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Insurance Case Manager Remote Jobs in New York (NOW HIRING)

CVS Health

Case Manager, Registered Nurse

New York, NY · Remote

$54K - $155K/yr

Position Summary This is a remote work from home role anywhere in the US with virtual training ... self-insured clients. * Application and/or interpretation of applicable criteria and clinical ...

HMG Careers

Sales Manager Remote

New Brunswick, NJ · Remote

$69K/yr

Remote Insurance Sales Representative | Flexible Schedule | Commission-Based This position offers flexible work hours and clear paths for advancement into leadership and management. You will work ...

HMG Careers

Sales Manager Remote

North Valley Stream, NY · Remote

$69K/yr

Remote Insurance Sales Representative | Flexible Schedule | Commission-Based This position offers flexible work hours and clear paths for advancement into leadership and management. You will work ...

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Insurance Case Manager Remote information

What does an Insurance Case Manager do when working remotely?

An Insurance Case Manager working remotely is responsible for assessing insurance claims, coordinating care, and helping clients navigate their insurance benefits, all from a remote location. They communicate with clients, healthcare providers, and insurance companies to ensure claims are processed accurately and efficiently. Remote Insurance Case Managers use secure digital platforms to review case files, document interactions, and provide guidance on coverage and next steps. Their role is vital in ensuring clients receive the care and benefits they are entitled to while maintaining compliance with regulations.

How does an Insurance Case Manager collaborate with other departments in a remote work setting?

As a remote Insurance Case Manager, you'll regularly coordinate with underwriters, claims specialists, and external healthcare providers through virtual meetings and secure communication platforms. This collaboration ensures that case files are complete, accurate, and processed efficiently. You may also participate in cross-functional team discussions to resolve complex cases and update workflow standards, all while maintaining compliance with privacy regulations. Strong communication and organization skills are essential for managing these interactions remotely.

What are the key skills and qualifications needed to thrive as a Remote Insurance Case Manager, and why are they important?

To thrive as a Remote Insurance Case Manager, you need a strong background in insurance policies, case management, and claims processing, typically supported by relevant insurance certifications or a degree in a related field. Familiarity with case management software, CRM systems, and electronic document management tools is often required. Exceptional organizational skills, attention to detail, and effective communication are crucial for coordinating with clients and internal teams. These competencies ensure accurate case handling, client satisfaction, and efficient workflow in a remote environment.

What is the difference between Insurance Case Manager Remote vs Insurance Claims Adjuster?

AspectInsurance Case Manager RemoteInsurance Claims Adjuster
CredentialsLicenses, certifications in case management or health insuranceAdjuster licenses, certifications in claims handling
Work EnvironmentRemote, healthcare or insurance companiesRemote or in-office, insurance companies or third-party administrators
Industry UsageHealthcare, insurance, social servicesProperty, auto, health insurance claims

Both roles often require similar certifications and can be performed remotely. Insurance Case Managers focus on coordinating care and benefits for clients, while Insurance Claims Adjusters evaluate and settle insurance claims. Understanding these differences helps job seekers find the right position aligned with their skills and interests.

What are popular job titles related to Insurance Case Manager Remote jobs in New York? For Insurance Case Manager Remote jobs in New York, the most frequently searched job titles are:
What job categories do people searching Insurance Case Manager Remote jobs in New York look for? The top searched job categories for Insurance Case Manager Remote jobs in New York are:
What cities in New York are hiring for Insurance Case Manager Remote jobs? Cities in New York with the most Insurance Case Manager Remote job openings:
Insurance Case Manager Remote jobs near you
Infographic showing various Insurance Case Manager Remote job openings in New York as of July 2026, with employment types broken down into 93% Full Time, and 7% Part Time. Highlights an 100% Remote job distribution.

Regional Managed Care Case Manager for SNF/LTC

Care Network

Valley Stream, NY • Remote

Full-time

Re-posted 11 days ago

Job description

Virtue Clinical Solutions is actively seeking an experienced Regional Managed Care Manager to oversee Managed Care programs for skilled nursing facilities. This position is suited for a healthcare professional with a robust background in skilled nursing care management and a keen ability to lead remote teams.

Experience Requirements:

  • Required: Minimum of 1-3 years direct experience in skilled nursing facilities, with specific skills in obtaining Managed Care authorizations and appeals 
  • Preferred: Over 5 years of experience, including supervisory roles overseeing team members and managing complex healthcare operations, preferably within managed care environments.

Responsibilities:

  • Manage and track authorizations for HMO patients across multiple skilled nursing facilities.
  • Supervise a team of case managers, and managed care coordinators ensuring seamless communication between Admissions, Social Work, Rehab, and Billing departments.
  • Lead critical care committees and enhance overall service delivery and patient care.
  • Coordinate with insurance case managers to discuss patient care plans, progress, and discharge plans, and advocate for patient care.
  • Compile appeal packages for denied services or coverage.
  • Promote ongoing professional development and ensure staff competencies align with the highest standards of care.

Qualifications:

  • In-depth knowledge of Medicare, Medicaid, and Commercial Insurance guidelines, including specific programs like HARP, AARP, Obamacare, No-Fault, and Workers Comp.
  • Experience within skilled nursing facility settings.
  • Strong leadership capabilities with demonstrated skills in mentoring and developing remote teams.
  • Proficient in Microsoft Excel and Word; exceptional verbal and written communication skills.
  • Organizational with the ability to manage multiple tasks effectively .
Care Network logo

About Care Network

Sourced by ZipRecruiter

We provide information and guidance and practical and emotional support to help people and communities. We work alongside local people to improve confidence and connection. The passion and commitment of our team, combined with an army of dedicated local volunteers, means that we are truly embedded within communities across the districts of the county. We will always continue to work in this manner as it has repeatedly proven to be the most effective way to help and support local people. We are aware that for many, a lot of uncertainty lies around the future of access to health and social care services and we are committed to try and fill these gaps, supporting our service users along every step of their own personal journeys.

Industry

Non-profits

Company size

11 - 50 Employees

Headquarters location

Hardwick, Cambridgeshire, UK

Social media

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