ZipRecruiter

Log In

1

Resolution Case Manager Jobs (NOW HIRING)

ConnectiveRx

Case Manager

Pittsburgh, PA · On-site

$41K - $60K/yr

Case Managers use discretion for timely case resolution and maintains compliance based on matters of significance. The incumbent utilizes care coordination to address patient and physician concerns ...

SCN

Case Manager

Northville, MI · On-site

$19 - $24.50/hr

Responsibilities/Qualifications Position Summary SCN is hiring a Case Manager to provide case ... Good decision-making, conflict-resolution, and effective listening skills * Ability to handle ...

Homestead Health Care

Case Manager

Northville, MI

$19 - $24.50/hr

Position Summary SCN is hiring a Case Manager to provide case management and discharge planning ... Good decision-making, conflict-resolution, and effective listening skills * Ability to handle ...

Homestead Home Health Care

Case Manager

Commerce, MI · On-site

$18 - $23/hr

Responsibilities/QualificationsPosition Summary SCN is hiring a Case Manager to provide case ... Good decision-making, conflict-resolution, and effective listening skills * Ability to handle ...

SCN

Case Manager

West Bloomfield, MI · On-site

$18.25 - $23.50/hr

Responsibilities/Qualifications Position Summary SCN is hiring a Case Manager to provide case ... Good decision-making, conflict-resolution, and effective listening skills * Ability to handle ...

Homestead Home Health Care

Case Manager

Commerce, CA · On-site

$20.50 - $26.25/hr

Responsibilities/QualificationsPosition Summary SCN is hiring a Case Manager to provide case ... Good decision-making, conflict-resolution, and effective listening skills * Ability to handle ...

ConnectiveRx

Case Manager

Pittsburgh, PA · On-site

$18.50 - $23.75/hr

Case Managers use discretion for timely case resolution and maintains compliance based on matters of significance. The incumbent utilizes care coordination to address patient and physician concerns ...

Concern Housing

Case Manager

Port Jefferson, NY · On-site

$50K/yr

The case manager is considered a resource in that they should be familiar with community resources ... Provide unit visits weekly and unit inspections monthly Participate in resolution of landlord and ...

CONCERN HOUSING

Case Manager

Shoreham, NY

$50K/yr

The case manager is considered a resource in that they should be familiar with community resources ... Participate in resolution of landlord and lease issues and coordination with public housing ...

CONCERN HOUSING

Case Manager

Port Jefferson, NY · On-site

$50K/yr

The case manager is considered a resource in that they should be familiar with community resources ... Participate in resolution of landlord and lease issues and coordination with public housing ...

Concern Housing

Case Manager

Shoreham, NY · On-site

$50K/yr

The case manager is considered a resource in that they should be familiar with community resources ... Provide unit visits weekly and unit inspections monthly Participate in resolution of landlord and ...

CONCERN HOUSING

Case Manager

Shoreham, NY

$50K/yr

The case manager is considered a resource in that they should be familiar with community resources ... Participate in resolution of landlord and lease issues and coordination with public housing ...

Chris 180

Case Manager

Atlanta, GA · On-site

$42K - $47K/yr

... resolution, coping skills, social skills, independent living skills, and positive decision-making ... Experience providing case management or wraparound services to youth and families, preferably in ...

Concern Housing

Case Manager

Shoreham, NY · On-site

$50K/yr

The case manager is considered a resource in that they should be familiar with community resources ... Provide unit visits weekly and unit inspections monthly Participate in resolution of landlord and ...

Career Consulting Partners

Case Manager

Sherman Oaks, CA · On-site

$35 - $45/hr

Proficiency in medical record reviews and complex lien resolution processes (including Medicare, Medi-Cal/DHCS, ERISA, and private health plans). * Hands-on mastery of Legal Case Management Systems ...

Career Consulting Partners

Case Manager

Sherman Oaks, CA · On-site

$35 - $45/hr

Proficiency in medical record reviews and complex lien resolution processes (including Medicare, Medi-Cal/DHCS, ERISA, and private health plans). * Hands-on mastery of Legal Case Management Systems ...

Concern Housing

Case Manager

Amityville, NY · On-site

$20.50 - $26.50/hr

The case manager is considered a resource in that they should be familiar with community resources ... Provide unit visits weekly and unit inspections monthly Participate in resolution of landlord and ...

CONCERN HOUSING

Case Manager

Amityville, NY · On-site

$20.50 - $26.50/hr

The case manager is considered a resource in that they should be familiar with community resources ... Participate in resolution of landlord and lease issues and coordination with public housing ...

