MANAGED CARE CASE MANAGER

Required work experience: 2-4 years Location: 100% Remote - Open to All Applicants in Colombia. 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 Colombia 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, 5 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 mentorship to set you up for success. • A Clear Career Ladder: This role is just the beginning. We offer a clear promotional path with competitive salary increases as you grow with us. • A Supportive Global Team: Even though we work from home, our team is tightly connected. You will have a dedicated Team Lead and supervisor • A Dynamic Work Environment: You will be in constant communication with native English speakers, helping you to further enhance your language skills in a professional setting. Please submit your application and resume in English. Applications submitted in any other language will not be considered.