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Insurance Case Manager Remote Jobs in Phoenix, AZ

RemX

Remote Healthcare Case Manager $19/hr

Phoenix, AZ · On-site +1

$19/hr

Medical Case Manager Pay: $19/hr. Weekly Pay plus Benefits Schedule: Mon-Fri between 7am-8pm CST ... Prior-Authorizations (PAs) and Insurance Verification * Communicate w/ patients, providers ...

paradigm

Telephonic RN Case Manager

Phoenix, AZ · On-site +1

The Telephonic Case Manager provides remote medical case management services to injured individuals, many of whom were industrially injured. A Telephonic Case Manager assists consumers in their ...

Jj

Case Manager

Phoenix, AZ · Remote

$50K - $80K/yr

We are searching for the best talent fora Case Manager. Summary Performs day-to-day tasks as a ... Remote Required Skills: Preferred Skills: Accountability, Communication, Customer Analytics ...

Banner Health

RN, Case Manager

Phoenix, AZ · Remote

After completing training, it is a remote position with a work schedule of Monday - Friday 8am ... Through BPN, known nationally as an innovative leader in new health care models, insurance plans ...

Oscar Health

Case Management RN

Tempe, AZ · Remote

$32.60 - $42.79/hr

Oscar is the first health insurance company built around a full stack technology platform and a ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas.

Enlyte

Medical Field Case Manager

Phoenix, AZ · Remote

$80K - $84K/yr

As a Field Case Manager, you will work closely with treating physicians/providers, employers ... and AD&D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a ...

Sedgwick

RN Field Case Manager

Phoenix, AZ · On-site +1

$77K - $98K/yr

... Services & Insurance RN Field Case Manager This Field Case Manager will cover our Phoenix, AZ ... remote work environment that allows face to face interaction with injured workers and medical ...

York Risk Services

RN Field Case Manager

Phoenix, AZ · On-site +1

$77K - $98K/yr

... Services & Insurance RN Field Case Manager This Field Case Manager will cover our Phoenix, AZ ... remote work environment that allows face to face interaction with injured workers and medical ...

Priority1

Territory Manager-Remote

Tempe, AZ · On-site +1

The Territory Manager sales position offers potential candidates the opportunity to establish ... Insurance -HSA with Employer Contributions -Life Insurance -Short Term Disability -Long Term ...

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All JobsInsurance Case JobsInsurance Case Manager Remote JobsInsurance Case Manager Remote Jobs in Phoenix, AZ

Insurance Case Manager Remote information

See Phoenix, AZ salary details

$32.3K

$50.5K

$73.5K

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

As of Jul 27, 2026, the average yearly pay for insurance case manager remote in Phoenix, AZ is $50,481.00, according to ZipRecruiter salary data. Most workers in this role earn between $38,700.00 and $58,600.00 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 are popular job titles related to Insurance Case Manager Remote jobs in Phoenix, AZ? For Insurance Case Manager Remote jobs in Phoenix, AZ, the most frequently searched job titles are:
What job categories do people searching Insurance Case Manager Remote jobs in Phoenix, AZ look for? The top searched job categories for Insurance Case Manager Remote jobs in Phoenix, AZ are:
Insurance Case Manager Remote jobs near you
Infographic showing various Insurance Case Manager Remote job openings in Phoenix, AZ as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $50,481 per year, or $24.3 per hour.
Integrated Care Manager- Remote AZ

Integrated Care Manager- Remote AZ

Blue Cross Blue Shield of Arizona

Phoenix, AZ • On-site, Remote

Full-time

Medical

Posted 5 days ago

Blue Cross Blue Shield Of Arizona rating

5.9

Company rating: 5.9 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

281st of 299 rated insurance

Job description

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.
At AZ Blue, we have a hybrid workforce strategy, called Workability, that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the following classifications drive our current minimum onsite requirements:
  • Hybrid People Leaders: must reside in AZ, required to be onsite at least twice per week
  • Hybrid Individual Contributors: must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per week
  • Hybrid 2 (Operational Roles such as but not limited to: Customer Service, Claims Processors, and Correspondence positions): must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per month
  • Onsite: daily onsite requirement based on the essential functions of the job
  • Remote: not held to onsite requirements, however, leadership can request presence onsite for business reasons including but not limited to staff meetings, one-on-ones, training, and team building

Please note that onsite requirements may change in the future, based on business need, and job responsibilities. Most employees should expect onsite requirements and at a minimum of once per week.
This remote work opportunity requires residency, and work to be performed, within the State of Arizona.
Purpose of the job
Responsible for promoting continuity of care through a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates care options and services available to members through their benefit plan that meet the individuals' health care needs while promoting quality, cost effective outcomes. This job description is primary for case management functions but can assist with utilization management if a business need arises.
Qualifications
REQUIRED QUALIFICATIONS
Required Work Experience
  • 2 year(s) of experience in full-time equivalent of direct clinical care to the consumer

Required Education
  • Associate's Degree in general field of study or Post High School Nursing Diploma or Master's Degree in a behavioral health field of study (i.e., MSW, MA, MS, M.Ed.), Ph.D. or Psy.D

Required Licenses
  • Active, current, and unrestricted license to practice in the State of Arizona (or an endorsement to work in Arizona) as a behavioral health professional such as LCSW, LPC, LISAC LMFT, or licensed psychologist (Psy.D. or Ph.D.), OR an active, current, and unrestricted license to practice nursing in either the State of Arizona or another state in the United States recognized by the Nursing Licensure Compact (NLC) as an RN.

Required Certifications
  • Within 4 years of hire as a Care Manager employee must hold a certification in case management from the following certifications; Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Case Management Administrator, Certified (CMAC), Case Management Certified (CMC), Certified Rehabilitation Counselor (CRC), Certified Registered Rehabilitation Counselor (CRRC), Certified Occupational Health Nurse (COHN), Registered Nurse Case Manager (RN, C), or Registered Nurse Case Manager (RN,BC).

PREFERRED QUALIFICATIONS
Preferred Work Experience
  • 3 year(s) of experience in full-time equivalent of direct clinical care to the consumer (managed care CM experience preferred)
  • 1-2 year (s) of experience working in a managed care organization
Preferred Education
  • Bachelor's Degree in Nursing or Health and Human Services related field of study
Preferred Licenses
  • N/A
Preferred Certifications
  • Active and current certification in case management from the following certifications; Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Case Management Administrator, Certified (CMAC), Case Management Certified (CMC), Certified Rehabilitation Counselor (CRC), Certified Registered Rehabilitation Counselor (CRRC), Certified Occupational Health Nurse (COHN), Registered Nurse Case Manager (RN, C), or Registered Nurse Case Manager (RN,BC).

ESSENTIAL job functions AND RESPONSIBILITIES
  • Assess and collect data related to the member from all care settings. Interview and collaborate with case-related providers, member and family to implement the care plan.
  • Answer a diverse and high volume of health insurance related customer calls on a daily basis.
  • Explain to customers a variety of information concerning the organization's services, including but not limited to, contract benefits, changes in coverage, eligibility, claims, BCBSAZ programs, provider networks, etc.
  • Analyze medical records and apply medical necessity criteria and benefit plan requirements to determine the appropriateness of benefit requests.
  • Present status reports on all cases to the manager/supervisor and, when indicated, to the medical director.
  • Consult and coordinate with various internal departments, external plans, providers, businesses, and government agencies to obtain information and ensure resolution of customer inquiries.
  • Meet quality, quantity and timeliness standards to achieve individual and department performance goals as defined within the department guidelines.
  • Maintain all standards in consideration of state, federal, BCBSAZ, URAC, and other accreditation requirements.
  • Maintain complete and accurate records per department policy.
  • Demonstrate ability to apply plan policies and procedures effectively.
  • When indicated to assist with team/project functions:
    • Collaborate with team to distribute workload/work tasks;
    • Monitor and report team tasks;
    • Communicate team issues and opportunities for improvement to supervisor/manager;
    • Support/mentor team members.
  • Participate in continuing education and current development in the field of medicine, behavioral health and managed care at least annually.

  • The position requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements.
  • Perform all other duties as assigned.

competencies
REQUIRED COMPETENCIES
Required Job Skills
  • Intermediate PC proficiency
  • Intermediate skill in use of office equipment, including copiers, fax machines, scanner and telephones
  • Intermediate skill in word processing, spreadsheet, and database software

Required Professional Competencies
  • Maintain confidentiality and privacy
  • Advanced and current clinical knowledge
  • Practice interpersonal and active listening skills to achieve customer satisfaction
  • Interpret and translate policies, procedures, programs, and guidelines
  • Capable of investigative and analytical research
  • Demonstrated organizational skills with the ability to priortize tasks and work with multiple priorities
  • Follow and accept instruction and direction
  • Establish and maintain working relationships in a collaborative team environment
  • Apply independent and sound judgment with good problem solving skills
  • Navigate, gather, input, and maintain data records in multiple system applications

Required Leadership Experience and Competencies
  • Conflict Resolution
  • Represent BCBSAZ in the community

PREFERRED COMPETENCIES
Preferred Job Skills
  • Advanced PC proficiency
  • Knowledge of CPT 2018 and ICD-10 coding

Preferred Professional Competencies
  • Knowledge of managed care, utilization management, and quality management
  • Working knowledge of McKesson InterQual, MCG, ASAM, or other nationally recognized criteria
  • Knowledge of a wide range of matters pertaining to the organizations services and operations
  • Knowledge of health and/or patient education and behavior change techniques

Preferred Leadership Experience and Competencies
  • N/A

Our Commitment
AZ Blue does not discriminate in hiring or employment on the basis of race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected group.
Thank you for your interest in Blue Cross Blue Shield of Arizona. For more information on our company, see azblue.com. If interested in this position, please apply.

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