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Ob Case Manager Remote Jobs in Arizona (NOW HIRING)

Zeiders Enterprises

Career Advisor (Remote)

Phoenix, AZ · Remote

$20.75 - $27.75/hr

Career Advisor- Remote Opportunity (Work from Home) NOTE: Both a cover letter and resume are ... Maintain government provided case management system, spouse profiles and scholarship accounts.

Oscar Health

Sr. Quality of Care Review Nurse

Tempe, AZ · Remote

$83K - $109K/yr

You will report into the Nurse Manager, Quality of Care. Work Location: This is a remote position ... Experience in health plan case management. * Bilingual - fluent in Spanish to audit Spanish ...

Zeiders Enterprises

Career Advisor (Remote)

Phoenix, AZ · Remote

$20.75 - $27.75/hr

Career Advisor- Remote Opportunity (Work from Home) NOTE: Both a cover letter and resume are ... Maintain government provided case management system, spouse profiles and scholarship accounts.

Zeiders Enterprises

Career Advisor (Remote)

Phoenix, AZ · On-site +1

$20.75 - $27.75/hr

Career Advisor- Remote Opportunity (Work from Home) NOTE: Both a cover letter and resume are ... Maintain government provided case management system, spouse profiles and scholarship accounts.

Zeiders Enterprises

Career Advisor (Remote)

Phoenix, AZ · On-site +1

$20.75 - $27.75/hr

Career Advisor- Remote Opportunity (Work from Home) NOTE: Both a cover letter and resume are ... Maintain government provided case management system, spouse profiles and scholarship accounts.

Bex Partners

Paralegal

Phoenix, AZ · Remote

Although this role is fully remote, candidates must live in the Greater Phoenix Area . As a ... Support attorneys with case preparation, document management, and deadline tracking * Draft ...

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Ob Case Manager Remote information

What are some common challenges faced by remote OB case managers, and how can they be addressed?

Remote OB Case Managers often encounter challenges such as effectively coordinating care across multidisciplinary teams, maintaining clear communication with patients and providers, and managing complex caseloads without direct face-to-face interaction. To address these issues, successful case managers leverage secure telehealth platforms, establish regular check-ins with patients and colleagues, and utilize electronic health records to track patient progress. Strong organizational skills and proactive communication are key to overcoming the unique obstacles of remote work in this role.

What are the key skills and qualifications needed to thrive as an OB case manager?

To thrive as an OB Case Manager (Remote), you need a strong background in obstetrics, case management, and nursing, usually with an RN license and experience in maternal-child health. Familiarity with case management software, electronic health records (EHRs), and sometimes certification like CCM (Certified Case Manager) is important. Exceptional communication, empathy, and organizational skills help you support patients and coordinate care effectively from a distance. These competencies ensure high-quality, patient-centered care and seamless collaboration in a remote environment.

What is an OB case manager?

An OB Case Manager (Remote) is a healthcare professional who specializes in managing and coordinating care for obstetric (OB) patients, such as those who are pregnant or have recently given birth. Working remotely, they assist patients with accessing medical services, provide education about pregnancy and postpartum care, and collaborate with healthcare providers to ensure quality outcomes. Their role often includes monitoring patient progress, addressing concerns, and helping patients navigate insurance or healthcare systems, all while working from a remote location.

How to become a remote case manager?

To become a remote case manager, typically you need a relevant bachelor's degree such as in social work, nursing, or healthcare administration, 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 remote work environments.

What is the difference between Ob Case Manager Remote vs Obstetric Nurse?

AspectOb Case Manager RemoteObstetric Nurse
CredentialsRN license, case management certificationRN license, obstetric nursing certification
Work EnvironmentRemote, telehealth, case management settingsHospital, clinic, labor and delivery units
Industry UsageHealthcare, insurance, case managementHospitals, maternity wards, clinics
Job FocusCoordinating care, patient advocacy remotelyProviding direct obstetric patient care

Ob Case Manager Remote and Obstetric Nurse roles share clinical credentials but differ mainly in work environment and job focus. Ob Case Managers work remotely to coordinate care and advocate for patients, while Obstetric Nurses provide direct patient care in clinical settings. Both roles are vital in maternal healthcare but serve different functions within the industry.

What are popular job titles related to Ob Case Manager Remote jobs in Arizona? For Ob Case Manager Remote jobs in Arizona, the most frequently searched job titles are:
What job categories do people searching Ob Case Manager Remote jobs in Arizona look for? The top searched job categories for Ob Case Manager Remote jobs in Arizona are:
What cities in Arizona are hiring for Ob Case Manager Remote jobs? Cities in Arizona with the most Ob Case Manager Remote job openings:
Ob Case Manager Remote jobs near you
Infographic showing various Ob Case Manager Remote job openings in Arizona as of August 2026, with employment types broken down into 67% Full Time, and 33% Part Time. Highlights an 100% Remote job distribution.

