Job Title: Case Manager
Location: Pittsburgh, Pennsylvania (On-Site)
Job Summary: We are seeking a Case Manager to support patients with chronic illnesses by coordinating care, managing insurance-related processes, and helping ensure timely access to therapy. Our team is looking for a professional who can build strong relationships across internal and external partners while balancing patient needs, operational priorities, and compliance requirements.
Responsibilities:
- Lead care coordination activities within an assigned territory and support timely case resolution.
- Collaborate with patients, families, healthcare providers, insurance companies, and specialty pharmacies to exchange patient-related information.
- Manage case data, including insurance coverage, approvals, ongoing requirements, and patient and provider interactions.
- Support insurance approvals, denials, appeals, copay assistance, patient assistance applications, and prescription ordering or triaging as needed.
Required:
- Bachelor’s Degree or equivalent in a related area focusing on Health Care, Social Work, or Nursing is preferred.
- Minimum 3 years of recent experience in the case management process is preferred.
- Proven ability to assess the ethics and legality of patient care is required.
- Experience in home care management, case management review, utilization review, social service support, insurance reimbursement, and patient advocacy is preferred.
- Strong verbal and written communication skills, including professional communication with clients, providers, patients, and employees, are required.
- Ability to work independently, handle multiple tasks, use data entry/computer systems, and manage sensitive issues with problem-solving and mediation skills is required.
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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