Managed Care Case Manager (Guadalajara)

Managed Care Case Manager (Guadalajara)

17 sep
|
Touch Support
|
Guadalajara

17 sep

Touch Support

Guadalajara

Required work experience: 2-4 years

Location: 100% Remote - Open to All Applicants in Mexico.

Who Are We?

Touch Support, a multinational Business Process Optimization company, is rapidly
expanding its finance and support teams. We are seeking a motivated,
detail-oriented individual in Mexico to join our team as a Managed Care Case
Manager. With over 350 employees across the US and Europe and a proven track
record of successful remote onboarding, we are excited to offer this long-term
opportunity to talented professionals like you.

What We’re Looking For
* 2–4 years of experience as an RN, LPN, USRN, or Healthcare Virtual Assistant
with clinical nursing education.
* Knowledge of US healthcare insurance, Medicare Advantage, Medicaid MCOs,
commercial payors, and criteria such as InterQual/MCG is a plus.
* Experience with PointClickCare, MatrixCare, Availity, NaviHealth, or similar
systems.
* Strong English communication, organization, attention to detail, and
time-management skills.
* Ability to manage high-volume authorization workflows independently.




* Shift & Schedule - full-time, five days per week (US business hours align - 7
AM - 3 PM CDT), including dedicated Weekend Coverage.

What You’ll Do
* Manage pre-admission and prior authorizations with MCOs, Medicare Advantage,
and commercial insurers.
* Conduct concurrent reviews and clinical chart audits to support continued
stays.
* Track authorizations, length of stay, and expiration dates to prevent
coverage gaps and lost revenue.
* Communicate with insurance case managers, medical directors, and facility
clinical teams.
* Support Peer-to-Peer reviews and appeals when coverage is denied.
* Coordinate with intake, nursing, social work, and billing teams.
* Maintain accurate authorization records in the EHR.
* Provide weekend/high-volume coverage and ensure smooth team handoffs.

What We Offer:
* Starting salary: 665 USD gross monthly
* Comprehensive Training: We provide extensive initial training and ongoing
men

📌 Managed Care Case Manager (Guadalajara)
🏢 Touch Support
📍 Guadalajara

Postulate a este anuncio

Muestra tus habilidades a la empresa, rellenar el formulario y deja un toque personal en la carta, ayudará el reclutador en la elección del candidato.

Suscribete a esta alerta:

Recibe por email las nuevas ofertas de trabajo para: managed care case manager (guadalajara) / guadalajara

Suscribete a esta alerta:

Recibe por email las nuevas ofertas de trabajo para: managed care case manager (guadalajara) / guadalajara