Care Manager

JOB DESCRIPTION

Insight Global is hiring for a Remote Care Manager to support our micro clinic operations in Raleigh, NC. You will work in a virtual setting with providers, paramedics, and patients to partner in the care continuum process. You will lead the clinical onboarding of new contracts, handle referrals & authorizations, and ensure seamless communication with all stakeholders.

Responsibilities will include :

• Develop and monitor care plans in collaboration with multiple providers, adjusting as needed
• Follow up on interventions to prevent unnecessary ER visits and hospital admissions
• Serve as the primary liaison between patients, families, and healthcare staff to ensure seamless communication
• Navigate multiple healthcare platforms including EHRs, payer portals, billing software, and patient messaging systems
• Ensure timely and accurate documentation across systems to support care continuity and compliance
• Verify provider participation, coverage, and pre-authorization requirements with insurance administrators and healthcare facilities
• Optimize client contracts and referral workflows to enhance scalability and efficiency in care coordination
• Schedule and manage appointments, follow-ups, and referrals to specialists and services
• Educate patients on conditions, medications, and treatment plans to promote understanding and adherence
• Track patient progress and address barriers to treatment plan compliance

REQUIRED SKILLS AND EXPERIENCE