Case Management Analyst

HireTalent
  • Philadelphia, PA
  • Remote
  • Instant Apply
1 day ago

Job Description

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

LocationPhiladelphia, 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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