Top 23932 Complex case manager Jobs

Case Manager, Reimbursement
United Biosource Corporation —Remote
- Full-time
- Remote
- 6 years
- Mid-level
- Bachelor's degree
- Wellness program
- Health savings account
Distribution Case Manager
BetterLife —Remote
- $55,000 - $65,000 a year
- Full-time
- Remote
- Mid-level
- Microsoft Office
- Finance
- Life insurance
Quick Apply
Case Manager / Patient Advocate (non-clinical)
Valeris —Remote
- Monday to Friday
- Remote
- Background check
- Spanish
- Pass drug screening
- Health savings account
- AD&D insurance
Quick Apply
Executive Case Manager (Remote)
Valeris —Remote
- Remote
- Bilingual
- Background check
- 5 years
- Health savings account
- AD&D insurance
Quick Apply
Program Manager - Cardiac Rehabilitation
SouthEast Alaska Regional Health Consortium —Juneau, AK
- $36.46 - $51.29 an hour
- Full-time
- Microsoft Excel
- Computer literacy
- BLS Certification
- Paid parental leave
- Disability insurance
Quick Apply
RN Care Coordinator
Scenic Rivers Health Services —Bigfork, MN
- $31.03 - $36.79 an hour
- Full-time
- Nursing
- RN License
- BLS Certification
- Health savings account
- AD&D insurance
Quick Apply
Pediatric Physical Therapist (PT)
ChildrenFirst Home Healthcare —Orlando, FL
- $55 - $58 an hour
- Call employer
- Physical & Rehabilitation Medicine
- Residential
- Experience working with children
- Travel reimbursement
- Mileage reimbursement
Quick Apply
Surgical Technologist - $10k Sign on Bonus Offered to External Candidates!
Memorial Healthcare —Owosso, MI
- Full-time
- Surgery
- Customer service
- BLS Certification
Physical Therapist 2, Oncology, Outpatient
Community Health System —Clovis, CA
- $56.22 - $71.54 an hour
- 8 hour shift
- BLS Certification
- Physical & Rehabilitation Medicine
- Mid-level
- Free parking
- 403(b) matching
Physical Therapist PT
Serenity Med Search —Yakima, WA
- $90,000 - $130,000 a year
- Full-time
- Hospital
- Physical & Rehabilitation Medicine
- Inpatient
- Continuing education credits
- Paid holidays
Quick Apply
8d
Physical Therapist (PT) Inpatient
Serenity Med Search —Pasco, WA
- $89,500 - $142,000 a year
- Full-time
- Acute care
- Hospital
- Physical & Rehabilitation Medicine
- Continuing education credits
- Paid holidays
Quick Apply
8d
Licensed Clinical Social Worker
Deer Oaks - The Behavioral Health Solution —Maryville, MO
- Choose your own hours
- Licensed Clinical Social Worker
- Adults
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Registered Nurse (RN) - Case Manager
Adaptive Home Health —Universal City, TX
- $60 per point
- Weekends as needed
- RN License
- BLS Certification
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Case Manager
The Production Farm, Inc. —Sheboygan Falls, WI
- $45,000 a year
- Full-time
- Mid-level
- Master's degree
- In-person
- Health insurance
- Dental insurance
Quick Apply
14d
Registered Nurse (RN) - Case Manager - $5,000 Signing Bonus for July Starts
Adaptive Home Health —Aurora, CO
- $64.10 per point
- Weekends as needed
- RN License
- BLS Certification
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Registered Nurse (RN) - Case Manager - $5,000 Signing Bonus for July Starts
Adaptive Home Health —Thornton, CO
- $64.10 per point
- Weekends as needed
- RN License
- BLS Certification
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Registered Nurse (RN) - Case Manager - $5,000 Signing Bonus for July Starts
Adaptive Home Health —Lakewood, CO
- $64.10 per point
- Weekends as needed
- RN License
- BLS Certification
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Registered Nurse (RN) - Case Manager - $5,000 Signing Bonus for July Starts
Adaptive Home Health —Centennial, CO
- $64.10 per point
- Weekends as needed
- RN License
- BLS Certification
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Outpatient Therapist - LCADC
Woods Services —Mount Holly, NJ
- $60,000 - $67,500 a year
- Full-time
- Mid-level
- Outpatient experience
- Master's degree
- Paid training
- Continuing education credits
Quick Apply
TASK Therapist
Children's Hope Alliance —Sylva, NC
- $54,400 - $64,600 a year
- LMFT
- Computer literacy
- Basic math
Quick Apply

