collaboratively with consultants, nursing teams, insurers and operational stakeholders to ensure patients receive safe, timely and cost-effective care throughout their healthcare journey. 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. Working collaboratively across multidisciplinary teams, you'll influence patient care pathways, provide clinical guidance to non-clinical colleagues and help drive quality, efficiency and patient satisfaction. 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. About us Why HCA UK? Originally founded over 50 years ago by Dr Thomas Frist, HCA has gone on to become one of the worlds leading healthcare providers. In the UK, were one of the largest providers of privately funded healthcare and have invested over £500 million in the latest treatments, technology, techniques, medication and facilities. Being part of a large multisite, established healthcare group we can offer you unrivalled opportunities for career progression through internal and external courses, as well as working conditions that prioritise both your mental and physical wellbeing. By caring for our colleagues, we empower them to provide exceptional care for our patients. Thats why we offer a host of flexible benefits that reflect the invaluable contribution they make every day. As a Clinical Case Manager - Pre-Authorisation youll be eligible for: 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 ma