Senior Case Manager
ConnectiveRx
Case Manager
ConnectiveRx
full-time
Posted on:
Location Type: Hybrid
Location: Pittsburgh • Pennsylvania • 🇺🇸 United States
Visit company websiteSalary
💰 $41,800 - $55,500 per year
Job Level
Mid-LevelSenior
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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
case managementhealth care insurance benefitsinsurance approvalsinsurance regulationsdata managementaction planningpatient educationcoverage approvalscoverage requirementspatient care ethics
Soft skills
communication skillsproblem-solving skillsmediation skillsrelationship managementorganizational skillsinterpersonal skillsproactive approachcollaborationadaptabilitycustomer service
Certifications
Bachelor’s Degree in Health CareBachelor’s Degree in Social WorkBachelor’s Degree in Nursing
