About the job
**This position is remote, but requires candidates to be 50 miles from the Raleigh, NC area**
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
Must Have Requirements:
- 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