Healthcare Case Manager

Job Summary

A company is looking for a Case Manager - Healthcare - Remote.

Key Responsibilities

• Oversee cases throughout the authorization/approval journey for patients and providers
• Act as a single point of contact among internal teams, clients, providers, and payors
• Interpret complex clinical documentation to prepare authorization documentation for payor submission

Required Qualifications, Training, and Education

• College Degree preferred (Bachelor's or Associate Degree)
• 4 - 6 years of experience in a healthcare setting or medical insurance background
• Experience in maintaining detailed records of client interactions and services provided
• Experience in office, hospital/clinic, or home health care settings is welcome
• Experience writing Appeals is preferred