Clinical Review RN, Oncology AI Review

1 hour, 29 minutes ago
Full-time
Senior
Artificial Intelligence and Machine Learning
Natera

Natera

Natera specializes in cell-free DNA testing, providing advanced genetic testing services for oncology, women's health, and organ health to help families diagnose and manage genetic diseases.

Pharmaceuticals
1K-5K
Founded 2004

Description

  • Review oncology patient records to determine whether cases meet clinical and payer policy requirements.
  • Serve as an escalation point for complex cases that AI workflows cannot accurately classify.
  • Analyze challenging clinical scenarios involving multiple diagnoses, complex treatment histories, and ambiguous documentation.
  • Document findings and recommendations in internal systems such as Salesforce, LIMS, and other workflow tools.
  • Perform ongoing audits of AI-generated clinical determinations and data classifications.
  • Evaluate AI performance against clinical review standards and identify errors, trends, and improvement opportunities.
  • Partner with Product, Engineering, and Data Science teams to improve clinical AI capabilities and workflow design.
  • Help define clinical decision logic and requirements used in AI-driven workflows.
  • Support testing, validation, and implementation of new AI-enabled solutions.
  • Develop expertise in payer coverage policies and evaluate documentation against coverage requirements.

Requirements

  • Active RN license, either state or compact.
  • BSN preferred; ADN accepted with significant oncology experience.
  • 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.
  • Comfort working extensively within technology platforms and digital workflows.
  • Oncology Certified Nurse (OCN) certification is highly preferred.
  • Experience with payer policies, utilization management, prior authorization, or medical necessity review is highly preferred.
  • Experience supporting AI, automation, clinical decision support systems, or technology-enabled healthcare workflows is highly preferred.
  • Experience using Salesforce, Epic, LIMS, or other healthcare technology platforms is highly preferred.
  • Familiarity with molecular diagnostics, precision medicine, or MRD testing is highly preferred.

Benefits

  • Competitive salary range of $82,400 to $103,000 USD for Austin, TX.
  • Comprehensive medical, dental, and vision coverage for eligible employees and dependents.
  • Life and disability insurance plans.
  • Free testing for employees and their immediate families.
  • Fertility care benefits.
  • Pregnancy and baby bonding leave.
  • 401(k) benefits.
  • Commuter benefits and a generous employee referral program.

Interested in this position?

Apply directly on the company website

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