Case Manager

2000 Center Point Road
Floor 4
Columbia, SC 29210, USA

About Us:

Palmetto Infusion provides comprehensive ambulatory and home-based infusion services to both acute and chronically ill patients. Our centers care for people by providing patients and their families with a convenient, affordable, and safe place to receive infusion treatments. We strive for more than personal service – always delivering a warm and attentive health care experience that boosts patients’ state‑of‑mind, improves their health, and quality of life.

At Palmetto Infusion, we believe in creating an experience that goes beyond just a job. It's about being part of something bigger than yourself - a connected group of caretakers who work together to restore health and hope to our patients. We call it The Palmetto Experience, and we believe it's what sets us apart from other employers.

For our employees, The Palmetto Experience means we serve and support people in our purpose to restore health and hope, we build a culture of belonging and collaboration, we deliver on our promise to treat people with respect and empathy, and we strive to embrace change and search for new opportunities.

About the Role:

The Case Manager is responsible for onboarding new patient referrals and managing the patient’s case through sending to scheduling. This
position will obtain the needed information from the MD office, patient’s health benefits and coverage for infusion services. Ensures accurate and
complete review of medical necessity and verification of insurance benefits and authorizations. Provides and promotes customer service, process flow, operational integrity, quality care and process improvement along with high service standards.

Schedule:

Monday – Friday; 8:00 AM – 5:00 PM.

Minimum Qualifications:

Experience/

Education:

• High school diploma or equivalent.
• 1 year of healthcare experience or customer service experience.
• Proficient at partner programs (i.e.: MS Outlook, Word, Excel).
• Ability to cope with ambiguous, changing environment while under pressure in a calm manner.
• Must be able to work as a team member and develop productive and cooperative working relationships with all members of the Palmetto Infusion team.

Essential Functions:

• Provides timely acceptance and completion of new referral including insurance verification, authorization, and Predeterminations as needed.
• Obtains all needed information from MD office for insurance authorizations and clinical purposes.
• Obtains patient data from referring physician office for support of medical necessity by reviewing payor medical policies and/or FDA guidelines providing the initial clinical review;
  Documents in the EMR system the clinical rationale supporting the approval or denial of an infusion service based on the payer policy or FDA guidelines.
• Communicates with peers, supervisors, and other PI team members in a non‑threatening manner maintaining a courteous demeanor at all times.
• Take initiative to present ideas and suggestions for process improvements to the team lead, supervisors, and management. Maintain knowledge and proficiency in medical practices through continuing education, staff meetings, and workshops.
• Supports the marketing efforts of PI by assisting the sales team and providing education materials to the referral sources as requested.

About the Benefits:

• Competitive Compensation
• Dental and Vision Insurance
• Company Life Insurance
• Voluntary Life and Disability Insurance
• Additional Voluntary Supplemental Plans
• Flexible Spending Account (Medical and Dependent Care)
• Health Savings Account
• 401K Retirement Plan
• Employee Assistance Program (EAP)
• Employee Discounts
• Ramsey Smart Dollar Program
• Referral Program
• Tuition Assistance
• Paid Time Off
• 8 Paid Company Holidays

At Palmetto Infusion, we believe that patient advocacy is at the heart of everything we do, regardless of our roles within the organization. Each member of our team is dedicated to putting the needs and well‑being of our patients first. Whether we're working directly with patients or supporting them behind the scenes, our commitment to being a compassionate advocate is paramount.

We understand that every interaction, every decision, and every…