Managed Care Specialist
InstantServe LLC
Managed Care Specialist (Bilingual) – Hybrid
Location: Nashville, TN (Hybrid) Work Schedule: Monday–Friday | 8:00 AM – 4:30 PM CST | 37.5 hours/week Duration: 12-Month Contract (Extension Possible) Start Date: July 20, 2026 Work Authorization: Must be authorized to work in the U.S. Local Requirement: Candidates must reside in Middle Tennessee and be able to commute to the Nashville office as needed. Language Requirement: Bilingual candidates are required.
Position Overview
We are seeking a detail-oriented and customer-focused Managed Care Specialist to join our Member Services team in a hybrid work environment. This role is responsible for determining program eligibility, managing case documentation, supporting legal and administrative processes, and providing exceptional customer service. The ideal candidate is organized, analytical, and able to manage multiple priorities while maintaining accuracy and professionalism.
The position includes an extensive training program consisting of up to six weeks of virtual and onsite instruction. Attendance is mandatory throughout the training period, and no preplanned PTO will be approved during these weeks.
Key Responsibilities
- Determine eligibility for individuals and families seeking managed care and related assistance programs.
- Conduct interviews with clients to gather and verify information required for case processing.
- Maintain accurate case files, documentation, and records while ensuring timely case resolution.
- Coordinate schedules and communicate effectively with internal teams, external stakeholders, and clients.
- Assist with legal and administrative support activities, including reviewing legal documents, conducting research, and preparing documentation when necessary.
- Analyze information and provide recommendations based on collected case data.
- Navigate multiple databases and information systems to retrieve, update, and maintain client records.
- Participate in team meetings, workgroups, and departmental initiatives.
- Support supervisors and leadership with additional administrative or operational tasks as assigned.
- Deliver high-quality customer service while maintaining confidentiality and compliance with organizational policies.
Required Qualifications
- Associate's or Bachelor's degree from an accredited institution.
- Strong verbal and written communication skills.
- Excellent organizational, time management, and multitasking abilities.
- Strong analytical, critical thinking, and problem-solving skills.
- High level of accuracy and attention to detail.
- Proficiency with Microsoft Office Suite, including: Microsoft Word, Microsoft Excel, Microsoft Outlook, Microsoft PowerPoint, SharePoint.
- Ability to work independently with minimal supervision while meeting established deadlines.
- Ability to learn and effectively use multiple databases and software applications.
- Bilingual communication skills (required).
Preferred Qualifications
- Educational background in Paralegal Studies.
- Experience working in a legal office or legal support environment.
- Previous customer service or call center experience.
- Experience working with managed care, healthcare administration, Medicaid, TennCare, or other government benefit programs.
- Experience handling case management, eligibility determination, or member services.
Preferred Skills
- Client interviewing and information gathering
- Case management and documentation
- Eligibility determination
- Legal research and document preparation
- Data entry and database navigation
- Customer service excellence
- Professional written correspondence
- Time management and prioritization
- Collaboration and teamwork
- Problem-solving and critical thinking
Work Environment
- Hybrid work arrangement with both remote and onsite work based on business needs.
- Office located in Downtown Nashville, Tennessee.
- Standard office hours: Monday through Friday, 8:00 AM – 4:30 PM CST.
- Extensive onboarding and training program (up to six weeks), requiring full attendance.
Additional Information
- Contract Length: 12 months with potential for extension.
- No duplicate candidate submissions.
- No preplanned PTO will be approved during the required training period.
- Candidates must be local to Middle Tennessee and able to report onsite when requested.
