Title: Case Management Analyst (Behavioral Authorization Team - Care Coordinator)
Location: 100% Remote
Pay Rate: TBD
Duration: 11/16/2026 - 07/01/2027
Schedule: Monday - Friday
Shift: Training: 8:00 AM - 4:30 PM CST (6-8 weeks)
After Training: 10:30 AM - 7:00 PM CST / 11:00 AM - 7:30 PM EST
Job Summary
The Case Management Analyst supports the Behavioral Authorization Team (BAT) by coordinating Fast Cert authorizations for behavioral health services, including mental health and substance abuse treatment. This role works directly with providers, care managers, and healthcare facilities to facilitate authorizations, verify benefits, and ensure members receive appropriate access to care while delivering excellent customer service.
Key Responsibilities
Answer and process provider calls related to behavioral health services.
Validate HIPAA requirements and verify eligibility and benefits.
Process authorization requests and complete handoff procedures.
Review and process electronic authorization requests.
Coordinate with Care Managers and Care Management teams regarding follow-up requests.
Research and resolve eligibility and escalated cases.
Support aftercare planning and service integration efforts.
Participate in team meetings, workgroups, and special projects.
Maintain productivity, quality, and compliance standards.
Qualifications
Bachelor's degree required.
Preferred minimum one year of experience in Behavioral Health, Psychology, or related field.
Strong customer service and communication skills.
Ability to demonstrate empathy and professionalism.
Detail-oriented with strong organizational skills.
Strong computer skills and ability to navigate multiple systems simultaneously.
Comfortable working in a fast-paced, metrics-driven environment.
Experience with healthcare, insurance, authorizations, care coordination, or call center operations preferred.
Work Environment
100% remote position.
Must have reliable high-speed internet.
Must maintain a quiet, distraction-free workspace.
Equipment requirements to be confirmed during onboarding.
Attendance during the full training period is required.
Heavy phone and computer-based work with frequent multitasking.
Numbers & Facts
Location
Philadelphia, PA (Remote)
Skills
Aftercareunmatched
Analysis Skillsunmatched
Behavioral Healthunmatched
Broadbandunmatched
Call Center Operationsunmatched
Case Managementunmatched
Communication Skillsunmatched
Computer Skillsunmatched
Customer Escalationsunmatched
Customer Support/Serviceunmatched
Detail Orientedunmatched
HIPAA (Health Insurance Portability and Accountability Act)unmatched
Health Insuranceunmatched
Healthcareunmatched
Healthcare Managementunmatched
Metricsunmatched
Multitaskingunmatched
Onboardingunmatched
Organizational Skillsunmatched
Patient Care Authorizationsunmatched
Psychiatry and Mental Healthunmatched
Psychologyunmatched
Quality Managementunmatched
Regulatory Complianceunmatched
Requirements Validation/Verificationunmatched
Substance Abuse Treatmentunmatched
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