Case Manager

Pyramid, Inc
  • Nashville, TN
  • $25–$32 Per Hour
  • Full-time
12 days ago

Job Description

Immediate need for a talentedCase Manager. This is a 06+ Months Contract opportunity with long-term potential and is located in U.S(Remote). Please review the job description below and contact me ASAP if you are interested.

Job ID:25-58132

Pay Range: $25 - $32/hour.  Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
 
Key Responsibilities:
  • Answer and process provider calls for Behavioral Health and HC ICMS
  • Validate HIPAA, verify eligibility & benefits, provide referrals, and complete authorization processes
  • Utilize workflows to make nonclinical decisions based on Fast Cert Authorization criteria
  • Participate in tasks related to holistic case management, including aftercare follow-up planning
  • Process electronic authorization requests and coordinate follow-up requests with Care Management Teams
  • Research complicated cases and participate in assigned workgroups and team meetings
Key Requirements and Technology Experience:
  • Bachelor’s degree required
  • 1+ years of related work experience in Behavioral Health/Psychology preferred
  • Strong interpersonal skills with the ability to project warmth and empathy
  • Effective listening and organizational skills
  • Detail-oriented with proven customer service skills
  • Experienced in working with multiple PC systems and applications
Our client is a leading Health insurance Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.
 
Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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Numbers & Facts

LocationNashville, TN
Job TypeFull-time
Salary$25–$32 Per Hour

Skills

  • Aftercareunmatched
  • Artificial Intelligence (AI)unmatched
  • Behavioral Healthunmatched
  • Case Managementunmatched
  • Certification Evaluationunmatched
  • Consultingunmatched
  • Customer Support/Serviceunmatched
  • Detail Orientedunmatched
  • Employee Benefitsunmatched
  • HIPAA (Health Insurance Portability and Accountability Act)unmatched
  • Health Insuranceunmatched
  • Interpersonal Skillsunmatched
  • Organizational Skillsunmatched
  • PC (Personal Computer) Systemsunmatched
  • Psychologyunmatched
  • Short Messaging Service (SMS)unmatched

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