Medical Case Manager
7 months ago
Open position night shift/or day shift schedule available:
- A full-time job 8 hrs shift ---m-f : 05pm est- 100am est ( 40hrs/week or).
- A Day-time job 8 hrs shift ---m-f : 09am est- 0500pm est ( 40hrs/week).
- Both shifts require availability to be on-call - must be able to be on-call from 100 am est--900 am est 2 nights/week remotely.
- Must be able to be oncall remotely 2 weekends/ month from friday 100am est- monday 900am est monitoring /answering emergency emails, calls, case managing emergencies, etc..
- Any Worked hours during OnCall will be paid on an hourly after-hours rate basis as additional to the base payment.
Once the candidate passes the proper paid training (2-3 WEEKS), the candidate will be working at the office and remotely. if dropped out of training without 30 days' notice. hours spent in training will be voided and paid.
The right candidate must be a foreign medical graduate initially, have the ability to start immediately working and handling medical benefits verification and medical pre-authorization service, inpatient care review, itemized bill review, must be able to cover phone calls during their shifts. In addition, the candidate must have excellent verbal communication skills, computer proficiency, and customer service experience.
Responsibilities:
- Answer inbound calls.
- eMail monitoring average 70 eMails per day.
- Handle providers inquiries for benefit verification.
- Manage and resolve customer complaints.
- Provide customers pre-authorization for medical services.
- Medical records review.
- itemized Bill Review.
- Escalate priority issues.
- Document all activities and call information according to standard operating procedures.
- Reviewing medical records and assess for pre-existing condition and relevant exclusions on the policy.
Core Competencies:
- Must be Foreign Medical Graduate.
- Must have not passed USMLE STEP1 STEP 2 Nor CSA.
- Verbal and written communication skills ( English & Spanish, other languages) are welcomed.
- MS Access/Word/Excel proficiency.
- Listening skills.
- Problem-solving.
- Customer service oriented.
- Organizational skills.
- Detail-oriented.
- Adaptability.
- Team player.
- Resilience.
Job Type:
- Full-time, Contract hourly-paid $16.00 -$24.00/Hr.
Language:
- Spanish and English (required) and Portuguese (preferred), any other languages are welcomed in addition to the required ones.
-
Medical Case Manager
7 months ago
Miami, United States Medical Audit Professionals Remote Work Freelance Full time $16 - $24Immediate vacancy available. We are looking for a foreign medical graduate ( ONLY), Spanish, English speaker, and or other languages with an excellent work ethic in Miami Florida geographical area. no experience is required. we will train. computer multitask skills required to deal with emergencies.Open position night shift/or day shift schedule available:A...
-
RN Case Manager
2 months ago
Miami, United States North Shore Medical Center Full timeWE ARE NORTH SHORE MEDICAL CENTER Our primary function is to offer continuous nursing, medical, and other health and social services on a 24-hour basis, under physician directed care and RN supervision. We service a multitude of patients and their families across our vast network, while remaining committed to the professional development of our staff, the...
-
Case Manager
6 days ago
Miami, United States Leon Health Full timeUnder the general supervision of the Director of Health Services, the position is responsible for the ongoing assessment, planning, and evaluation of members within the care management program. The incumbent acts as a liaison between patient/family and healthcare personnel to ensure that the necessary care is provided promptly and effectively. The Case...
-
Case Manager
6 days ago
Miami, United States Leon Health Full timeUnder the general supervision of the Director of Health Services, the position is responsible for the ongoing assessment, planning, and evaluation of members within the care management program. The incumbent acts as a liaison between patient/family and healthcare personnel to ensure that the necessary care is provided promptly and effectively. The Case...
-
Customer Service and Medical Case Manager
6 days ago
Miami, United States Insight Global Full timeWe are seeking a skilled Customer Service and Medical Case Manager to join our team at Insight Global. As a key member of our customer service team, you will be responsible for coordinating and determining approvals, eligibility, and informing medical providers about client authorizations. Your role will also involve issuing General Operating Procedures...
-
Registered Nurse
3 months ago
Miami, United States JobRialto Full timeJob Summary: We are seeking a highly experienced Registered Nurse - Case Management. In this role, you will build strong relationships with patients, caregivers, and interdisciplinary healthcare teams to understand patient health needs and deliver optimal outcomes. You will be responsible for coordinating comprehensive care plans, advocating for patient...
-
RN Case Manager
5 months ago
Miami, United States HCA Florida Mercy Hospital Full timeDescription IntroductionLast year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) RN Case Manager with HCA Florida Mercy Hospital you can be a part of an organization that is devoted to giving back!BenefitsHCA Florida Mercy Hospital, offers a total rewards package that supports the health, life, career and...
