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Day Remote Case Manager Jobs in Nevada (NOW HIRING)

... case studies, and thought leadership materials. • Experience with HubSpot or similar CRM and marketing automation platforms. • Ability to work independently in a fast-paced, remote environment ...

Senior Claims Specialist

Las Vegas, NV · On-site +1

$61K - $98K/yr

This role works closely with case managers and attorneys, manages subrogation, and negotiates ... This is a Remote/Hybrid or in office position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives ...

Your Day-to-Day Responsibilities * Engage with members daily to assess and address their insurance ... in a remote work environment. * Strong problem-solving abilities and a focus on delivering ...

Your Day-to-Day Responsibilities * Engage with members daily to assess and address their insurance ... in a remote work environment. * Strong problem-solving abilities and a focus on delivering ...

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Day Remote Case Manager information

What is the difference between Day Remote Case Manager vs Day Remote Social Worker?

AspectDay Remote Case ManagerDay Remote Social Worker
Required CredentialsCase management certification, relevant licensesSocial work degree (BSW, MSW), state licensure
Work EnvironmentRemote, healthcare or insurance settingsRemote or in-office, healthcare, social services
Employer & IndustryHealthcare providers, insurance companiesHospitals, social service agencies
Common Search & ComparisonYesYes

Day Remote Case Managers and Day Remote Social Workers both work remotely in healthcare-related fields, often requiring similar certifications. However, Case Managers focus on coordinating care and managing patient plans, while Social Workers provide emotional support and social services. Both roles are essential in healthcare settings and are frequently compared by job seekers.

How to become a day remote case manager?

To become a day remote case manager, typically you need a relevant bachelor's degree such as in social work, nursing, or healthcare, along with experience in case management or healthcare settings. Certification such as the Certified Case Manager (CCM) can enhance job prospects, and strong communication, organizational, and computer skills are essential for managing cases remotely.
What are the most commonly searched types of Remote Case Manager jobs in Nevada? The most popular types of Remote Case Manager jobs in Nevada are:

Case Manager - Rare Disease- TEPEZZA - West Coast Remote

Amgen

Las Vegas, NV • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 9 days ago


Job description

Career CategorySalesJob Description

Job Description

HOW MIGHT YOU DEFY IMAGINATION?

You've worked hard to become the professional you are today and are now ready to take the next step in your career. How will you put your skills, experience and passion to work toward your goals? At Amgen, our shared mission-to serve patients-drives all that we do. It is key to our becoming one of the world's leading biotechnology companies, reaching over 10 million patients worldwide. Come do your best work alongside other innovative, driven professionals in this meaningful role.

Live

What you will do

Let's do this. Let's change the world. In this vital role the Case Manager will experience day to day oversight and awareness of patient customer service issues with insurance, the specialty pharmacy, and patient support programs

  • Daily interaction with Regional Business Managers (RBMs), Patient Access Liaison (PAL) and Medical Science Liaison's (MSLs) to ensure current and accurate communication on the status of insurance approvals and reauthorizations
  • Work closely with RBMs, PALs, the hub, pharmacy, and the patient/family to case manage all steps required to gain access to therapy
  • Partner with Safety and Pharmacovigilance (PV). Report Adverse Event (AE)'s and product complaints through medical information
  • Maintain case history for all U.S. patients, entering relevant notes from the hub, the pharmacy, calls to insurance, patient support programs, physicians and nurses, and the patients and families
  • Maintain and update patient status to track reimbursement and shipping status of U.S. patients
  • Triage, troubleshoot and resolve initial and ongoing reimbursement issues (PAs, denials, appeals, reauthorizations, overrides, billing problems)
  • Liaise with medical offices as necessary to obtain insurance authorizations
  • Counsel patients and family on insurance and reimbursement options
  • Identify general and specic adherence trends and suggest appropriate action
  • Report on weekly changes in patient status, current adjudication status of all patients, overall reimbursement trends, and any other trends, successes, or roadblocks
  • Manage, track, and report on Open Enrollment efforts annually to ensure every patient hasaccess to adequate insurance
  • Advise patients and families on insurance, nancial assistance and therapeutic accessprograms
  • Attend patient meetings, industry conferences and sales meetings
Win

What we expect of you

We are all different, yet we all use our unique contributions to serve patients. The professional we seek is a [type of person] with these qualications.

Basic Qualications:

Master's degree OR

Bachelor's degree and 2 years of Case Management experience Or

Associate's degree and 6 years of Case Management experience Or

High school diploma / GED and 8 years of Case Management experience

Preferred Qualications:
  • Bachelor's Degree strongly preferred
  • 5+ years of experience in the pharmaceutical industry
  • 2+ years prior experience as a Case Manager
  • Excellent communication skills and commitment to customer service
  • Ability to effectively resolve hurdles across multiple cases at the same time
  • Ability to learn product and disease information, familiarity with HIPAA and FDA
  • Ability to manage communication with case managers and sales reps across multiple geographies and time zones
  • Excel and PowerPoint skills required
  • Up to 20% travel required
Thrive

What you can expect of us

As we work to develop treatments that take care of others, we also work to care for our teammates' professional and personal growth and well-being.

In addition to the base salary, Amgen offers a Total Rewards Plan comprising health and welfare plans for staff and eligible dependents, nancial plans with opportunities to save towards retirement or other goals, work/life balance, and career development opportunities including:

  • Comprehensive employee benets package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and exible spending accounts.
  • A discretionary annual bonus program, or for eld sales representatives, a sales-based incentive plan
  • Stock-based long-term incentives
  • Award-winning time-off plans and bi-annual company-wide shutdowns
  • Flexible work models, including remote work arrangements, where possible
Apply now

for a career that dees imagination

Objects in your future are closer than they appear. Join us.

careers.amgen.com

Amgen anticipates accepting until 8/10/2026 however, we will continue accepting

applications until we receive a sufficient number or select a candidate for the position.

Amgen is an Equal Opportunity employer and will consider you without regard to your race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status.

We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benets and privileges of employment. Please contact us to request accommodation.

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Salary Range

81,851.60USD -110,740.40USD