Clinical Case Manager
$22 - $26 per hourAbsolute Authorizations LLC
Direct message the job poster from Absolute Authorizations LLC Chief Executive Officer at Absolute Authorizations LLC Absolute Authorizations LLC is looking to hire an experienced healthcare clinician for our Clinical Case Manager position. This is a fully remote position advocating patient care in Skilled Nursing Facilities. MANDATORY EXPERIENCE: - Experience working with Skilled Nursing Facilities - Working knowledge reading clinical notes - Obtaining Authorizations for Skilled Nursing Facility care Responsibilities: 1.Submit detailed concurrent reviews and appeals highlighting Medical Necessity 2.Procure and maintain accurate tracking of all authorization and payer details 3.Identify and obtain reimbursement opportunities 4.Routinely correspond all outstanding billing details to Facility 5.Provide temporary case management coverage as needed 6.Coordinate and streamline communication between Insurance Case Managers and facility clinicians 7.Serve as the primary point of contact and support for Facility staff addressing issues, questions, or concerns regarding their Managed Care population. Qualifications: 1.Knowledge of SNF Managed Care policies, procedures and processes. 3.Experience in a Skilled Nursing Facility setting 4.Valid medical license and clinical experience 5.Excellent verbal and written communication skills 6.Organizational skills 7.Knowledgeable in Microsoft Suite and computer skills Seniority level Seniority level Mid-Senior level Employment type Employment type Full-time Job function Job function Health Care Provider Industries Hospitals and Health Care Referrals increase your chances of interviewing at Absolute Authorizations LLC by 2x Get notified about new Clinical Case Manager jobs in United States . California, United States $22.00-$26.00 2 days ago Non-Clinical Case Manager (11-8p EST) (Remote) United States $50,000.00-$60,000.00 3 days ago United States $78,000.00-$139,200.00 2 weeks ago North Carolina, United States 5 months ago California, United States $25.00-$40.00 1 week ago Case Management Nurse - Behavioral Health Focus (Remote – AZ Only) Reimbursement Case Manager - Patient Access Services United States $76,400.00-$105,000.00 5 days ago Behavioral Health Case Manager, Hybrid, Murfreesboro United States $76,400.00-$105,000.00 1 week ago Texas, United States $54,000.00-$86,000.00 2 weeks ago Clinical Operations Coordinator (Remote - Virtual Dementia Care) Denver, CO $65,000.00-$70,000.00 7 months ago Case Management Nurse - Behavioral Health Focus (Remote – ID Only) We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr
- ...life resources, wellness and more through our Employee Assistance Programs (EAP). Position Summary We are currently seeking a Clinical Case Manager to work remotely. This is a full-time, exempt position. The Clinical Case Manager provides advanced clinical consultation...SuggestedFull timeImmediate startRemote work
AllOne Health
New York, NY1 day ago $55.75k
...this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Clinical Case Manager Full Time New York, NY, US 2 days ago Requisition ID: 1207 Salary: $55,750.00 Annually Lets Connect! Join The Doe Fund in...SuggestedPermanent employmentFull timeLocal areaThe Doe Fund
New York, NY5 days ago- ...Program: Woodycrest | 984 Woodycrest Avenue, Bronx, NY 10452 What You'll Do As a Clinical Case Manager with HELP USA's Woodycrest Supportive Housing Program, you’ll provide case management and crisis intervention services to residents with the goal of promoting independent...SuggestedPermanent employment
HELP USA
New York, NY2 days ago $31.25 per hour
...lives. We hope that you will consider joining our team in the fight against homelessness. Position Overview As Senior Clinical Case Manager, reporting directly to the Director of Supportive Housing, you will provide supervision over the case management staff as...SuggestedPermanent employmentWork at officeWeekend workAfternoon shiftHELP USA
New York, NY2 days ago- ...Clinical Case Manager Location: New York, New York Work Arrangement: Hybrid Job Type: Regular Full-Time Classification: Hourly, Non-Exempt About Heartland Alliance International & Marjorie Kovler Center: Heartland Alliance International (HAI) is a global...SuggestedHourly payFull timeTemporary workWorldwide
Heartland Alliance
New York, NY1 day ago $93.4k - $116.8k
...What You Will Do Review all clinical documentation completed by Registered Nurse... ...ensure compliance with contractual clinical management obligations. Develop, implement, and... ...related issues communicated by Clinical Case Managers (CCMs), supervisors, HHAs, RNFS...Work experience placementWork at officeFlexible hoursVNS Health
New York, NY2 days ago$60.52k - $129.62k
...Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. Clinical Case Manager - Behavioral Health (Licensed) 100% Remote | Anywhere in the U.S. | Monday-Friday Business Hours No Weekends No Holidays Are...Hourly payFull timeTemporary workLocal areaRemote workWork from homeMonday to Friday- UBC is seeking a Clinical Case Manager to support healthcare providers and patients via telephonic care for client-funded contracts. You will review coverage criteria, handle prior authorizations and appeals, and provide written communications using approved resources....
- ...with defense attorneys, and referral agencies until transfer or completion of reporting responsibilities Updating computerized case management appointments accordingly to produce periodic reports on participant compliance Complete all necessary documentation and maintain...Work at officeNight shiftWeekend workAfternoon shift
- A not-for-profit service organization is seeking a skilled individual to manage caseloads of high-risk participants, assess their needs, and monitor compliance with court requirements. The role requires an MSW degree and 3+ years of experience. Ideal candidates have excellent...
