Managed Care Case Manager

Required work experience: 2-4 years Location: 100% Remote - Open to All Applicants in Mexico. 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 Mexico 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 For 2–4 years of experience as an RN, LPN, USRN, or Healthcare Virtual Assistant with clinical nursing education . Knowledge of US healthcare insurance, Medicare Advantage, Medicaid MCOs, commercial payors, and criteria such as InterQual/MCG is a plus. Experience with PointClickCare, MatrixCare, Availity, NaviHealth, or similar systems. Strong English communication , organization, attention to detail, and time-management skills. Ability to manage high-volume authorization workflows independently. Shift & Schedule - full-time (US business hours align - 7 AM - 3 PM CDT), including dedicated Weekend Coverage. What You’ll Do Manage pre-admission and prior authorizations with MCOs, Medicare Advantage, and commercial insurers. Conduct concurrent reviews and clinical chart audits to support continued stays. Track authorizations, length of stay, and expiration dates to prevent coverage gaps and lost revenue. Communicate with insuranc