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
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.
Required Skills & Experience
· RN Licensure or Paramedic Licensure in North Carolina
· Minimum of 3 years of experience in care coordination (care or case management)
· Strong knowledge of insurance benefits, prior authorizations, and referral management
· Proficiency with EMR/EHR systems, payer portals, and standard office software (60% of role)
· Strong communicational & organizational skills - ability to work efficiently with a team
Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.