Case Manager

Case Manager

Position Title: Case Manager Employment Type: Contract, 6 months with possibility of extension Employer: Kelly Services Location: Remote, U.S.-based, from an approved work location (Must be within 100 miles of Orlando, FL) Pay Range: $27 to $33 per hour

Work Location & Training Requirements: This is a remote position, and regular on-site work is not required. The role must be performed from an approved U.S.-based work location. Initial training and/or onboarding may require up to one week of travel, communicated in advance.

Remote Work & Compliance Requirements: Must maintain a dedicated, distraction-free workspace with a closing door, separate from common living areas. Must have a high-speed internet connection reliable enough for all job duties. Ensure all phone conversations involving Protected Health Information (PHI) cannot be overheard by third parties and that computer screens are not visible to others. All work must be conducted exclusively via the corporate VPN; local data downloads, unapproved caching, or local tokenization of sensitive records is strictly prohibited. Full compliance with HIPAA, Sensitive Personal Information (SPI) consent governance, and all regional data privacy laws is required at all times.

Position Overview: The Case Manager acts as a liaison between patients, providers, distributors, and insurance carriers to ensure services are provided in the least restrictive and most cost-effective manner. Responsibilities include providing reimbursement support to patients, pharmacists, physicians, and the internal sales force, as well as educating and assisting patients and providers to navigate the reimbursement and appeal processes. The Case Manager identifies barriers to reimbursement and facilitates referrals to alternative coverage options and financial assistance programs for patients who are underinsured or require copay assistance. This role is an individual contributor and reports to a supervisor.

Key Accountabilities: Demonstrate effective problem-solving skills and excellent customer service. Exhibit strong investigational and analytical abilities and communicate proficiently in both written and verbal formats. Work collaboratively in a team, effectively delegate tasks, and display leadership. Maintain strong attention to detail, organizational skills, and effective time management. Work efficiently under pressure, prioritize tasks, and follow written Standard Operating Procedures. Be prepared for periodic mandatory overtime, including weekends, during peak referral seasons or unexpected volume surges.

Qualifications: Bachelor's degree is preferred. At least three years of reimbursement experience is preferred. Knowledge of the managed care industry, including government payers, is strongly desired. Must be proficient in all aspects of reimbursement including benefit investigations, payer reimbursement policies, and regulatory or administrative rules. Understanding of reimbursement and funding resources and how to access them is required.