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Case Manager

$20 - $24 per hour

Champion Care

Champion Care - Case Manager – Skilled Nursing & Post-Acute Care Managed Care | Insurance Authorization | Medicare & Medicaid $20–$24 per hour | Full-Time Are you experienced in skilled nursing case management, insurance authorizations, managed care, or healthcare coordination? Champion Care is seeking a highly organized and detail-oriented Case Manager to support our skilled nursing and post-acute care facilities by managing insurance authorizations, communicating with payers, and helping ensure strong patient and reimbursement outcomes. This role is critical in reducing denials, maintaining coverage, coordinating care, and supporting successful transitions for our residents. If you have experience as a SNF Case Manager, Insurance Authorization Specialist, Managed Care Coordinator, Utilization Review Specialist, or Healthcare Authorization Coordinator, we encourage you to apply. What You’ll Do As a Case Manager, you will serve as a key connection between our facilities, clinical teams, and insurance providers. Key Responsibilities Manage insurance authorizations, updates, concurrent reviews, and appeals for Medicare, Medicaid, Managed Care, and commercial insurance plans Review patient documentation and clinical updates to support approvals and continued stay reviews Track admissions, re-admissions, discharge planning, and changes in condition Communicate with insurance case managers to ensure timely approvals and minimize denials Submit and manage NOMNCs, ABNs, and required payer documentation Coordinate approvals for therapy services, equipment, and specialized care needs Monitor payer portals and maintain accurate authorization records Collaborate with nursing, therapy, admissions, MDS, and billing teams to quickly resolve insurance or coverage concerns Participate in daily and weekly workflow meetings to prioritize cases and improve outcomes Support strong reimbursement processes and positive patient experiences What We’re Looking For Experience in case management, insurance authorizations, utilization review, managed care, or healthcare coordination preferred Skilled nursing facility (SNF) or post-acute care experience strongly preferred Knowledge of Medicare, Medicaid, and managed care processes Strong organizational skills with ability to manage multiple priorities and cases Detail-oriented with a strong sense of urgency and follow-through Excellent communication and problem-solving skills Why Join Champion Care Competitive pay: $20–$24 per hour High-impact role tied directly to patient outcomes, reimbursement, and census success Opportunity for growth within a multi-facility healthcare organization Structured team environment with strong operational support Collaborative culture focused on quality care and teamwork Champion Care is an Equal Opportunity Employer (EOE). We are committed to creating an inclusive environment for all employees and applicants and do not discriminate based on race, color, religion, sex, national origin, age, disability, genetic information, or any other protected status. #J-18808-Ljbffr

Vacancy posted 1 day ago
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