High-Cost Claimant Review Unit Nurse Auditor (Remote in AZ)

Blue Cross Blue Shield of Arizona

Phoenix, AZ • On-site, Remote

Full-time

Re-posted 20 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

286th of 303 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 position is remote within the state of AZ only. This remote work opportunity requires residency, and work to be performed, within the State of Arizona.
PURPOSE OF THE JOB
This position is responsible for assessment and documentation of member utilization and prediction of future spend feeding internal and external customer reporting. Primary responsibilities include:
  • Function as a designated clinical resource to review High Cost Claimants to identify opportunities to improve member outcomes and determine correct utilization of resources
  • Collaborate with multi-disciplinary teams to determine if there are other resources, BCBSAZ programs, or community resources that can curtail benefit spend or improve outcomes
  • Focus on enhancing customer relationship and service as the primary clinical point of contact

REQUIRED QUALIFICATIONS
Required Work Experience
  • 5 years of experience working within a healthcare and/or management care
  • 2 consecutive years' experience as an RN analyst or auditor in Utilization Review, Medical Claim Review and/or Care Management

Required Education
  • Associate's Degree in Nursing or related field of study

Required Licenses
  • Active, unrestricted license to practice as a registered nurse (RN) in the state of Arizona (a state in the united states)

Required Certifications
  • N/A

PREFERRED QUALIFICATIONS
Preferred Work Experience
  • 7 years' experience working within a healthcare and/or management care.
  • 3 years' experience with managing direct customer facing or account management experience
  • Experience in working in more than one of Utilization Management, Medical Claim Review and Care Management
  • Experience with working with VITAL, Metavance and/or Guiding Care platforms
  • Experience in operational analysis, data analysis and problem resolution types of activities

Preferred Education
  • Bachelor's or Master's Degree in Nursing or related field of study

Preferred Licenses
  • N/A

Preferred Certifications
  • Certified Commission of Case Managers
  • PMP Certification or Six Sigma/Lean Project Management
  • Certified Professional in Healthcare Quality (CPHQ)

ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES
  • Analyze utilization data from provided sources to evaluate cost drivers.
  • Apply clinical knowledge, incorporating the persistency score to determine if member care needs will be ongoing versus an acute episodic.
  • Apply knowledge of customer benefit structure to determine appropriate use of services.
  • Collaborate with multi-disciplinary team to determine if there are other resources; BCBSAZ programs, community resources that can curtail benefit spend or improve outcomes.
  • Document findings in a manner that can be consumed by internal process for reporting purposes, internal and external customers.
  • Refer the member to appropriate internal BCBSAZ group to manage and coordinate care as indicated.
  • Continue to evaluate the member's benefit spend according to Key Decision Criteria.
  • Responsible for the professional, efficient and timely delivery of services to members and customer/Group Benefit Administrator requesting assistance. This includes but is not limited to providing information and assistance with information related to members' claims and clinical course, expected outcomes and persistence of claim expenses.
  • Provide proactive clinical recommendations, information regarding trends, program and industry changes the customer and member experience.
  • Represent customer-internally and coordinate with other departments such as medical and pharmacy account team to address ongoing needs, implement care initiatives, projects and customer systems.
  • Lead process improvement initiative and projects to improve the delivery of services.
  • Lead efforts to identify best practices and resources required to support customer with meeting business commitments and enhance member experience.
  • Develop relationships and establish credibility with key stakeholders (internal and external) to achieve solution strategies and objectives. Routinely collaborate with account management team to provide clinical aspects of High Cost Claimant reviews.
  • Able to analyze and interpret benefit designs and identify opportunities to increase efficiency.
  • Complete High Cost Claimant screening and analysis to identify trends and opportunities; present findings to key stakeholders and clinical leadership.
  • Support clinical quality audit activities under the direction of manager to identify opportunities to deliver on commitments and enhance customer satisfaction/experience.

LEADERSHIP
  • Maintain effective working relationships to ensure teamwork in achieving company goals.
  • Foster effective communication with business partners by setting clear directives and providing exchange of ideas.
  • Provide leadership on change management principles to ensure maximize benefit and alleviate unnecessary disruption.
  • Effectively communicates analytical and reporting needs to supporting departments. Identify and create opportunities to manage trend(s).

ADMINISTRATIVE
  • Manage use of corporate funds including budgeting, financial management, and reporting. Identify opportunities to achieve administrative efficiencies while maintaining service.
  • Establish performance goals in accordance with overall BCBSAZ objectives and divisional strategic planning.
  • Participate in strategic planning activities and contribute to departmental and cross-functional teams to achieve

Business goals/objectives.
  • Ensure the existence of documented policies and procedures.
  • Coordinate activities between multiple divisions to achieve desired results.
  • Volunteer within the community to help BCBSAZ give back to community charitable efforts.
  • Ability to travel up to 25% of time to attend work related customer, business meetings, trainings and conferences.
  • 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 other duties as assigned.

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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