Memorial Hermann

$17 - $22/hr

Job Summary The purpose of the Case Manager position is to support the physician, primary medical ... Utilizes advanced conflict resolution skills as necessary to ensure timely resolution of issues.

previous page

Showing results 41-60

All JobsHealthcare JobsHospital JobsCare Coordinator JobsResolution Case Manager Jobs

Resolution Case Manager information

See salary details

$14

$22

$32

How much do resolution case manager jobs pay per hour?

As of Sep 10, 2026, the average hourly pay for resolution case manager in the United States is $22.95, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $24.76 per hour, depending on experience, location, and employer.

Is case management a stressful job?

Case management can be stressful due to the need to handle complex cases, meet deadlines, and manage emotional situations. Resolution Case Managers often work under pressure to resolve issues efficiently while maintaining communication with clients and stakeholders.

What is a resolution case manager?

A resolution case manager is a professional responsible for handling and resolving customer or client issues, often in fields like insurance, healthcare, or social services. They assess cases, coordinate with relevant parties, and ensure solutions are implemented efficiently, typically using case management software and communication skills.

What qualifications do you need to be a resolution case manager?

A resolution case manager typically needs a high school diploma or equivalent, with many roles preferring or requiring a bachelor's degree in fields like social work, healthcare, or related areas. Relevant skills include strong communication, problem-solving, and organizational abilities, along with experience in case management or customer service; certifications such as Certified Case Manager (CCM) can also be advantageous.

What cities are hiring for Resolution Case Manager jobs?

Cities with the most Resolution Case Manager job openings:

What states have the most Resolution Case Manager jobs?

States with the most job openings for Resolution Case Manager jobs include:

What are popular job titles related to Resolution Case Manager jobs?

For Resolution Case Manager jobs, the most frequently searched job titles are:

Resolution Case Manager jobs near you

Case Manager

Pittsburgh, PA • On-site

ConnectiveRx
Pharmaceutical and Medicine Manufacturing • 1 - 5K employees
Learn more about ConnectiveRxexternal

$41K - $60K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 7 days ago

ConnectiveRx rating

7.3

Company rating: 7.3 out of 10

Based on 23 frontline employees who took The Breakroom Quiz

Job description

Overview
Being on medication is tough enough. We want to make getting it the easy part. Getting prescriptions to patients has become increasingly complex. When things get messy along the prescription journey, pharmaceutical manufacturers rely on us to untangle the process and create a clear path-allowing patients to build trusting relationships with their medication brands.
We're not only committed to taking the pain out of the prescription process, but we're also devoted to bringing the brightest minds together under one roof. We bring together diverse voices-engineers, pharmacists, customer service veterans, developers, program strategists and more-all with one vision. Each perspective and experience makes ConnectiveRx better than the sum of its parts.
Join our dynamic team as a Benefits Investigation Specialist and be a crucial part of ensuring access to essential medications! We seek a compassionate individual to engage with Medical Insurance Payers and Pharmacy Benefit Managers, playing a vital role in identifying and documenting coverage options for retail and specialty medications.
The Case Manager's primary duty is to assist customers with chronic illnesses in their assigned territory by gaining access to their wellbeing needs, journey and treatment plan. The Case Manager collaborates and maintains consistent communications with internal and external partners (Pharma Reps, Doctor offices or Insurance companies) to formulate, affect, interpret operational practices to achieve resolution based on last stop coordination concerns. Case Managers use discretion for timely case resolution and maintains compliance based on matters of significance. The incumbent utilizes care coordination to address patient and physician concerns; obtains insurance approval for designated therapy and proactive plans to avoid the potential of delayed coverage by working with the patient, family, insurance, company, physicians, workplace, benefits administrators and individuals from other areas. The Case Manager facilitates the case management process along the healthcare continuum; advocating and contributing to the patient's positive journey. Facilitate the case management process along the healthcare continuum. The incumbent assists with Benefit Investigations upon program need.
Responsibilities
  • Takes the lead to manage the Care Coordination process within an assigned territory. Uses tact and independent judgment to balance patient and physician needs with the business realities and necessities of the program. Establishes and maintains professional and effective relationships with all internal and external customers (i.e., care coordination colleagues, care field team, patient advocacy groups, insurance company case managers, specialty pharmacies, physician office staff and office coordinators) while multitasking to coordinate, evaluate and advocate for options and services to meet the client's needs.
  • Assesses physicians' needs and develops action plans that proactively mitigate delays in therapy. Coordinates the exchange of all patient-related information with internal and external customers (i.e., patients, families, healthcare providers, insurance companies, and specialty pharmacies). Effectively manages database including data on each individual, their insurance, coverage approvals, on-going coverage requirements and all patient and provider interactions.
  • Keeps up to date with reimbursement process, billing/coding nuances, insurance plans, payer trends, financial assistance programs, charitable access, related resources, regional level and alternative resources.
  • Assists in obtaining insurance approvals/denials and/or appeals for therapy. Assists patients and HCP with processing applications for Copay Assistance/Reimbursement and Patient Assistance Programs. Assists with ordering/triaging prescriptions for patient or HCP.
  • Provides education to patients and health care providers, regarding insurance requirements, options and limitations necessary to initiate therapy. Provides education on relevant disease/product information.
  • Exhibits a leadership role by demonstrating accountability for action plan execution, and energetically drives for success and results. Supports special projects as requested. (i.e., patients, families, healthcare providers, insurance companies, and specialty pharmacies).
  • Identifies and recommends process improvements to support operational efficiencies. Effectively shares knowledge with other team members through orientation training, case studies, consultation for complex cases.
  • Other duties as assigned.

