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Insurance Case Manager Remote Jobs in Remote, OR

Umpqua Health

Utilization Review Nurse

Roseburg, OR · On-site +1

$85K - $105K/yr

UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR ... case management experience in managed care * Oregon residency and license * Bilingual or ...

Umpqua Health

Utilization Review Nurse

Roseburg, OR · Remote

$85K - $105K/yr

UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR ... case management experience in managed care * Oregon residency and license * Bilingual or ...

Project Sapiens

Senior Project Manager

OR · Remote

Remote Sapiens is on the lookout for a Sr. Project Manager (SNAP) to become a key player in our ... Broad understanding of insurance industry * Strong proficiency in Word, Outlook, PowerPoint, and MS ...

Sapiens

Senior Project Manager

OR · On-site +1

Remote Sapiens is on the lookout for a Sr. Project Manager (SNAP) to become a key player in our ... Broad understanding of insurance industry * Strong proficiency in Word, Outlook, PowerPoint, and MS ...

Textexpander, Inc.

Revenue Operations Lead - 100% Remote

OR · On-site +1

$140K - $170K/yr

HubSpot Ownership - Serve as the primary admin and architect of our HubSpot instance, including CRM ... Company-paid basic life insurance * Paid Parental Leave Policy * 401(k) plan * Salary based on ...

Lumen Technologies

Lead Partner Operations Manager

OR · Remote

$84K - $112K/yr

Benefits Bonus Structure #LI-Remote Requisition #: 342957 Life at Lumen Life at Lumen is human and ... Background results will be evaluated on a case-by-case basis. Pursuant to the San Francisco Fair ...

Sapiens

Sr. Business Analyst, Reinsurance

OR · On-site +1

$86K - $112K/yr

Location - US or Canada, Remote Position Summary: The Senior Business Analyst operates under ... Case Modeling, etc * Tracks project scope through careful requirements management * Works with ...

Project Sapiens

Sr. Business Analyst, Reinsurance

OR · Remote

$86K - $112K/yr

Location - US or Canada, Remote Position Summary: The Senior Business Analyst operates under ... Case Modeling, etc * Tracks project scope through careful requirements management * Works with ...

Apex Tool Group, LLC

Area Sales Manager

OR · Remote

$88K - $144K/yr

Travel 30-50% plus overnights #LI-Remote This position's anticipated annual salary range is $88,000 ... and long-term coverage/insurance, 401(k) Savings Plan, educational assistance, 15 days paid ...

EM Key Solutions Inc

Temporary AI Engineer

OR · On-site +1

AI Engineer Temporary Assignment (through 2/13/2027) Remote, USA; potential for minimal ad hoc ... case generation, defect analysis, knowledge management, predictive analytics, and process ...

EM Key Solutions Inc

AI Engineer

OR · On-site +1

AI Engineer Remote, USA; potential for minimal ad hoc travel EMKS is seeking an AI Engineer to ... case generation, defect analysis, knowledge management, predictive analytics, and process ...

Koerber

Senior Business Development Manager

OR · On-site +1

This full-time, exempt role offers a remote work setting, with up to 50% domestic travel. Your ... You will have access to medical, dental, and vision insurance plans with FSA or HSA options, and a ...

Project Sapiens

Pre-Sales Engineer, Workers' Comp

OR · Remote

Remote (US) Sapiens is on the lookout for a Pre-Sales Engineer, WC to become a key player in our ... Author and manage responses to requests for proposals (RFP) * Contribute to / write customer ...

Apex Tool Group, LLC

Area Sales Manager

OR · On-site +1

$88K - $144K/yr

Travel 30-50% plus overnights #LI-Remote This position's anticipated annual salary range is $88,000 ... and long-term coverage/insurance, 401(k) Savings Plan, educational assistance, 15 days paid ...