- Bush & Bush Law Group is seeking a highly organized Legal Case Manager to support our growing personal injury docket, with a focus on Massachusetts law. You will oversee cases from intake through settlement or trial preparation, coordinate with clients, medical providers...
$79.68k
...Information collected about these arrestees and subsequent case processing is maintained in the agency’s internal and... ...of NYC, employing over 300 employees, citywide. CLINICAL CASE MANAGERI ICM INTENSIVE CASE MANAGEMENT QUEENS SUPERVISED RELEASE PROGRAM Posted: 8/10/2026...Work at officeWork from homeFlexible hoursNight shiftAfternoon shift- New York City Criminal Justice Agency (CJA) in Queens, NY is seeking a Clinical Case Manager I within Integrated Case Management (ICM). The role supports youth and adults with high-need needs, focusing on mental health, substance use, and court engagement. Travel across...
- CVS Health is seeking a Clinical Case Manager Behavioral Health (CM-BH) to assess needs, plan care and coordinate with providers for cost-effective outcomes. This full-time telework role in Louisiana requires in-state travel for visits and outreach, with a standard 8am-...Remote jobFull timeFlexible hours
$114k - $143k
Overview RN Clinical Care Manager/Case Manager - New York The RN Clinical Care Manager/Case Manager is responsible for developing and maintaining long-term relationships with physicians, physician office staff, and Healthmap members engaged in Healthmap’s Kidney Management...Full timeTemporary workWork at office- HELP USA's Woodycrest Supportive Housing Program in the Bronx seeks a Clinical Case Manager to provide case management and crisis intervention services to residents, aiming to promote independent living, housing stability, and well-being. You will collaborate with medical...
- TeamCare Medical in New York is seeking a Clinical Pharmacist Case Manager to work with prescribers and the IDT, enhancing care for PACE participants with complex regimens. You will assess patients for optimization, resolve drug-related problems, and collaborate with the...
- The Clinical Pharmacist Case Manager at C2Q Health Solutions collaborates with prescribers and the IDT to optimize medications for PACE participants with multiple chronic conditions, assess treatment options, and address drug-related problems. They work with the Pharmacy...
- CVS Health Corporation is seeking a Remote Behavioral Health Clinician to deliver expert mental health care from home. You will conduct assessments, develop care plans, coordinate services, and use Motivational Interviewing to engage members and reduce risk. This full...Full timeRemote work
CVS Health
New York, NY5 days ago - ...and some by the New York City Housing Authority (NYCHA). The Case Manager/Mental Health Counselor is responsible for providing... ...HASA-funded residents. The successful candidate will have strong clinical and communication skills along with an understanding of working...Permanent employmentWork at officeLocal area
The Doe Fund
New York, NY3 days ago - ...National Security Programs Professional, Administrative, and Management Support Mission and Warfighter Support We are a Small Business... ...position: Position Status: Full Time Position Title: Aeromedical Case Manager/Aeromedical Administrative Specialist Location: Robins...Full timeFor contractorsWork at officeLocal area
- ...and self-determination. Conduct Group Meetings on Wellness Management. Complete service plan reviews for all residents. Regularly... ...living space inspections conditions as assigned. Provide Case Management for residents, engage residents in setting rehabilitation...Full timeMonday to Friday
Soloh Partners
New York, NY14 days ago $7.5k
Overview Make a Difference One Home at a Time - Become a Case Manager with Guthrie Home Health - $25,000 Sign-On Bonus! Guthrie Home Health - New York is seeking a disciplined, compassionate, and community-minded, full time, Registered Nurse Case Manager to join our dedicated...Full timeRelocation packageMonday to FridayWeekend work$66.94k - $101.26k
...energetic and independent registered nurse to fill a Medical Case Manager position in the Northern New Jersey area. Work from home, and... ...EXPERIENCE Experience as an RN Medical Case Manager is ideal, or a clinical background in orthopedics, neurology, or rehabilitation is...Minimum wageFull timeWork at officeLocal areaRemote workWork from homeMonday to FridayFlexible hoursNight shift$19 per hour
...service plan. Responsibilities include service planning, providing case management, and coordination of services with other agency providers to... ..., Psychology or related field One or more years of direct clinical experience working with children, youth and families Manage...Hourly payTemporary workMonday to FridayFlexible hoursAfternoon shift- Premera Blue Cross seeks a Case Manager to support members through a whole-person care model. The telecommuter role focuses on behavioral health needs, coordinating with providers, and developing member-centric plans to promote emotional well-being and healthier daily...Remote job
- ...organization located in Long Island City (Queens), is seeking a Case Manager to join its Behavioral Health team on a full-time basis. The... ...compliance with organizational and regulatory standards. Support clinical staff during behavioral health emergencies by assisting with...Full time
- ...please visit today! Summary Statement The Health & Human Services Case Manager II is responsible for providing comprehensive case management... ...recommendations as part of a client's service plan such as clinical treatment, counseling, or determining eligibility for health...Casual workSeasonal work
- ...hired, you are eligible for a $500 sign-on bonus. Location: Cumberland County, NJ Job Type/Status: Full Time Program Summary: The Case Manager is responsible for assessing client needs, developing individualized treatment plans, and connecting individuals to essential...Full timeRelocation packageFlexible hours
- Apicha Community Health Center in New York, NY, is seeking a Medical Case Manager to provide direct case management for patients in our Primary Care Clinic, ensuring access to medical care and retention in treatment. The role involves coordinating services, authorizations...Weekend workAfternoon shift
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