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
· 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