1d ago
Sr. Care Management Specialist
Massachusetts
โจ $55k-$75k / yearest.
full-timesenior Remotehealthcare
๐ Tech Stack
๐ผ About This Role
You'll facilitate efficient care management services and coordinate with patient financial services to ensure timely discharges. You'll conduct clinical authorization reviews and monitor compliance with regulations.
๐ฏ What You'll Do
- Facilitate efficient Care Management services
- Conduct initial and continued clinical authorization reviews
- Coordinate authorizations with case managers
- Analyze reports on observation status reviews and discharges
๐ Requirements
- Two years of experience in hospital care management
- Knowledge of financial and utilization review software (ECIN, InterQual)
- Strong organizational and analytical skills
- Excellent communication and interpersonal skills
โจ Nice to Have
- Experience with report analysis and compliance monitoring
- Knowledge of insurance authorizations
๐ Benefits & Perks
- ๐ Flexible work hours
- ๐ Professional growth opportunities
- ๐ฅ Comprehensive benefits package
- ๐ฏ Patient-first work culture
- ๐ Regular training and support
๐จ Hiring Process
Estimated timeline: 2-4 weeks ยท AI estimate
- 1Recruiter screenยท 30 min
- 2Hiring manager interviewยท 45 min
- 3Offer
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