Patient Care Specialist

4 weeks ago


Pittsburgh, United States SSi People Full time

Job Title: Patient Care Specialist


Duration: 04+ months contract on W2 with possibility to full time.


Job Description:

The Case Manager assists customers with chronic illnesses by assessing their well-being and treatment plans within an assigned territory. They collaborate with internal and external partners (Pharma Reps, Doctors, Insurance companies) to resolve coordination concerns, using discretion to ensure timely case resolution and compliance. The Case Manager facilitates the healthcare continuum process, addressing patient and physician concerns, obtaining insurance approvals, and proactively preventing delays in coverage.


Responsibilities:

  • Lead care coordination in the assigned territory, balancing patient and physician needs with program requirements.
  • Maintain professional relationships with all stakeholders (patients, physicians, insurance companies, etc.), ensuring effective communication and care advocacy.
  • Assess and develop action plans to prevent therapy delays and manage patient-related information and databases.
  • Stay updated on reimbursement processes, insurance plans, and resources.
  • Assist in obtaining insurance approvals, processing copay assistance, and patient support applications.
  • Educate patients and providers on insurance requirements and relevant disease/product information.
  • Demonstrate leadership in executing action plans, supporting special projects, and recommending process improvements.
  • Share knowledge through training and consultation.


Skills & Requirements:

  • Bachelor’s Degree in Health Care, Social Work, or Nursing preferred.
  • 3+ years of case management experience preferred.
  • Experience in home care, utilization review, patient advocacy, and insurance reimbursement is desired.
  • Strong understanding of healthcare insurance benefits and regulations.
  • Proficient in data entry and computer literacy.
  • Excellent communication, mediation, and problem-solving skills. Spanish-speaking is a plus.
  • Ability to work independently and manage multiple tasks.
  • Commitment to client's core values: Passion, Innovation, Integrity, and Accountability.


Education:

  • Bachelor’s Degree in Health Care, Social Work, or Nursing preferred.
  • 3+ years of recent case management experience preferred.



  • Pittsburgh, Pennsylvania, United States Riverside Health System Full time

    Patient Care Specialist - Riverside Health SystemOverview:As a Patient Care Specialist within our organization, you will operate under the guidance of the Nurse Manager and Director to deliver comprehensive nursing services for designated patients. Your role will encompass the assessment, planning, execution, and evaluation of patient care, alongside...


  • Pittsburgh, Pennsylvania, United States Riverside Health System Full time

    Patient Care Specialist - Newport News, VirginiaOverview:As a Patient Care Specialist within our organization, you will collaborate closely with the Nurse Manager and Director to deliver comprehensive nursing services for designated patients. Your role encompasses the assessment, planning, execution, and evaluation of patient care, alongside overseeing...


  • pittsburgh, United States SSi People Full time

    Job Title: Patient Care Specialist (Hybrid)Locations: Pittsburgh, PA-15275Client: Healthcare and hospitalShortened Job Description:The Patient Care Specialist/ Case Manager supports patients with chronic illnesses by assessing their needs and managing their treatment plans.They collaborate with healthcare professionals, insurance companies, and internal...


  • Pittsburgh, United States SSi People Full time

    Job Title: Patient Care Specialist (Hybrid)Locations: Pittsburgh, PA-15275Client: Healthcare and hospitalShortened Job Description:The Patient Care Specialist/ Case Manager supports patients with chronic illnesses by assessing their needs and managing their treatment plans.They collaborate with healthcare professionals, insurance companies, and internal...


  • Pittsburgh, Pennsylvania, United States Jushi USA Full time

    Job Title: Patient Care SpecialistAt Jushi USA, we are seeking a highly skilled and customer-focused Patient Care Specialist to join our team. As a Patient Care Specialist, you will be responsible for providing exceptional customer service and ensuring a seamless shopping experience for our patients.Key Responsibilities:Provide outstanding customer service...


  • Pittsburgh, Pennsylvania, United States UPMC Full time

    Position Overview:UPMC is seeking a dedicated Patient Care Support Specialist to join our dynamic healthcare team. This role is pivotal in delivering essential patient care and supporting departmental operations in a fast-paced environment.About the Role:The Patient Care Support Specialist will work within a specialized unit that caters to outpatient medical...


  • Pittsburgh, Pennsylvania, United States UPMC Full time

    Join UPMC as a Patient Care Transport SpecialistAs a vital member of our healthcare team, you will:Communicate Effectively: Relay essential information regarding patient care to the Patient Transport supervisor or nursing staff on the unit.Manage Equipment: Exhibit comprehensive knowledge in obtaining, setting up, removing, cleaning, and storing traction...


  • Pittsburgh, Pennsylvania, United States Highmark Full time

    Sign-On Bonus: Eligible candidates may receive a $1,000 sign-on bonus after completing 90 days of continuous employment.Position Overview:The Patient Care Support Specialist is responsible for ensuring a clean and safe environment for patients by performing essential cleaning and transport duties.Key Responsibilities:1. Uphold the cleanliness and sanitation...


