Clinical Case Manager

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.