Top 27132 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
Case Manager
University of California, Riverside —Riverside, CA
- $90,034.56 - $127,598.00 a year
- Full-time
- Mid-level
- Master's degree
- University
VA Case Manager (Veteran's Benefits)
Turnout (myturnout.com) —Remote
- $50,000 - $85,000 a year
- Full-time
- Mid-level
- Communication skills
- Paid holidays
- Health insurance
Quick Apply
7d
Senior Business Immigration Case Manager
CIP PC. —Cincinnati, OH
- $65,000 - $105,000 a year
- Remote
- 7 years
- Microsoft Outlook
- Word processing
Case manager for PASA / for Passion care Agency
Passion care Agency —Aurora, CO
- $2,500 - $3,000 a month
- Part-time
- HIPAA
- Mid-level
- Computer skills
- Paid training
- Flexible schedule
Quick Apply
12d
Senior Complex Case Manager (RN) - D-SNP (Temporary)
Central California Alliance for Health (Remote) —Walnut Creek, CA
- $56 - $64 an hour
- Temporary
- Hybrid work
- Nursing
- RN License
- Adults
- Wellness program
- Paid holidays
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
Employee Labor Relations - Case Management
A P Ventures LLC —Remote
- From $90,000 a year
- Remote
- Background check
- 5 years
- Mid-level
Quick Apply
Fully Remote Social Worker
Vitability Health —Tennessee
- $24 - $28 an hour
- Full-time
- Remote
- Master of Social Work
- HIPAA
- Mid-level
Quick Apply
Social Work Case Manager
Devoted Health —Remote
- $70,000 - $85,000 a year
- Full-time
- Spanish
- Writing skills
- Mid-level
- Dental insurance
- 401(k)
11d
Remote Healthcare Case Manager, Complex Care
Allied Benefit Systems —Chicago, IL
- $50,000 - $55,000 a year
- Full-time
- Remote
- Mid-level
- Analysis skills
- Bachelor's degree
- Disability insurance
- Health insurance
7d
Student Care and Case Manager
Capitol Technology University —Laurel, MD
- $73,000 - $78,000 a year
- Full-time
- Background check
- Mid-level
- Residential
Quick Apply
Case Manager Nurse Advocate- Raleigh area
Synergy Healthcare USA LLC —Remote
- Full-time
- Nursing
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
- Paid time off
Quick Apply
Coordinator, Ambulatory Case Management (REMOTE)
TEXASCONNECT INC —Remote
- Multiple hires
- Remote
- Spanish
- Microsoft Excel
- Mid-level
Mobile FAP Case Manager
Zeiders Enterprises, Inc. —Remote
- LMFT
- 18 years or older
- Master of Social Work
- Dental insurance
Platform Coordinator - Full Time Weekend Hours
Pinnacle Home Care —Remote
- Full-time
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Health insurance
- Referral program
Quick Apply
Case Manager - Complex Cases
SilverStay —Randallstown, MD
- $100,000 - $130,000 a year
- Full-time
- Master of Social Work
- RN License
- Hospital
- Paid holidays
- Health insurance
Quick Apply
Case Manager
Ullico —Bethesda, MD
- $76,680 - $115,000 a year
- Full-time
- Remote
- Nursing
- RN License
- 5 years
- Health savings account
- Health insurance
Quick Apply
CASE MANAGER
Callen-Lorde Community Health Center —New York, NY
- $28 an hour
- Full-time
- Hybrid work
- Customer service
- Mid-level
- High school diploma or GED
- Commuter assistance
- Disability insurance
Quick Apply
RN - Case Manager
Vibra Travels LLC —Ypsilanti, MI
- $2,182.49 a week
- Online Application
- Nursing
- RN License
- BLS Certification
- Referral program
Quick Apply
6d

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.

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

Case Manager

VA Case Manager (Veteran's Benefits)

Senior Business Immigration Case Manager

Case manager for PASA / for Passion care Agency

Senior Complex Case Manager (RN) - D-SNP (Temporary)

Case Manager / Patient Advocate (non-clinical)

Employee Labor Relations - Case Management

Fully Remote Social Worker

Social Work Case Manager

Remote Healthcare Case Manager, Complex Care

Student Care and Case Manager

Case Manager Nurse Advocate- Raleigh area

Coordinator, Ambulatory Case Management (REMOTE)

Mobile FAP Case Manager

Platform Coordinator - Full Time Weekend Hours

Case Manager - Complex Cases

Case Manager

CASE MANAGER

RN - Case Manager

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