I want to receive the latest job alert for complex case manager

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

complex case manager jobs near

Registered Nurse Case Manager jobs in Thornton, CO

Case Manager jobs in Remote

Therapist jobs in Sylva, NC

Physical Therapist jobs in Yakima, WA

Distribution Manager jobs in Remote

Surgical Technologist jobs in Owosso, MI

Physical Therapist jobs in Pasco, WA

Registered Nurse Case Manager jobs in Aurora, CO

Physical Therapist jobs in Orlando, FL

Patient Advocate jobs in Remote

Program Manager jobs in Juneau, AK

Womens Health Nurse jobs in Boston, MA

Registered Nurse Case Manager jobs in Casa Grande, AZ

Registered Nurse Case Manager jobs in Roseville, CA

Registered Nurse Case Manager jobs in Panama City, FL

Case Manager Remote jobs in Pennsylvania

Registered Nurse Case Manager jobs in Kenosha, WI

Nurse Practitioner jobs in Waterloo, IA

Registered Nurse Case Manager jobs in Rock Hill, SC

Virtual Nurse Practitioner jobs in North Carolina

Case Manager, Reimbursement

United Biosource Corporation -
Remote

Apply Now

Job Details

Full-time

Benefits

Wellness program
Health savings account
Paid holidays
Disability insurance
Health insurance
Dental insurance
Flexible spending account
Tuition reimbursement
Paid time off
Adoption assistance
Employee assistance program
Vision insurance
401(k) matching
Employee discount
Life insurance

Qualifications

Appeals
Health insurance co-pays
6 years
Overseeing health insurance pre-certification
Adverse event reporting
Operations coordination
Mid-level
Patient financial aid assistance
Case appeal in utilization management
Bachelor's degree
Case review audits
Adverse drug reaction monitoring
Client referral services
Desktop applications
Productivity software
Care coordination
Managing patients as a clinical case manager
Referral coordination
Insurance claims appeal handling
Medical terminology
Communication skills

Full Job Description

As a pharmaceutical support industry leader, UBC is devoted to empowering health solutions for a better tomorrow. We take pride in improving patient outcomes and advancing healthcare. At UBC we provide services to enhance the entire drug development process and commercialization lifecycle - From clinical trial support to real-world evidence generation.

Embark on a rewarding career journey with UBC! Grow your career while making a meaningful impact on the world around you. UBC fosters a culture built on our Core Values being: Collaborative, Conscientious, Curious, Consultative, and Compassionate. We believe in an inclusive workplace that fosters creativity.

If you are seeking a career that will challenge, inspire, and reward you, join us at UBC!

Case Manager, Reimbursement

Shifts: This position supports business operations between 8:00 AM and 9:00 PM Eastern Time. Candidates must be available to work a full-time assigned shift within these hours. Examples of potential schedules include:

8:00 AM – 5:00 PM ET
9:00 AM – 6:00 PM ET
10:00 AM – 7:00 PM ET
11:00 AM – 8:00 PM ET
12:00 PM – 9:00 PM ET

Assigned schedules are determined based on business and client needs. Candidates residing outside of the Eastern Time Zone are welcome to apply but must be able to work their assigned shift based on Eastern Time business hours.

