Case Manager - Insurance Coverage

Description

Professional - Nonclinical
Req #: 86029

In this role, you'll connect with patients and community members who may need help accessinghealthcare coverage, financial assistance, community programs, and other important resources. You'll talk with individuals about their needs, determine which programs they may qualify for, and help guide them through their options.You'll also partner with MaineHealth providers, community organizations, and the broader Access to Care team to make sure patients are connected with the right support and don't have to navigate the process alone.

Summary:

The ATCL Case Manager provides essential support to patients and community members by responding to referrals from MaineHealth providers and managing incoming calls from individuals seeking information about Social Determinants of Health (SDOH) resources. This role includes conducting timely outreach to patients, assessing needs, and guiding individuals to appropriate services that improve health and wellbeing.

Case Managers also screen patients for eligibility across bothAccess to Care (ATC) internal programsandexternal community programs, ensuring that patients are connected to the most suitable supports. This includes helping patients navigate healthcare access, financial assistance, community resources, and other critical SDOH services.Working closely with healthcare providers, social service organizations, and the broader ATCL team, the Case Manager ensures accurate documentation, highquality customer service, and seamless care coordination.

Required Minimum Knowledge, Skills, and Abilities (KSAs)

1. Education: Bachelor's Degree or two years relevant experience preferred.
2. License/Certifications: Certification as a Maine Enrollment Assistor or Certified Application Assistor with the Health Insurance Marketplace preferred or will be trained upon hire. Valid Driver's license required.
3. Experience: Two years of relevant experience in social/human services, health care or related field preferred. Knowledge of state and federal agencies, community resources, experience with community outreach and networking, and strong advocacy skills preferred.
4. Additional Skills/Requirements Preferred: Proficient Microsoft Office suite and EMR skills.

Additional Information

MaineHealth is committed to fostering a supportive, inclusive environment where care team members can thrive while making a meaningful impact in the communities we serve across Maine and New Hampshire. We offer competitive benefits including paid parental leave, flexible work options, student loan assistance, professional development opportunities, and well-being resources-so you can grow your career while feeling supported both personally and professionally.

We recognize the value each team member brings to our organization.Any offer of employmentwill depend onqualificationssuch asskills, relevant experience, education, certifications,and otherjob-relatedfactors. Thebase rangeis an estimate and does notreflect the full valueofourtotal compensationpackage.

The pay range for this position is $52,499.20to $71,052.80per year.

Compensation for part-time positions isdeterminedon a prorated basis consistent with the scheduled hours and applicable full-time equivalent (FTE).

In addition to base pay, MaineHealth offerscomprehensivebenefits, recognition programs, career growth opportunities, and,where applicable,shiftdifferentials or other incentives.

If you have questions about this role, please contact kaye.cross@mainehealth.org

Hiring Scam Alert

MaineHealth will never request financial information during the interview or pre-hiring process. All legitimate communications will come from an email address ending in @mainehealth.org. If you suspect fraudulent activity, please report it immediately to mhcareers@mainehealth.org.