-
RN Case Manager
2 months ago
Miami, United States HCA Florida Mercy Hospital Full timeDescription IntroductionAre you looking for a work environment where diversity and inclusion thrive? Submit your application for our RN Case Manager opening with HCA Florida Mercy Hospital today and find out what it truly means to be a part of the HCA Healthcare team.BenefitsHCA Florida Mercy Hospital, offers a total rewards package that supports the...
-
RN Case Manager
4 months ago
Miami, United States HCA Florida Mercy Hospital Full timeDescription IntroductionAre you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) RN Case Manager today with HCA Florida Mercy Hospital.BenefitsHCA Florida Mercy Hospital, offers a total rewards package that supports the health,...
-
RN Case Manager
6 months ago
Miami, United States HCA Florida Kendall Hospital Full timeDescription IntroductionLast year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) RN Case Manager with HCA Florida Kendall Hospital you can be a part of an organization that is devoted to giving back!BenefitsHCA Florida Kendall Hospital, offers a total rewards package that supports the health, life, career...
-
RN Case Manager
2 weeks ago
Miami, United States HCA Florida Kendall Hospital Full timeDescription IntroductionLast year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) RN Case Manager with HCA Florida Kendall Hospital you can be a part of an organization that is devoted to giving back!BenefitsHCA Florida Kendall Hospital, offers a total rewards package that supports the health, life, career...
-
RN Case Manager
2 weeks ago
Miami, United States HCA Florida Kendall Hospital Full timeDescription IntroductionLast year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) RN Case Manager with HCA Florida Kendall Hospital you can be a part of an organization that is devoted to giving back!BenefitsHCA Florida Kendall Hospital, offers a total rewards package that supports the health, life, career...
-
RN Case Manager
7 days ago
Miami, United States HCA Florida Mercy Hospital Full timeDescription IntroductionAre you looking for a work environment where diversity and inclusion thrive? Submit your application for our RN Case Manager opening with HCA Florida Mercy Hospital today and find out what it truly means to be a part of the HCA Healthcare team.BenefitsHCA Florida Mercy Hospital, offers a total rewards package that supports the...
-
Medical Case Coordinator
2 weeks ago
Miami, Florida, United States North Shore Medical Center Full timeJob OverviewWe are seeking a dedicated Medical Case Coordinator to join our team at North Shore Medical Center.About the RoleThis is a full-time position that offers competitive hourly pay, negotiable based on experience. The estimated annual salary for this role is $**62,400**.The successful candidate will be responsible for assessing patient care needs and...
-
Healthcare Professional
2 weeks ago
Miami, Florida, United States Baptist Health South Florida Full timeBaptist Health South Florida is a leading not-for-profit healthcare organization with a strong commitment to medical excellence and patient-centered care. Our team of dedicated professionals is passionate about delivering high-quality services to our patients and their families.Job SummaryWe are seeking an experienced Registered Nurse (RN) to join our Case...
-
Travel Medical Professional
2 weeks ago
Miami, United States HealthTrust Workforce Solutions HCA Full timeEstimated Salary: $120,000 per yearAbout the OpportunityWe are seeking a highly skilled and dedicated Travel Medical Professional to join our team in Austin, Texas.Job Overview:This is a 13-week contract position with a 36-hour workweek.The ideal candidate will have at least one year of experience in case management and a strong background in healthcare.This...
-
Miami, United States Jackson Health System Full timebody>Case Manager, RN, Jackson West, Per-Diem, Weekend-DaysMiami, FL Temporary Relief JW-Case Management Case Manager RN is a professional member of the health care team who has 24/7 accountability for the coordination, monitoring and management of patient care resources to promote the most efficient delivery of patient care services at the appropriate...
-
Probation Case Manager
3 weeks ago
Miami, Florida, United States Florida Southern Probation and Pretrial Services Full timeJob SummaryMain content Job Details for Probation ClerkCourt Name/Organization: Florida Southern Probation and Pretrial ServicesAbout UsAs a leading provider of probation services, we are committed to delivering high-quality support to individuals in our care.Compensation and BenefitsThe estimated salary for this role is $43,212 per annum, depending on...
-
RN Case Manager
4 weeks ago
North Miami, United States Bristol Hospice Full timeRN Case ManagerAre you an RN who enjoys walking along side your patients throughout their journey and enjoy making an impact in the life of your patient and the family you have the honor and privilege of caring for? Bristol Hospice is looking for compassionate, dedicated, and enthusiastic Registered Nurses to join our Team. If you are an RN and you are...
-
Case Manager
4 weeks ago
Miami, United States UnitedHealth Group Full timeFull time opportunity - Monday through Friday 8:00 am - 5:00 pm $3000 Sign on Bonus for External Candidates *sign on bonus for new hires who start on or before January 13th*At UnitedHealthcare, we‘re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of...