The Care Manager/Coordinator (RN/SW) at AmeriHealth Caritas is responsible for engaging members, their caregivers, and providers to assess, plan, and establish individual member goals for achieving optimal health through self-management. This role involves facilitating and coordinating care, ensuring quality and cost-effective resource use, and acting as a single point of contact and advocate for members in the care coordination program. The position also includes overseeing care management activities within assigned practices to ensure high-quality services in line with Plan, NCQA, Federal/State standards.

Care Manager II - Remote Philadelphia area only

Care Manager II

RemX is seeking a Medical Customer Service Specialist to work remotely for a Fortune 500 healthcare company. The role involves answering inbound and making outbound calls to assist with medically related inquiries, data entry, and working with carriers to ensure medication coverage. This position offers weekly pay, benefits, referral programs, equipment, and online classes for skill improvement in a friendly work environment.

$16/hr. Remote Medical Customer Service Specialist

Medical Customer Service Specialist

As a Customer Care Specialist at Ampcus Inc., you will be responsible for managing all escalated customer service matters related to SAT, PSAT, AP, and CLEP to full resolution. This includes identifying issue root causes and reporting back to team leadership to support continuous improvement. You will work closely with internal and external stakeholders to ensure compliance with policies and procedures, while also identifying continuous improvement opportunities.

Customer Care Specialist

As a Patient Support Specialist at Syneos Health, you will be responsible for providing inbound customer support in a virtual pharmaceutical contact center environment. This role involves supporting patients, caregivers, healthcare providers, and healthcare clinic personnel by responding to inbound calls, emails, and other communications, building rapport, resolving customer issues, and maintaining detailed records of interactions. The position requires a high school diploma or equivalent, with 1-3 years' experience in customer service or related fields.

Patient Support Specialist

Meta is seeking an Administrative Specialist to join our Global Administrative Specialist program team. This role involves supporting complex and high-volume calendaring, travel planning, and expense reporting for multiple clients remotely. The position requires managing multiple calendars, scheduling meetings, coordinating travel arrangements, and handling expense reports. This is a full-time role that requires strong organizational skills, attention to detail, and the ability to work independently.

Administrative Specialist

The Order Management Specialist at Rocket Software will work closely with the sales team to manage and process orders in Salesforce, ensuring accurate pricing, customer, and product information. This role involves managing renewal records, generating invoices, tracking assets, and assisting in resolving order-related issues. The position requires a blend of order management experience, Salesforce knowledge, and strong communication skills.

Order Management Specialist

The Remote Patient Care Specialist at LifePoint Health works to enhance patient satisfaction and clinician efficiency through a collaborative approach to patient care. This fully remote position supports the local care team by conducting pre-visit planning, patient care support, and outreach to ensure all needed information is available at the patient's appointment. The role involves conducting chart reviews, ensuring diagnostic results and specialists reports are available, and coordinating with hospital case managers for post-discharge appointments and transitional care calls.

Remote Patient Care Specialist

The Patient Access Specialist at Sanford Health is responsible for reviewing and validating insurance eligibility, prior authorization, and/or referral of medication, procedures, etc. They determine if insurance meets prior authorization criteria, collect necessary documentation, and communicate with third-party payers, healthcare professionals, and customers to prioritize requests. This role involves verifying patient registration and confirming benefit coverage, including deductibles and out-of-pocket expenses, and working closely with providers to ensure medical necessity is met.

Patient Access Specialist (Differential Waiver) - Prior Authorization

Patient Access Specialist

The Medical Management Specialist I at Elevance Health is responsible for providing non-clinical support to the Medical Management and/or Operations/Case Management Departments. This role involves providing information on network providers, acting as a liaison between departments, maintaining and updating tracking databases, preparing reports, and contacting members and providers as needed. The position is remote, requiring the candidate to reside within 50 miles or one hour commute from Miami and Tampa, Florida.

Medical Mgmt Specialist I (US)

Medical Management Specialist I

Tanaq Support Services is seeking a Grants Management Specialist to oversee the administration and management of grants, ensuring compliance with federal regulations and organizational policies. This fully remote position is based in Atlanta, GA, or anywhere in the U.S., and is contingent upon contract award. The role involves managing the full lifecycle of grants, ensuring compliance with federal regulations, reviewing grant applications, monitoring budgets, and providing support to grant recipients on reporting and compliance.

Grants Management Specialist

We are seeking a dedicated Chronic Care Manager to provide one-on-one attention via telephone calls to patients with two or more chronic diagnoses. The Chronic Care Manager will collect patient health information to identify risks, provide education, and encourage compliance with treatment. This role involves creating patient-specific Care Plans that outline goals and interventions to implement, monitor, and support the patient's needs as defined by the Primary Care Physician (PCP). The Chronic Care Management (CCM) program aims to support patients and promote the highest level of quality care.

Chronic Care Management

Chronic Care Manager (LPN)

Randstad US is seeking Care Coordinators for a temporary role in Lewisville, Texas. This position involves operational and customer service tasks, including creating and completing accurate referrals and applications, resolving patient questions and concerns, and entering information into proprietary software. The role requires a bachelor's degree and offers a starting pay of $19.99 to $20 per hour. Testing is required and must be completed within 24 hours.

care coordinator

Care Coordinator

The Care Manager/Coordinator (RN/SW) at AmeriHealth Caritas is responsible for engaging members, their caregivers, and providers to assess, plan, and establish individual member goals for achieving optimal health through self-management. This role involves facilitating and coordinating care, ensuring quality and cost-effective resource use, and serving as a single point of contact and advocate for members in the care coordination program. The position also includes overseeing care management activities within assigned practices to deliver high-quality services in line with Plan, NCQA, Federal/State standards.

Part-time Care Manager II - Remote Philadelphia area only

Part-time Care Manager II

The Care Coordinator II at Centene Corporation supports care management activities to ensure services are delivered by healthcare providers and partners, ensuring continuity of care and member satisfaction. This role involves outreach to members via phone or home visits, coordinating care activities, and supporting member inquiries. The position offers the flexibility to work remotely from anywhere within the state of Missouri and prefers candidates with experience in foster care or pediatric physical health.

Care Coordinator II

The Patient Benefit Specialist is responsible for all aspects related to adjudication and billing of specialty prescriptions in a call center environment. This role involves monitoring adjudication queues, contacting members and prescribers on non-covered items, facilitating prior authorization processes, providing clinical services, and ensuring customer satisfaction through resolution of service issues.

Patient Benefit Specialist- Remote

Patient Benefit Specialist

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