Job Title: Case Manager
Location: Pittsburgh, Pennsylvania (On-Site)
Job Summary: We are supporting the search for a Case Manager to help coordinate care for customers with chronic illnesses across an assigned territory. We are looking for a professional who can balance patient, provider, and insurance needs while helping drive timely resolutions, strengthen communication, and support positive care outcomes.
Responsibilities:
- Lead care coordination efforts across an assigned territory and manage complex case activity with tact and sound judgment.
- Build effective relationships with patients, families, healthcare providers, insurance companies, specialty pharmacies, and internal partners.
- Support insurance approvals, denials, appeals, copay assistance, patient assistance applications, and prescription ordering or triage as needed.
- Maintain accurate case records and share knowledge with team members through training, consultation, and process improvement ideas.
Required:
- Bachelor’s degree, or equivalent, in a related area focusing on Health Care, Social Work, or Nursing, preferred.
- Minimum 3 years of recent experience in the case management process preferred.
- Strong verbal and written communication skills, computer literacy, data entry capability, mediation skills, and problem-solving ability.
- Knowledge of patient advocacy, case management, social service support, reimbursement processes, billing and coding, insurance regulations, home care management, utilization review, and case management review.
- Ability to assess the ethics and legality of patient care, work independently, handle multiple tasks, and manage sensitive issues with opposing opinions.
- English language proficiency required; Spanish language speaking ability is a plus.
About SSI People: With over 26 years of industry experience, SSi People has built its reputation and expertise on putting people first. Everything we do works toward delivering exceptional experience for our consultants, our clients, and our internal team. Through a genuine commitment to people in everything we do. We have developed refined processes and a stellar internal team to deliver talent quickly. More importantly, we focus on building long-term relationships, not transactions. Putting people first is just what we do well.
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