Brief Description:

The primary purpose of this position is to provide day-to-day case management oversight and coordination of assigned caseload to ensure parties responsible for tasks are completing them timely, as well as act as a primary resource for patients, healthcare providers and field reimbursement. The Case Manager is responsible for ensuring prior authorizations, reauthorizations and appeals are obtained in a timely manner, as well as ensuring accurate documentation of payer information and patient status. In addition, the Case Manager is responsible for completing a pre-screen to determine eligibility for additional services such as injection services, co-pay mitigation, and patient assistance programs (PAP), if applicable.

Specific job duties:

Provide day-to-day oversight and coordination of caseload to ensure all case elements and tasks are completed timely and ensure cases move through the process as required.
Act as single point of contact responsible for prior authorization and appeal processing communications to patients, healthcare providers, field reimbursement representatives and other external stakeholders.
Communicate patient benefits and responsibility timely and accurately.
Assess and refer patients appropriately for special programs/services when appropriate.
Performs quality checks on cases and report trends to leadership.
Responsible for good housekeeping techniques, adhering to quality and production standards while complying with all applicable company, state and federal safety and environmental programs and procedures.
Troubleshoot complex cases, spanning multiple disease-states, while interfacing with key stakeholders (internal/external) to ensure optimal start to therapy
Report Adverse Drug Events that have been experienced by the patient in accordance pharmaceutical requirements.
Recognize a product quality complaint and forward caller/written information to a manufacturer.
Other duties, as assigned

Desired Skills and Qualifications:

Bachelor’s degree or six years of relevant working experience
Two (2) or more years of relevant experience in pharmacy benefit management preferred
Medical Assistant, Social Worker or Senior Reimbursement Specialist experience preferred
Certification preferred but not required
Proficient in Microsoft Office applications
Knowledge of medical and claims processing terminology
Excellent written/verbal communication to include providing clear instructions
Must possess a strong critical thinking skillset along with the ability to multi-task
Ability to travel as required - This is primarily a remote position; however, occasional travel may be required based on client, business, or training needs. While travel is expected to be infrequent, candidates must be willing and able to travel as needed. Travel requirements may vary depending on the client program and business objectives.

Benefits:

At UBC, employee growth and well-being are always at the forefront. We offer an extensive range of benefits to ensure that you have everything you need to thrive personally and professionally.

Here are some of the exciting perks UBC offers:

Remote opportunities
Competitive salaries
Growth opportunities for promotion
401K with company match*
Tuition assistance (after 90 days of employment)
Flexible work environment
20 days PTO
Paid Holidays
Employee assistance programs
Medical, Dental, and vision coverage
HSA/FSA
Telemedicine (Virtual doctor appointments)
Wellness program
Adoption assistance
Short term disability (after 90 days of employment)
Long term disability
Life insurance
Discount programs

UBC is proud to be an equal opportunity employer and does not discriminate because of race, color, sex, age, national origin, religion, sexual orientation, gender identity and/or expression, status as a veteran, and basis of disability or any other federal, state, or local protected class. We are committed to a diverse, equitable and inclusive culture that fosters respect for each other, our clients, and our patients.

Apply Now

Refine Your Search

complex case manager jobs

Case Manager, Reimbursement

Distribution Case Manager

Case Manager / Patient Advocate (non-clinical)

Executive Case Manager (Remote)

Program Manager - Cardiac Rehabilitation

RN Care Coordinator

Pediatric Physical Therapist (PT)

Surgical Technologist - $10k Sign on Bonus Offered to External Candidates!

Physical Therapist 2, Oncology, Outpatient

Physical Therapist PT

Physical Therapist (PT) Inpatient

Licensed Clinical Social Worker

Registered Nurse (RN) - Case Manager

Case Manager

Registered Nurse (RN) - Case Manager - $5,000 Signing Bonus for July Starts

Registered Nurse (RN) - Case Manager - $5,000 Signing Bonus for July Starts

Registered Nurse (RN) - Case Manager - $5,000 Signing Bonus for July Starts

Registered Nurse (RN) - Case Manager - $5,000 Signing Bonus for July Starts

Outpatient Therapist - LCADC

TASK Therapist

I want to receive the latest job alert for complex case manager

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected