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Insurance Case Manager Remote Jobs in Kent, WA (NOW HIRING)

CHPW

Case Manager I (MSW/RN) Medicare/DSNP

Seattle, WA · On-site +1

$37.96 - $58.84/hr

This position is remote. We are targeting an individual who lives in the Seattle area and is ... Voluntary Life, Critical Care, and Long-Term Care Insurance * 401(k) Retirement and generous ...

FrontStream

Be Seen First

Customer Success Manager (REMOTE)

Seattle, WA · Remote

$65K - $75K/yr

Customer Success Manager You'll manage a portfolio of clients and be directly accountable for ... and dental insurance · FSA & HSA · No rigid vacation policy, instead FrontStream provides ...

COMPASSUS

Insurance Specialist

Tukwila, WA · Remote

$20 - $35/hr

Compassus This is a remote position for candidates located in the Pacific Time Zone. Initial ... Requests authorization from insurance company case manager to provide specific services and ...

COMPASSUS

Insurance Specialist

Seattle, WA · Remote

$20 - $35/hr

Compassus This is a remote position for candidates located in the Pacific Time Zone. Initial ... Requests authorization from insurance company case manager to provide specific services and ...

HMG Careers

Remote Insurance Agent

Tacoma, WA · Remote

$69K/yr

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

HMG Careers

Remote Insurance Agent

Renton, WA · Remote

$69K/yr

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

HMG Careers

Remote Insurance Agent

Kent, WA · Remote

$69K/yr

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

HMG Careers

Remote Insurance Agent

Seattle, WA · Remote

$69K/yr

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

HMG Careers

Remote Insurance Agent

Bellevue, WA · Remote

$69K/yr

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

PPGNHI

Clinical Director of Virtual Care Programs

Tacoma, WA · On-site +1

$85K - $117K/yr

Hire, mentor, and manage remote care staff (APCs, RNs, case managers, patient navigators) and ... insurance. For additional information about our benefits program, please send an email to hre ...

Promoted2

Remote Insurance Agent

Seattle, WA · Remote

$60K - $110K/yr

Remote Insurance Sales Agent | $60k-$110k+ First Year | No Cold Calling Earn strong first-year ... Manage client pipeline using our CRM system * Follow up to ensure satisfaction and policy retention

Promoted2

Remote Insurance Agent

Tacoma, WA · Remote

$60K - $110K/yr

Remote Insurance Sales Agent | $60k-$110k+ First Year | No Cold Calling Earn strong first-year ... Manage client pipeline using our CRM system * Follow up to ensure satisfaction and policy retention

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Showing results 21-40

All JobsInsurance Case JobsInsurance Case Manager Remote JobsInsurance Case Manager Remote Jobs in Kent, WA

Insurance Case Manager Remote information

See Kent, WA salary details

$36.7K

$57.4K

$83.5K

How much do insurance case manager remote jobs pay per year?

As of Aug 8, 2026, the average yearly pay for insurance case manager remote in Kent, WA is $57,394.00, according to ZipRecruiter salary data. Most workers in this role earn between $44,000.00 and $66,600.00 per year, depending on experience, location, and employer.

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 job categories do people searching Insurance Case Manager Remote jobs in Kent, WA look for? The top searched job categories for Insurance Case Manager Remote jobs in Kent, WA are:
What cities near Kent, WA are hiring for Insurance Case Manager Remote jobs? Cities near Kent, WA with the most Insurance Case Manager Remote job openings:
Insurance Case Manager Remote jobs near you

Case Manager I (MSW/RN) Medicare/DSNP

CHPW

Seattle, WA • On-site, Remote

$37.96 - $58.84/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 22 days ago

Job description

This position is remote. We are targeting an individual who lives in the Seattle area and is knowledgeable of the area and its available resources. This is essential in being able to assist our Medicare and Dual Plan members by providing education coordination with care teams and connecting to community-based resources.
**Priority will be given to Washington State Residents**
Who we are
Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for employment without regard to any actual or perceived protected characteristic or other unlawful consideration.
Our commitment is to:
  • Strive to apply an equity lens to all our work.
  • Reduce health disparities.
  • Create an equitable work environment.

About the Role
Responsible for the operational delivery of the plan's case management and coordination programs and processes. Provides case management services for CHPW members with short term, long term, stable, unstable, and predictable course of illness, and/or highly complex medical/behavioral and social conditions. The goal is to improve members' quality of life and ensure cost-effective outcomes by using internal and community-based resources.
To be successful in this role, you:
  • Have a Bachelor's degree in nursing, or a master's degree in social work and/or related behavior health field (preferred)
  • Possess Current, unrestricted license in the State of Washington as a registered nurse (RN) (required) OR
  • Current, unrestricted license in the State of Washington as a Social Worker (LSWAA, LSWAIC) (required), OR
  • Current, unrestricted license in the State of Washington as a Mental Health Counselor (LMHC), Mental Health Professional (LMHP), or Marriage and Family Therapist (LMFT) (required)
  • Have a minimum of one (1) year case management, home health or discharge planning experience; or a combination of education and experience which provides an equivalent background required OR
  • Have a minimum of one (1) year facility-based medical or behavioral health experience and/or outpatient psychiatric and substance abuse/substance abuse disorder treatment experience, required; or equivalent combination of education and experience and/or working with children and families. Experience with those who have disabilities and knowledge of Child and Families Services
  • Have a minimum three (3) years of clinical experience in an acute care and/or outpatient setting (required)
  • Experience and proficiency with Microsoft Office products
  • Possess a Case Management Certification (preferred)
  • Have Bilingual abilities (preferred)

