Case Manager
Posted: 06/24/2026
Employment Type:
Direct Hire
Industry: Healthcare
Job Number: 17976
Field of Expertise: Customer Support
Remote Friendly: No
Job Description
Our client, a healthcare consulting firm, is seeking a Case Manager for a direct hire role in Milton, GA.
The Case Manager will play a crucial role in assisting clients with complex healthcare needs, navigating insurance processes, and advocating for optimal care. This role requires a strong understanding of insurance plans, healthcare systems, and state and federal programs designed to cover medical costs. The Case Manager will serve as a liaison between clients, insurance providers, and healthcare professionals, ensuring seamless coordination and support. Â
Responsibilities:
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The Case Manager will play a crucial role in assisting clients with complex healthcare needs, navigating insurance processes, and advocating for optimal care. This role requires a strong understanding of insurance plans, healthcare systems, and state and federal programs designed to cover medical costs. The Case Manager will serve as a liaison between clients, insurance providers, and healthcare professionals, ensuring seamless coordination and support. Â
Responsibilities:
- Client Advocacy and Support:
- Serve as a primary point of contact for clients with complex healthcare needs.
- Advocate for clients to ensure they receive appropriate and timely care.
- Provide emotional support and guidance to clients and their families.
- Assist clients in understanding their insurance benefits and healthcare options.
- Case Coordination:
- Coordinate care between clients, members, healthcare providers, and insurance companies.
- Manage and track client cases, ensuring all necessary documentation is complete and accurate.
- Facilitate communication between all parties involved in a client's care.
- Assist clients with navigating insurance claims, appeals, and authorizations.
- Insurance and Healthcare Knowledge:
- Maintain a thorough understanding of various insurance plans and healthcare systems.
- Possess a strong understanding of state and federal programs (e.g., Medicaid, Medicare, ACA subsidies) that can assist clients in covering medical costs.
- Stay up to date on changes in insurance regulations and healthcare policies.
- Educate clients on their insurance benefits and healthcare options, including available government programs.
- Assist with resolving insurance-related issues and discrepancies.
- Documentation and Reporting:
- Maintain accurate and confidential client records.
- Prepare and submit detailed case reports and documentation.
- Track and report on client outcomes and progress.
- Ensure compliance with all relevant regulations and company policies.
- Collaboration and Communication:
- Collaborate with internal teams, insurance providers, and healthcare professionals.
- Communicate effectively with clients and members providing clear and concise information.
- Attend and participate in team meetings and training sessions.
- Build relationships with providers, and Insurance company personnel.
- State & Federal Program Navigation
- Partner with hospital-based case managers, social workers, discharge planners, and care coordination teams to identify patients who may qualify for Medicaid, Medicare, ACA marketplace plans, or other healthcare assistance programs.
- Assist clients and families with completing and submitting enrollment applications and supporting documentation for Medicaid, Medicare, and other state and federal healthcare programs.
- Facilitate the collection, completion, and filing of required paperwork with state and federal agencies to support timely eligibility determinations and coverage approvals.
- Monitor application status, communicate updates to clients and healthcare providers, and assist with resolving issues that may delay enrollment or access to care.
- Serve as a resource for clients navigating healthcare coverage options and eligibility requirements.
- Bachelor’s degree in social work, healthcare administration, or a related field preferred.
- 5+ years of experience working with hospital systems, case management departments, social workers, discharge planners, or care coordination teams.
- Knowledge of Medicaid, Medicare, ACA marketplace plans, and other state and federal healthcare assistance programs.
- Experience assisting clients with eligibility determinations, enrollment applications, documentation collection, and submission processes.
- Familiarity with state and federal agency processes related to healthcare coverage and benefits administration.
- Strong understanding of insurance plans, healthcare systems, and medical terminology.
- Excellent communication, interpersonal, and problem-solving skills.
- Ability to work independently and as part of a team.
- Knowledge of HIPAA regulations.
- Proficiency in Microsoft Office Suite. Â
- Compassionate and client-focused approach.
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Meet Your Recruiter
Danielle Potschantek
Senior Recruiting Consultant
Danielle joins Corps Team as a Senior Recruiting Consultant with over 20 years of Human Resource and Recruiting experience both on the staffing side and the corporate side. Danielle has experience managing the full recruitment lifecycle and developing efficient procedures to identify high-quality candidates. She has recruited for all levels in the organization and across multiple industries including technology, software, consulting, finance, and medical technologies.
Danielle is passionate about building strong relationships with her clients and matching high-caliber candidates to their open positions. Danielle is a member of SHRM and is a certified trainer in behavioral-based interviewing. She holds a Bachelor's degree from William Paterson University in Elementary Education and a Master’s degree from Fordham University in Human Resources Education.
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Discover Your Next Career Opportunity in Milton, Georgia! Nestled in the picturesque landscape of northern Fulton County, Milton offers job seekers a perfect blend of charming small-town atmosphere and vibrant opportunities for growth. Known for its upscale communities and equestrian culture, Milton boasts stunning parks like Bell Memorial Park and unique attractions such as the Birmingham Falls Art Gallery. With close proximity to Atlanta's thriving job market and famous landmarks like the American Prohibition Museum, Milton provides a work-life balance like no other. Explore our job listings today and unlock a fulfilling career in this inviting and dynamic region.