Title: Case Manager
Note: Hands-on training will be provided for 2-4 weeks
Interview process: Online Proctored Assessment
Duties:
- As a Case Manager, you’ll be helping patients navigate complex insurance landscapes and facilitating their path to improved health outcomes.
- The Case Manager collaborates and maintains consistent communications with internal and external partners (Pharma Reps, Doctor offices, or Insurance companies) to formulate, affect, and interpret operational practices to achieve resolution based on last-stop coordination concerns.
- Takes the lead in managing the Care Coordination process within an assigned territory.
- Uses tact and independent judgment to balance patient and physician needs with the business realities and necessities of the program.
- Your expertise will empower patients and strengthen healthcare communities by delivering proactive, compassionate service.
Required Skills:
- Bachelor’s / Associates (equivalent) Degree in Healthcare, Social Work, Nursing, or related field.
- Minimum of 2 years experience in case management or related healthcare roles
- Strong understanding of healthcare insurance benefits, laws, and regulations
- Excellent verbal and written communication skills
- Demonstrated leadership and problem-solving abilities
- Data entry proficiency and computer literacy
Nice to Have Skills:
- Experience in home care management and utilization review
- Knowledge of reimbursement processes, billing, and coding nuances
- Familiarity with patient advocacy and medical assistance programs
Pay: $22.00 - $25.00 per hour
Benefits:
Experience:
- Healthcare management: 2 years (Required)
Ability to Commute:
- Pittsburgh, PA 15275 (Required)
Work Location: In person
