Required work experience: 2-4 yearsRequired work experience: 2-4 yearsLocation: 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 For2–4 years of experience as an RN, LPN, USRN, or Healthcare Virtual Assistant with clinical nursing educationKnowledge of US healthcare insurance, Medicare Advantage, Medicaid MCOs, commercial payors, and criteria such as InterQual/MCG is a plusExperience with PointClickCare, MatrixCare, Availity, NaviHealth, or similar systemsStrong English communication, organization, attention to detail, and time-management skillsAbility to manage high-volume authorization workflows independentlyShift & Schedule - full-time, 5 days per week (US business hours align - 7 AM - 3 PM CDT), including dedicated Weekend CoverageWhat You’ll DoManage pre-admission and prior authorizations with MCOs, Medicare Advantage,



and commercial insurersConduct concurrent reviews and clinical chart audits to support continued staysTrack authorizations, length of stay, and expiration dates to prevent coverage gaps and lost revenueCommunicate with insurance case managers, medical directors, and facility clinical teamsSupport Peer-to-Peer reviews and appeals when coverage is deniedCoordinate with intake, nursing, social work, and billing teamsMaintain accurate authorization records in the EHRProvide weekend/high-volume coverage and ensure smooth team handoffsWhat We Offer:Starting salary: 665 USD gross monthlyComprehensive Training: We provide extensive initial training and ongoing mentorship to set you up for successA Clear Career Ladder: This role is just the beginning. We offer a clear promotional path with competitive salary increases as you grow with usA Supportive Integral Team: Even though we work from home, our team is tightly connected. You will have a dedicated Team Lead and supervisorA 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#J-18808-Ljbffr

📌 Managed Care Case Manager (Medellín)
🏢 Touch Support, Inc. & SNF Back Office
📍 Medellín