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Showing results 21-40

All JobsInsurance Case JobsInsurance Case Manager Remote JobsInsurance Case Manager Remote Jobs in Remote, OR

Insurance Case Manager Remote information

See Remote, OR salary details

$32.5K

$50.8K

$73.9K

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

As of Aug 10, 2026, the average yearly pay for insurance case manager remote in Remote, OR is $50,791.00, according to ZipRecruiter salary data. Most workers in this role earn between $39,000.00 and $58,900.00 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 Remote, OR look for? The top searched job categories for Insurance Case Manager Remote jobs in Remote, OR are:
What cities near Remote, OR are hiring for Insurance Case Manager Remote jobs? Cities near Remote, OR with the most Insurance Case Manager Remote job openings:
Insurance Case Manager Remote jobs near you

Utilization Review Nurse

Umpqua Health

Roseburg, OR • On-site, Remote

$85K - $105K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 8 days ago

Job description

UTILIZATION REVIEW NURSE
REMOTE
Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR, 97470, as needed for business operations.
EMPLOYMENT TYPE: Full-Time, Exempt
About Umpqua Health
At Umpqua Health, we're more than a healthcare organization-we're a community-driven Coordinated Care Organization (CCO) dedicated to improving the health and well-being of individuals and families throughout Douglas County, Oregon. We provide integrated, whole-person care through primary care, specialty care, behavioral health services, and care coordination. Our collaborative approach ensures members receive high-quality, personalized care while supporting a stronger, healthier community.
POSITION PURPOSE
The Utilization Management Nurse evaluates clinical service requests to ensure medically necessary, cost-effective, and evidence-based care for members. This role conducts prior authorizations, facilitates care coordination, and supports safe transitions across care settings, ensuring compliance with Oregon Health Plan (OHP), Medicare, and applicable regulations. The UM Nurse collaborates with interdisciplinary teams and community providers to promote integrated, high-quality care.
ESSENTIAL JOB RESPONSIBILITIES
  • Perform clinical assessments and prior authorizations to determine medical necessity
  • Escalate complex cases to Medical Directors and request additional documentation as needed
  • Collaborate with care coordinators, discharge planners, and interdisciplinary teams for care transitions
  • Liaise with internal departments to resolve eligibility, benefits, or service issues
  • Participate in discharge planning for members transitioning from acute, long-term, or residential care
  • Conduct audits and support quality improvement initiatives
  • Provide training and mentorship on UM protocols and workflows
  • Maintain relationships with community providers and service organizations
  • Ensure compliance with organizational policies, clinical standards, and federal/state regulations
  • Perform other nursing-related duties as assigned

CHALLENGES
  • Working with a variety of personalities, maintaining a consistent and fair communication style.
  • Satisfying the needs of a fast-paced and challenging company.

MINIMUM QUALIFICATIONS
  • Active, unrestricted RN license (BSN or MSN) in Oregon or a compact state
  • Graduation from an accredited nursing program
  • Minimum 5 years of direct patient care experience
  • Proficiency with Microsoft Office, EHR systems, and UM software
  • Strong clinical knowledge, communication, and organizational skills
  • No suspension, exclusion, or debarment from federal healthcare programs

PREFERRED QUALIFICATIONS
  • 2+ years of utilization review or case management experience in managed care
  • Oregon residency and license
  • Bilingual or translation skills a plus
  • Experience with quality improvement audits and diverse team collaboration
  • Ability to work independently in fast-paced environments
SCHEDULE
Monday through Friday - 8:00am - 5:00pm; standard business hours with flexibility to meet service timelines.
SALARY
Wage Band: $85,000- $105,340
BENEFITS
  • Salary is dependent on skills, experience, and education
  • Generous benefits package including vacation PTO, sick leave, federal holidays, and birthday leave
  • Medical, dental, and vision insurance
  • 401(k) with company match (fully vested immediately)
  • Company-sponsored life insurance and additional benefits
  • Fitness reimbursement program
  • Tuition reimbursement and more

Why Umpqua Health?
We are committed to advancing health equity by collaborating across communities, addressing systemic barriers, and ensuring fair access to care and resources. At Umpqua Health, every team member plays a vital role in making a meaningful impact, empowering healthier lives and strengthening the communities we serve.
Inclusive Culture
We foster a respectful, inclusive environment where employees feel valued, supported, and empowered.
Growth & Development
We support ongoing learning through mentorship, clear career pathways, and professional development opportunities.
Work/Life Balance
We promote flexibility and well-being so employees can thrive both professionally and personally.
Equal Opportunity
Umpqua Health is an equal opportunity employer that embraces individuals from all backgrounds. We prohibit discrimination and harassment of any kind, ensuring that all employment decisions are based on qualifications, merit, and the needs of the business. Our dedication to fairness and equality extends to all aspects of employment, including hiring, training, promotion, and compensation, without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, veteran status, or any other protected category under federal, state, or local law.

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