About the role

  • Manage the Care Coordination process within an assigned territory
  • Establish and maintain professional and effective relationships with all internal and external customers
  • Assess physicians’ needs and develop action plans that proactively mitigate delays in therapy
  • Coordinate the exchange of all patient-related information with internal and external customers
  • Effectively manage a database including data on each individual, their insurance, coverage approvals, on-going coverage requirements and all patient and provider interactions
  • Assist in obtaining insurance approvals/denials and/or appeals for therapy
  • Provide education to patients and health care providers regarding insurance requirements
  • Support special projects as requested

Requirements

  • Bachelor’s Degree (or equivalent) in related area with focus in Health Care, Social Work, Nursing, preferred
  • Minimum of three (3) years of recent experience with health care insurance benefits, relevant state and federal laws, and insurance regulations
  • Proven ability to assess the ethics and legality of patient care
  • Recent experience in the case management process is preferred
  • Strong verbal and written communication skills
  • Mediation, and problem-solving skills
  • Ability to speak Spanish is a plus

Benefits

  • Comprehensive benefits including medical, dental, vision, life, and disability insurance
  • 401(k) plan with employer contributions
  • Flexible paid time off (PTO) policy for exempt employees
  • Eight standard company holidays and three floating holidays annually

Job title

Case Manager

Job type

Experience level

Mid levelSenior

Salary

$41,800 - $55,500 per year

Degree requirement

Bachelor's Degree

Location requirements

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