Essential functions and Roles and Responsibilities:
The Case Manager I is responsible for performing telephonic case management for members with acute, chronic, and complex needs. Examples listed below are not necessarily exhaustive and may be revised by the employer.
  • Advocates on behalf of members and facilitates coordination of resources required to help members reach optimum functional levels and autonomy within the constraints of their disease conditions.
  • Works within a multi-functional team to connect with providers, members, caregivers, contracted vendors, community resources, and health plan partners to assess the member's health status, identify care needs and ensure access to appropriate services to achieve positive health outcomes.
  • Assesses, evaluates, plans, implements, and documents care of members within the organization's clinical database system, in accordance with organizational policies and procedures.
  • Responsible for the assessment of members, including identifying and coordinating access to the appropriate level of care and treatment. Uses the assessment information to assign the appropriate risk and complexity level, and create and document a care plan in coordination with the member, family and health team input.
  • Initiates a plan of care based on member-specific needs, assessment data and the medical/behavioral plan of care. Goals for members are measurable and developed in conjunction with the patient/family to improve quality of life.
  • Plans care in collaboration with members of the multidisciplinary team, and considers the physical, behavioral, cultural, psychosocial, spiritual, age specific and educational needs of the member in the plan of care.
  • Reviews and revises the plan of care with the interdisciplinary care team to reflect changing member needs based on evaluation of the members' status, and/or as a result of reassessment.
  • Implements the plan of care through direct member care, coordination, and delegation of the activities of the health care team. Promotes continuity of care by accurately and completely communicating to health care team the status of members for whom care is provided. Engages community resources where applicable.
  • Conducts interdisciplinary care team meetings with the member/family to assess care plan and recommend adjustments as indicated.
  • Continuously evaluate members' progress towards goals, identify potential barriers to attaining goals and expected outcomes in collaboration with other health care team members.
  • Documents all case activity using the CHPW care management system and follows documentation standards and protocols.
  • Collaborates with the Transition of Care (TOC) team if a member is hospitalized.
  • Serves as a liaison at various local and statewide meetings and/or workgroups and provides clinical support to providers' network to enhance integrated care coordination.
  • Assesses barriers to care and assist members and health care team to address concerns.
  • Implements developed workflow activities and activities for designated programs.
  • Conduct member case management in the field at Provider(s) office, member's home, inpatient medical or psychiatric hospitals, skilled nursing facilities, adult family homes, or in a community setting.
  • Attend member appointments or care conferences in collaboration with the members care team when indicated.
  • This position may requires traveling on behalf of the Company and working in the field. It is essential that a current driver's license, proof of insurance and an acceptable driving record are maintained.
  • Employees are expected to report to work as scheduled, participate in all assigned meetings, and meet established performance and accountability standards.
  • Other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer, at its sole discretion.

Knowledge, Skills, and Abilities:
  • Managed care (Medicaid and/or Medicare) experience
  • Previous experience using Care Management software applications
  • Knowledge of, and experience with, community resources preferred
  • Knowledge of Medicare and Medicaid regulations
  • Experience in care management workflow systems
  • Effective verbal and written communication skills
  • Effective organizational, time management, and project management skills
  • Ability to work independently
  • Comfortable presenting in a group setting
  • Perform all functions of the job with accuracy, attention to detail and within established timeframes.
  • Meet attendance and punctuality standards

Note: If you think you do not qualify, please reconsider. Studies have shown that women and people of color are less likely to apply to jobs unless they feel they meet every qualification. However, everyone brings different strengths to the table for a job, and people can be successful in a role in a variety of ways. If you are excited about this job but your experience doesn't perfectly check every box in the job description, we encourage you to apply anyway.
As part of our hiring process, the following criteria must be met:
  • Complete and successfully pass a criminal background check

Criminal History: includes review of criminal convictions and probation. CHPW does not automatically or categorically exclude persons with a criminal background from employment. The applicant's criminal history will be reviewed on a case-by-case basis considering the risk to the business, members, and/employees.
  • Has not been sanctioned or excluded from participation in federal or state healthcare programs by a federal or state law enforcement, regulatory, or licensing agency
  • Candidates whose disabilities make them unable to meet these requirements are considered fully qualified if they can perform the essential functions of the job with reasonable accommodation.

Compensation and Benefits:
The position is FLSA Exempt and is not eligible for overtime and has a 10% annual incentive target based on company, department, and individual performance goals. The base pay actually offered will take into account internal equity and also may vary depending on the candidate's job-related knowledge, skills, and experience among other factors.
CHPW offers the following benefits for Full and Part-time employees and their dependents:
  • Medical, Prescription, Dental, and Vision
  • Telehealth app
  • Flexible Spending Accounts, Health Savings Accounts
  • Basic Life AD&D, Short and Long-Term Disability
  • Voluntary Life, Critical Care, and Long-Term Care Insurance
  • 401(k) Retirement and generous employer match
  • Employee Assistance Program and Mental Fitness app
  • Financial Coaching, Identity Theft Protection
  • Time off including PTO accrual starting at 17 days per year
  • 40 hours Community Service volunteer time
  • 10 standard holidays, 2 floating holidays
  • Compassion time off, jury duty

Sensory/Physical/Mental Requirements:
Sensory*:
  • Speaking, hearing, near vision, far vision, depth perception, peripheral vision, touch, smell, and balance.

Physical*:
  • Extended periods of sitting, computer use, talking, and possibly standing
  • Simple grasp, firm grasp, fine manipulation, pinch, finger dexterity, supination/pronation, wrist flexion

Mental:
  • Must have the ability to learn and prioritize multiple tasks within the scope and guidelines of the position and its applicable licensure requirements, many requiring extremely complex cognitive capabilities. Must be able to manage conflict, communicate effectively and meet time-sensitive deadlines.

Work Environment:
Office environment Employees who frequently work in front of computer monitors are at risk for environmental exposure to low-grade radiation.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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