- ...Role : Managed Care Specialist Location : Nashville, TN Rate : $18.50/hr on W2 Only W2 Key Responsibilities • Determine individual and family eligibility for our Client's care programs. • Assist in coordinating and communicating schedules to internal/external...SuggestedWork experience placement
- ...supporting people with I/DD, person-centered practices, and integrated employment and community living • Experience with program management and/or grant management • Experience in contract management • Experience working in or with Medicaid or disability related...SuggestedContract workWork at office
- ...Managed Care Specialist Our client is looking to hire a Managed Care Specialist for a hybrid role. Our client provides their workforce with a hybrid work environment. Most positions have a combination of work from home and work in the office, which varies by position...SuggestedContract workFor contractorsWork experience placementWork at officeLocal areaRemote work
- Managed Care Specialist Managed Care Specialist ACL DigitalSuggested
- ...As a Belmont Village Caregiver , you will provide hands-on care to a group of seniors living within our Assisted Living and Memory... ...ABOUT THE COMPANY Belmont Village Senior Living owns, manages, and operates luxury senior living communities across the United...SuggestedFull timeTemporary workRelief
$52k - $60k
...Overview: Youth Villages' Treatment Foster Care program provides evidence-based,... ...highly trained, trauma-informed Foster Care Specialists. Essential Duties and... ...written, verbal, and oral skills Ability to manage multiple priorities simultaneously Basic...Full timePart timeLocal areaFlexible hours- ...Recovery Care Specialist Hot Job Nashville, TN 37221 Overview Level Entry Position Type Full Time Education Level 4 Year Degree Category Health Care Description This is a full time with regularly scheduled hours of 1:00 AM – 7:00 PM. Sign-On Bonus: $1...Full timeContract workLocal areaRelocation packageFlexible hoursShift workNight shift
- ...Elite Care Specialist Opportunities PRN Matriarch Home Care Concierge Nashville & Greater Nashville Area Matriarch Home Care Concierge provides elevated, personalized in-home care for clients who expect more than standard home care. Our Elite Care Specialists...Full timeReliefFlexible hoursShift workWeekend work
- ...PURPOSE AND SCOPE: The Kidney Care Specialist (KCS) supports patients with Chronic Kidney Disease (CKD) and End Stage Renal Disease... ...options (including home modalities and transplantation), and self-management strategies using approved digital platforms. Conduct...Work at officeLocal areaRemote workWeekend workAfternoon shift
- ...Dietary Care Specialist Join our team of compassionate eating disorder treatment professionals at Aster Springs Nashville! Founded as part of the Odyssey Eating Disorder Network. Aster Springs is unique in our ability to work with our clinicians, leaders, and experts...Contract work
$18.5 - $22 per hour
...Carolinas, Florida Tennessee and Kentucky. Thompson's continuum of care encompasses three domains: prevention, mental health services... ..., Caring and Integrity. What will you do as a Youth Care Specialist for our youth residential programs? As a Youth Care specialist...Hourly payFull timeTemporary workReliefWork at officeMonday to FridayWeekend workDay shiftAfternoon shift- ...Full-time Description Spero Health is seeking a Patient Care Specialist to join our awesome team in Smyrna! This position is for... ...an integrated team with patients receiving counseling, case management and medically assisted treatment. Spero Health believes...Full time
- ...Youth Care Specialist / Mental Health Technician Location: Clover Bottom Campus - Nashville, TN (Walnut/Rosewood Youth Academy, Harpeth... ...discipline strategies, including the I-Choose behavior management system Apply crisis intervention and de-escalation techniques...Full timeImmediate startShift work
- ...very best! RESPONSIBILITIES With dignity, compassion, and care, your duties include, but not limited to: Companionship Light... ...Daily Pay available ~ Flexible scheduling ~24/7 access to management ~ Medical, Dental, and vision insurance ~ PTO (paid time...Daily paidFull timePart timeFlexible hoursShift work
- ...organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is... ...Submit your application for the opportunity below: Floor Care Specialist Job Summary and Qualifications The Environmental Service...Temporary workFlexible hours
- ...you want to be treated with the respect you deserve? At HomeWell Care Services we treat our employees with dignity, compassion, and... ...Daily Pay available ~ Flexible scheduling ~24/7 access to management ~ Medical, Dental, and vision insurance ~ PTO (paid time off...Daily paidFull timePart timeFlexible hours
