Clinic Case Manager

Rezilient Health
US - Missouri - St. Louis
January 12, 2025
Management

We're not telehealth and we're not a traditional doctor's office: we're the best parts of both.

Our mission at Rezilient Health is simple: to make access to primary and multispeciality care convenient, timely and seamless. We beam our remote physicians and specialist consults into our world-first CloudClinics to collaborate with an onsite medic during patient appointments. That means a shorter time to diagnosis and more timely treatment for our members, plus a model that actually helps physicians to deliver better care.

Our tech-forward approach streamlines the primary care experience so our doctors have the time to treat our members as a whole person, not just a collection of symptoms. And we're continuing to add specialty services and technology to offer the most comprehensive, convenient care possible.

Where others started with a legacy services model and slapped technology onto it to say they were tech enabled, we've developed a novel, digital physical infrastructure and built a new service model around it. We've built our scheduling, messaging, and video platform from the ground up to create a model where every touchpoint - even in the CloudClinics - is digitally captured. This means new ways to incorporate AI into care models, and new ways to deliver multiple specialties of clinicians to the same location at the same time, no matter where they are in the world.

We're looking for a dynamic individual to help support and grow our Case Management team. You will have a unique opportunity to learn and grow your skills fast - from supporting our patients with coordination referrals, orders and procedures, to working with our speciality team of medics and providers, this role offers the perfect opportunity to make a meaningful impact.

Summary of Duties

Works closely with and provides support to clinical team in coordinating patient referrals, orders, and procedures in accordance with medical plan benefits

Assists in building and maintaining databases of preferred specialty providers for all contracts

Communicates with multiple insurance administrators to determine provider participating status, tax IDs, pre-authorization requirements, coverage, benefits, and eligibility

Contacts multiple healthcare facilities to verify up to date information on locations, scheduling availability, and treatment capabilities

Informs patients of submitted orders, answering any questions or concerns and accommodating patient preference

Maintains organized, accurate, and detailed records of any work pertaining to the submission of provider orders

Handles all assigned Prior Authorizations

Facilitates obtaining records from previous specialists, managing release of information forms, and ensuring specialty providers have the necessary information to see a patient

Successfully navigates between multiple systems throughout the course of the workday this includes but is not limited to billing software, pa

Requirements

2-5 years of previous experience in medical case coordination, complex scheduling, and liaising between patients, providers, and external medical offices or hospitals.

Comfortable working independently with a variety of remote care coordinators and specialty physicians.

Good with technology. Confident, curious, and a quick learner when it comes to adapting to new technology and a variety of scheduling and communication platforms.

Previous experience in clinics, primary care, urgent care based settings considered a plus.

Excellent people skills. The way you treat people and handle their care is the absolute most important thing to us at Rezilient. We can train employees to do a lot, but we can't train character and attitude. At Rezilient, we love taking care of people, which means making them feel comfortable, safe, and heard.

Soft skills - independent thinker, problem solver, passion for revolutionizing healthcare, hands-on, can-do personality.

Availability to work 20-25 hours per week on a part-time basis. Flexible schedule options available.

Benefits

This opportunity offers the chance to shape the future of healthcare in a culture where your ideas and contributions have a meaningful impact on the organization's future. You'll be part of a supportive, collaborative, and diverse team, with competitive compensation.

Rezilient is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other legally protected characteristic. We believe in building a diverse workforce and encourage individuals from all backgrounds to apply.

Read the full job description and apply online on the recuiter's web-site

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