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Clinical Case Manager

$22 - $26 per hour

Absolute 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

Vacancy posted 23 hours ago
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