Actalent
Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.
The Specialty Authorization Team is looking for a Care Navigator to process authorizations and follow-ups for DME, MHM, DAHS, and reductions/denials. This role involves supporting vulnerable populations with chronic or complex conditions.
Essential Skills: 2+ years of experience in a managed care environment or working with people who have disabilities and/or vulnerable populations with chronic or complex conditions. Experience in healthcare, outbound calls, and insurance support. LPN, LVN, or similar license required. Additional Skills & Qualifications: LPN, LVN, or similar license required. Strong skills in care coordination and case management. Work Environment: This position is fully remote, requiring a strong internet connection. The work hours are Monday through Friday from 8:00am to 5:00pm, and the dress code is business casual.
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Process authorizations and follow-ups for DME, MHM, DAHS, and reductions/denials. Make outbound calls related to healthcare services. Coordinate care and manage cases for individuals with disabilities and/or vulnerable populations. Support insurance-related inquiries and processes.
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Basic
Telehealth
$34
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Telehealth
$79
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Telehealth
$149
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