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Remote Aetna Case Management Jobs (NOW HIRING)

TEEMA Group

RN Case Management - REMOTE

HI · Remote

$86K - $98K/yr

The Case Manager will advocate for beneficiaries, manage referrals and authorizations, and ... Remote We have openings available across multiple states, including Arkansas, Arizona, California ...

KurzSolutions

RN - Case Management

  • Medical

  • Retirement

  • PTO

This primarily remote position is ideal for a certified nurse case manager passionate about behavioral health and military service. Service Regions This position supports Army Reserve units across ...

Oscar Health

Case Management RN

Tempe, AZ · Remote

$32.60 - $42.79/hr

  • PTO

We're hiring a Case Management RN to join our Clinical Concierge Team. Oscar is the first health ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas.

CVS Health

Case Manager, Registered Nurse

$54K - $155K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Position Summary This is a remote work from home role anywhere in the US with virtual training ... American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna ...

CVS Health

Case Manager, Registered Nurse

Homer, AK · Remote

$54K - $155K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Position Summary This is a remote work from home role anywhere in the US with virtual training ... American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna ...

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All JobsAetna Case Management JobsRemote Aetna Case Management Jobs

Remote Aetna Case Management information

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How much do remote aetna case management jobs pay per hour?

As of Aug 13, 2026, the average hourly pay for remote aetna case management in the United States is $24.76, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $26.92 per hour, depending on experience, location, and employer.

What is the difference between Remote Aetna Case Management vs Remote UnitedHealthcare Case Management?

AspectRemote Aetna Case ManagementRemote UnitedHealthcare Case Management
Required CredentialsRN or licensed healthcare professional, case management certificationRN or licensed healthcare professional, case management certification
Work EnvironmentRemote, healthcare insurance industryRemote, healthcare insurance industry
Employer & Industry UsageAetna, health insurance providersUnitedHealthcare, health insurance providers

Both Remote Aetna Case Management and Remote UnitedHealthcare Case Management roles require similar credentials, including RN licensure and case management certification. They operate in a remote work environment within the health insurance industry and are employed by leading insurance providers. The primary difference lies in the employer, with each role supporting their respective company's members and healthcare plans. Overall, they share many similarities but serve different corporate clients.

What are the key skills and qualifications needed to thrive as a remote Aetna case manager?

To thrive as a Remote Aetna Case Manager, you need a background in nursing or social work (often requiring an RN license or relevant degree), strong case management experience, and knowledge of healthcare regulations. Familiarity with case management software, electronic health records (EHRs), and telehealth platforms is typically required. Excellent communication, problem-solving, and organizational skills help build rapport with patients and coordinate interdisciplinary care remotely. These skills ensure effective patient advocacy, streamlined care coordination, and compliance with Aetna's quality standards in a virtual environment.

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

Remote Aetna case managers often face challenges such as coordinating care across multiple providers virtually, managing a high caseload, and ensuring clear communication with both patients and healthcare teams. To address these challenges, it is important to utilize digital collaboration tools, maintain organized case notes, and establish regular check-ins with team members. Building strong relationships with patients and providers through proactive communication can also help streamline the care management process and improve outcomes.

What is remote Aetna case management?

Remote Aetna case management involves healthcare professionals, such as nurses or case managers, working from a remote location to help Aetna members manage their health conditions. These professionals assess patients' needs, coordinate care, and connect members with resources or services to improve their health outcomes. Remote case managers use phone calls, emails, and digital tools to communicate with members, providers, and care teams. This role aims to ensure members receive personalized support while reducing hospitalizations and improving overall well-being.
More about Remote Aetna Case Management jobs
What cities are hiring for Remote Aetna Case Management jobs? Cities with the most Remote Aetna Case Management job openings:
What are the most commonly searched types of Aetna Case Management jobs? The most popular types of Aetna Case Management jobs are:
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What job categories do people searching Remote Aetna Case Management jobs look for? The top searched job categories for Remote Aetna Case Management jobs are:
Remote Aetna Case Management jobs near you
Infographic showing various Remote Aetna Case Management job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 14% Part Time, and 3% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $51,494 per year, or $24.8 per hour.

Case Management Pharmacist (Remote)

Pharmacy Careers

Remote

Other

This job post has expired 3 days ago. Applications are no longer accepted.

Job description

Case Management Pharmacist - Coordinate Care and Improve Patient Outcomes
A confidential managed care organization is hiring a detail-oriented Case Management Pharmacist to support patients with complex medication needs. This role focuses on coordinating care, preventing medication-related issues, and ensuring members receive the most appropriate therapy at the right time.
Key Responsibilities
  • Collaborate with physicians, nurses, and care coordinators to manage high-risk or complex patients.
  • Conduct medication reviews to identify gaps in therapy, adherence concerns, or potential drug interactions.
  • Support prior authorization and appeals processes when needed.
  • Educate patients and caregivers on medication regimens and disease state management.
  • Document case activities and outcomes in compliance with health plan and regulatory standards.
  • Participate in quality improvement initiatives to reduce hospitalizations and improve health outcomes.
What You'll Bring
  • Education: Doctor of Pharmacy (PharmD) or Bachelor of Pharmacy degree.
  • Licensure: Active and unrestricted pharmacist license in the U.S.
  • Experience: Case management, MTM, or managed care experience preferred - retail and hospital pharmacists with strong patient counseling backgrounds are encouraged to apply.
  • Skills: Strong communication, problem-solving, and care coordination skills.
Why This Role?
  • Impact: Make a meaningful difference in patients' lives by ensuring safe and effective medication use.
  • Growth: Develop expertise in case management and managed care pharmacy.
  • Flexibility: Many organizations offer hybrid or fully remote work options.
  • Rewards: Competitive pay, benefits, and career advancement opportunities.

About Us
We are a confidential healthcare partner serving health plans and provider networks nationwide. Our case management pharmacists play a vital role in improving outcomes, reducing readmissions, and supporting patients across the continuum of care.
Apply Today
Apply now for our Case Management Pharmacist opportunity and join a team dedicated to patient-centered, coordinated care.

Apply