
Nurse Case Manager
Posted 6 hours ago

Posted 6 hours ago
This is a fully remote position, open to applicants in Canada.
• Facilitate reimbursement processes to ensure the timely, accurate, and consistent management of coverage-related inquiries throughout customer operations and patient support workflows.
• Coordinate documentation related to benefits, case updates, follow-up actions, and communications regarding reimbursement support.
• Address routine reimbursement challenges, fill documentation gaps, and manage workflow exceptions.
• Keep precise case records, reimbursement documents, and updates to systems.
• Track reimbursement trends, identify recurring issues, and recognize escalation indicators.
• Collaborate with both internal and external stakeholders to ensure aligned communications, clarify reimbursement needs, and aid in case resolutions.
• Participate in process enhancements, workflow revisions, and operational readiness initiatives.
• A High School Diploma/GED or equivalent experience is mandatory.
• A minimum of 2 years of experience in reimbursement support, patient services, customer operations, healthcare support services, case coordination, claims assistance, or a related area is required.
• Certification in reimbursement support, patient access, customer support, service management, customer relationship management systems, or process optimization is preferred.
• Medical, dental, and vision insurance.
• Backup dependent care services.
• Adoption assistance programs.
• Coverage for infertility treatments.
• Support for family building.
• Solutions for behavioral health.
• Paid parental leave benefits.
• Paid caregiver leave options.
• Opportunities for training programs.
• Resources for professional development.
• Mentorship initiatives.
• Access to employee resource groups.
• Participation in volunteer activities.
GE Vernova
LGC
W. R. Berkley Corporation
Elevance Health
Get handpicked remote jobs straight to your inbox weekly.