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Natera logo
Natera

Founded in 2004 and led by CEO Steve Chapman, Natera is a company in the biotechnology market that offers genetic testing and diagnostics on a global scale. Ope

Clinical Review RN, Oncology AI Review

Location

United States

Posted

10 days ago

Salary

$82.4K - $103K / year

Seniority

Senior

Bachelor Degree5 yrs expEnglish

Job Description

Clinical Review RN, Oncology AI Review

Natera

• 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 patients with multiple cancer diagnoses, complex treatment histories, and ambiguous documentation. • Document findings and recommendations within internal systems including Salesforce, LIMS, and other workflow tools. • Ensure accuracy and consistency of clinical review outcomes. • Perform ongoing audits of 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 used in AI-driven workflows. • Translate clinical review findings into actionable recommendations for automation improvements. • Support testing and implementation of new AI-enabled solutions. • Contribute to the long-term evolution of Natera's oncology clinical intelligence platforms. • Develop expertise in payer coverage policies relevant to our Signatera product and oncology testing. • Evaluate clinical documentation against coverage requirements. • Assist in identifying cases that may require additional clinical review or reimbursement support. • Stay current on evolving oncology standards, treatment pathways, and reimbursement trends.

Job 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.

Benefits

  • Comprehensive medical, dental, vision, life and disability plans for eligible employees and their dependents.
  • Free testing for Natera employees and their immediate families.
  • Fertility care benefits.
  • Pregnancy and baby bonding leave.
  • 401k benefits.
  • Commuter benefits.
  • Generous employee referral program.

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