$18 - $26 per hour
...Nashville, TN Category Plant Health Care Job Type Full-Time Job... ...- Nashville, TN - Plant Health Care Specialist Plant Health Care Specialist... ...Pathology, Environmental Sciences, Landscape Management, Turfgrass-or related experience (preferred...Hourly payFull timeFlexible hours- A virtual healthcare company is seeking a Part-Time Outreach Specialist to engage cancer survivors and guide them through their care journey. You will initiate contact with eligible patients and ensure they have the resources needed for their first appointment. The ideal...Full timePart time
- ...Brentwood, TN Overview Base Pay: $ Per Hour Job Number: 1292089 Industry: unavailable Employee Type: Full Time Manage Others: No Required Education: HS Diploma - AS/AA Preferred Required Travel: No Relocation Covered: No Description...Hourly payWeekly payFull timeWork at officeImmediate startRelocationMonday to FridayWeekend workAfternoon shift
- ...Patient Care Specialist At Fast Pace Health, Patient Care Specialist provides administrative support essential for effective patient care... ...a positive work relationship with customers, co-workers and managers. Performs the physical, use of senses, cognitive, and...Seasonal work
- ...Remote Travel Support Representative to guide clients through their travel journeys. Responsibilities include responding to inquiries, managing booking modifications, and ensuring client satisfaction. Ideal candidates should have excellent communication skills, customer...Remote jobFlexible hours
$41 - $57 per hour
Become a part of our caring community As a therapist at CenterWell Home Health, reporting to the Clinical Manager, you will help patients regain strength, mobility and independence, from the comfort of their homes. By delivering personalized care that focuses on functional...Full timeTemporary workApprenticeshipWork at office$41 - $57 per hour
...Join Our Caring Community As a therapist at CenterWell Home Health, reporting to the Clinical Manager, you will help patients regain strength, mobility and independence, from the comfort of their homes. By delivering personalized care that focuses on functional improvement...Daily paidReliefWork at office$41 - $57 per hour
...Become a part of our caring community As a therapist at CenterWell Home Health, reporting to the Home Health Branch Administration... ...specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery...Daily paidFull timeApprenticeshipRelief- ...operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day... ...performing office examinations and procedures by organizing and managing clinic patient flow, gathering and documenting patient screening...Work experience placementWork at office
- TheKey - - Responsibilities: Provide cognitive and behavioral support to clients with Alzheimer's, Dementia and/or other cognitive impairments; Assist with dressing, grooming, hygiene, and meals; Maintain home safety and housekeeping with basic cleaning, laundry, and organizing...Shift work
$15.75 per hour
...Now offering up to $15.75/HR! Addus HomeCare is hiring Caregivers/Home Care Aides. We offer, flexible, full time/part time hours to match your availability! Work close to home Benefits we offer: Quick start Weekly pay with Daily Pay option Direct deposit...Weekly payDaily paidFull timeTemporary workPart timeWork experience placementFlexible hours- AccentCare - - Responsibilities: Provide personal home care services and homemaking tasks; Provide non-medical support to clients to remain in their homes; Personal care assistance; Meal preparation; Light housekeeping
- HomeWell Care Services - - Responsibilities: Companionship; Light cooking and cleaning; Bathing, grooming and toileting; Assistance with ambulation and medication reminders; Transportation for appointments and errandsFull timePart time
$15.56 per hour
...can be your best at work Network of Support: Supervisors who care deeply about the participants and your wellbeing Job... ...Skills: Communication, adaptability, multi-tasking, teamwork, time-management Behaviors: Patient, compassionate, reliable, responsible...Full timeWeekend work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Managed Care Specialist. Be the first to apply!
- caregiver needed immediately Nashville, TN
- managed care specialist Nashville, TN
- foster care specialist Nashville, TN
- caregiver night shift Nashville, TN
- caregiver flexible schedules Nashville, TN
- caregiver cna-paid training Nashville, TN
- personal caregiver Nashville, TN
- caregiver private home Nashville, TN
- travel caregiver Nashville, TN
- private live in caregiver Nashville, TN

