Case Manager

Rose International; Rockford (IL); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare organization is seeking a Case Manager for a fully remote role after an initial onsite training period. This position primarily focuses on managing member grievances and appeals, ensuring regulatory compliance, and enhancing overall member experience. Candidates should possess strong organizational skills and a background in healthcare case management, along with a high school diploma.

Qualifications

• Minimum 3 years in Case Management - Healthcare.
• 3 years of experience in member/patient grievance and appeals.
• 6 years in customer service.

Responsibilities

• Research and respond to member grievances and appeals.
• Meet regulatory requirements.
• Improve Member Experience.

Skills

MS Excel

MS Word

Multitask

Time Management

Education

High School Diploma

Job description

Hiring Organization : Rose International

Position Number : 483440

Industry : Healthcare

Job Title : Case Manager

Job Location : Portland, OR, USA, 97232

Work Model Details : Fully Remote after 2 weeks onsite

Shift :

• AM to 5 PM PST

Employment Type : Temporary

FT / PT : Full-Time

Min Hourly Rate($) : 25.00

Max Hourly Rate($) : 32.00

Must Have Skills / Attributes : MS Excel, MS Word, Multitask, Time Management

Experience Desired : Case Management- Healthcare (3 yrs); Member / patient grievance and appeals (3 yrs); Customer service (6 yrs)

Required Minimum Education : High School Diploma or equivalent

Preferred Certifications / Licenses : Not Required

Job Description

2 weeks onsite training and then fully Remote

Education Required :

• High School Diploma

Top (3) Required Skills :

• Background in member / patient grievance and appeals case processing
• Strong organizational and time management skills
• Ability to multitask in a fast-paced environment

Preferred Skills :

• 6 years of customer service
• Heavy writing and speaking with customers over the phone
• Microsoft Excel and Word
• Healthcare environment is a plus. (BlueShield, Aetna, Healthcare providers significant plus)

Top Daily Responsibilities :

• Research and respond to member grievances and appeals
• Meet regulatory requirements
• Improve Member Experience
• Only those lawfully authorized to work in the designated country associated with the position will be considered.
• Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client's business needs and requirements.

Benefits :

For information and details on employment benefits offered with this position, please visit here. Should you have any questions / concerns, please contact our HR Department via our secure website.

California Pay Equity :

For information and details on pay equity laws in California, please visit the State of California Department of Industrial Relations' website here.

Rose International is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender (expression or identity), national origin, arrest and conviction records, disability, veteran status or any other characteristic protected by law. Positions located in San Francisco and Los Angeles, California will be administered in accordance with their respective Fair Chance Ordinances.

If you need assistance in completing this application, or during any phase of the application, interview, hiring, or employment process, whether due to a disability or otherwise, please contact our HR Department.

Rose International has an official agreement (ID #132522), effective June 30, 2008, with the U.S. Department of Homeland Security, U.S. Citizenship and Immigration Services, Employment Verification Program (E-Verify). (Posting required by OCGA 13 / 10-91.).