• Conduct medical necessity reviews for oncology and transplant-related services, both inpatient and outpatient • Collaborate with healthcare providers to gather and assess clinical documentation via phone and electronic systems • Apply evidence-based clinical criteria and guidelines to authorize services or refer cases to Medical Directors when needed • Navigate multiple computer systems efficiently while maintaining accurate and timely documentation • Work primarily in a sedentary setting involving extended periods of sitting, talking, listening, and computer use • Participate in occasional on-call rotations, including some weekends and holidays, per URAC and client requirements