  • Pittsburgh, Pennsylvania, United States UPMC Full time

    Become a Vital Part of Our Team Are you a dedicated healthcare professional seeking a role that offers extensive opportunities for advancement and personal growth? If you are committed to delivering exceptional patient care and are interested in a position that provides excellent benefits and significant career development, we encourage you to consider this...


  • Pittsburgh, United States Transitions Care - Pennsylvania Full time

    About the RoleWe are seeking a skilled and compassionate Hospice Care Specialist to join our team at Transitions Care - Pennsylvania. As a Hospice Care Specialist, you will play a vital role in providing high-quality care to patients and their families in the comfort of their own homes.Key ResponsibilitiesConduct comprehensive assessments of patients and...


  • Pittsburgh, Pennsylvania, United States Health Carousel Travel Nursing and Allied Health Full time

    Position Overview:The Health Carousel Travel Nursing and Allied Health team is in search of a dedicated Psychiatric Travel Patient Care Specialist (PCT) to join our esteemed organization. This role is essential in providing compassionate care to patients in a dynamic travel setting.Key Details:Location: Travel opportunities availableWork Schedule: Rotating...

  • Registered Nurse

    2 days ago


    Pittsburgh, Pennsylvania, United States Highmark Health Full time

    Job SummaryHighmark Health is seeking a skilled Registered Nurse to join our team as a Patient Care Specialist. In this role, you will be responsible for providing high-quality patient care and advocating for the needs of our patients.Key ResponsibilitiesClinical Assessment and Care Planning: Conduct thorough clinical assessments to identify patient needs...


  • Pittsburgh, Pennsylvania, United States Maxim Healthcare Services Full time

    Overview of the Patient Transition Specialist RoleBecome a vital member of our organization as a Patient Transition Specialist, delivering crucial support during a significant phase in a residential environment. In this temporary role, you will be instrumental in guiding patients from medical facilities back to their homes. This position is not for everyone;...


  • Pittsburgh, United States Careerbuilder-US Full time

    Job Title: Patient Support Specialist Job Location: Pittsburgh, PA 15275 Job Duration: 3 months+ Shift hours: Mon - Fri 11:30 am - 8:00 pm. Pay range: $19.85/hr. on W2 Job Description: The Patient Support Specialist is responsible for providing patient health care services enabling access to care for prescription medications. This...


  • Pittsburgh, Pennsylvania, United States UPMC Life Changing Medicine Full time

    Exciting Opportunity at UPMC Life Changing MedicineWe are currently seeking a dedicated and compassionate Patient Care Specialist, Senior to join our Night Program in the Resource Pool. As a member of the UPMC team, you will play a vital role in providing top-quality patient care and making a positive impact in our community.Key Responsibilities:Provide...


  • Pittsburgh, United States Careers Integrated Resources Inc Full time

    Job Title : Patient Support Specialist Location : Pittsburgh, PA 15275 Duration : 3 months+ will full possibility of extension Shift : M -F 11: 30 AM -8 PM, 10 AM -6:30 PM, and 10:30 AM -7 PM Pay range: $19.85/hr. on W2 Job Description: The Patient Support Specialist is responsible for providing patient health care services enabling...


  • Pittsburgh, United States Careers Integrated Resources Inc Full time

    Job Title : Patient Support Specialist Location : Pittsburgh, PA 15275 Duration : 3 months+ will full possibility of extension Shift : M -F 11: 30 AM -8 PM, 10 AM -6:30 PM, and 10:30 AM -7 PM Pay range: $19.85/hr. on W2 Job Description: The Patient Support Specialist is responsible for providing patient health care services...


  • Pittsburgh, United States Integrated Resources Full time

    Job Title: Patient Support Specialist Location: Pittsburgh, PA 15275 Duration: 3 months+ will full possibility of extension Shift: M -F 11: 30 AM -8 PM, 10 AM -6:30 PM, and 10:30 AM -7 PM Pay range: $19.85/hr. on W2Job Description: The Patient Support Specialist is responsible for providing patient health care services enabling access to care for...


  • Pittsburgh, Pennsylvania, United States SSi People Full time

    Job Title: Patient Support SpecialistWe are seeking a highly skilled Patient Support Specialist to join our team at SSi People, a leading healthcare organization dedicated to delivering exceptional patient care and support services.About the Role:This is a 4-month contract position with the potential to extend, offering a unique opportunity to make a...


  • Pittsburgh, United States PeopleShare Full time

    PeopleShare is Now Hiring Patient Support Specialists for a Leading Health Care Service Provider in Robinson, PA! Why Work for PeopleShare?:Weekly pay on FridaysQuick, easy hiring processOpportunity for $50.00 referral bonusesVoted Best Places to WorkMedical benefits and 24/7 virtual wellness programJob Details for Patient Support Specialists:Schedule:...