Qualifications
  • Bachelor's Degree (or equivalent) in related area with focus in Health Care, Social Work, Nursing, preferred.
  • Minimum of three (3) years of recent experience with health care insurance benefits, relevant state and federal laws, and insurance regulations.
  • Proven ability to assess the ethics and legality of patient care.
  • Recent experience in the case management process is preferred.
  • Experience in a combination of home care management, case management review, utilization review, social service support, insurance reimbursement and patient advocacy, preferred.
  • In-depth understanding of health care insurance benefits, relevant state and federal laws and insurance regulations, highly desired.
  • Experience with data entry/computer literate skills, preferred.
  • Exhibits a high level of case management expertise and demonstrated leadership skills
  • Strong verbal and written communication skills, including effectively communicating with clients/providers/patients and employees of ConnectiveRx in a professional and courteous manner. Mediation, and problem-solving skills.
  • Ability to speak Spanish is a plus.
  • Ability to identify and handle sensitive issues with opposing opinions
  • Proven ability to work independently and handle projects or multiple tasks
  • Must possess the ConnectiveRx core values of: Passion, Innovation, Integrity, Accountability.

Competencies
  • Analytical and Logical Reasoning: Analyzes information to decide the most proable cause of the problem.
  • Decison Quality: Ability to make apporiate, informed and timely decisions using a combination of analysis, knowledge, experience and judgement.
  • Communication: Ability to actively communicate key issues respectfully, ability to tailor messages to the apporiate audience.
  • Service Orientation: Anticipate, identify, and address the needs of customers/clients, sometimes before those needs are voiced. Ability to be thoughtful, empathetic. Ensures that the customer's immediate needs or complaints are satisfied. Focuses on improving the level of service provided to external and internal customers.

Travel or Physical Requirements
  • Perform primarily sedentary work with occasional lifting up to 20 pounds, and exerting to 10 pounds of force occasionally, and a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.
  • See, hear, talk and perform tasks requiring visual activity, manual dexterity, grasping and other similar tasks requiring physical activity and repetitive motions.
  • Operate standard office and computer equipment.

Compliance Requirements
  • Adhere to all Company Policies, Procedures, and other training consistent with ConnectiveRx's Information Security and Compliance Programs, including but not limited to the following compliances and regulations: SOC1, SOC2, PCI, HIPAA
  • Maintain strict compliance with company and client policies regarding business rules and ethics, as well as applicable local, state and national federal laws

Compensation & Benefits: This position offers opportunities for a bonus (or commissions), with total compensation varying based on factors such as location, relevant skills, experience, and capabilities.
Employees at ConnectiveRx can access comprehensive benefits, including medical, dental, vision, life, and disability insurance. The company regularly reviews and updates its health, welfare, and fringe benefit policies to ensure competitive offerings. Employees may also participate in the company's 401(k) plan, with employer contributions where applicable.
Time-Off & Holidays: ConnectiveRx provides a flexible paid time off (PTO) policy for exempt employees, covering sick days, personal days, and vacations. PTO is determined based on an employee's first year of service. Employees also receive eight standard company holidays and three floating holidays annually, with prorations applied in the first year.
The company remains committed to providing competitive benefits and reserves the right to modify employee offerings, including PTO, STO, and holiday policies, in accordance with applicable laws and regulations.
Posted Salary Range
USD $41,800.00 - USD $60,600.00 /Yr.

What ConnectiveRx employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply