Care Coordinator #26-15136

Healthcare Case Manager

Role Overview: We are seeking a Healthcare Case Manager to support patients throughout their treatment journey by coordinating care, assisting with insurance approvals, and ensuring timely access to prescribed therapies. In this role, you'll serve as a key advocate for patients while collaborating with healthcare providers, specialty pharmacies, insurance companies, and internal teams to deliver an exceptional patient experience.

Responsibilities:

• Manage a portfolio of patient cases and coordinate care from start to finish.
• Assist patients and healthcare providers with insurance approvals, appeals, and reimbursement processes.
• Support patient assistance and copay assistance program enrollment.
• Communicate with physicians, specialty pharmacies, insurance providers, and patient advocacy organizations.
• Educate patients and providers on coverage requirements, available resources, and therapy access.
• Maintain accurate case documentation and patient records.
• Identify barriers to treatment and develop solutions to help patients access care quickly.
• Participate in process improvement initiatives and special projects.

Experience:

• 3+ years of experience in healthcare case management, patient support, care coordination, reimbursement, utilization review, social services, nursing, or related healthcare fields.
• Strong understanding of healthcare insurance, reimbursement, prior authorizations, and patient assistance programs.
• Excellent communication, advocacy, and problem-solving skills.
• Ability to manage multiple cases while maintaining a high level of attention to detail.
• Experience working with patients, healthcare providers, insurance companies, or specialty pharmacies.
• Bachelor's degree in Healthcare, Nursing, Social Work, or a related field preferred.
• Spanish language skills are a plus.

Skills:

• Healthcare Case Manager
• Patient Advocate
• Care Coordinator
• Patient Support
• Insurance Reimbursement
• Prior Authorization
• Appeals Management
• Specialty Pharmacy
• Patient Assistance Programs
• Healthcare Navigation
• Utilization Management
• Social Work
• Nursing
• Healthcare Operations
• Care Management

Education:

• High School or GED required

About US Tech Solutions: US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. AI Statement: By applying, you acknowledge that AI-assisted tools may be used during hiring.