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Remote Case Management Processor Jobs in Pennsylvania

Prestige

LPN Case Manager

PA · Remote

$75K/yr

This is a Remote Position. * Competitive Rate * Medical, Dental, and Vision Insurance * 401K ... Daily Pay Requirements LPN in the state of Pennsylvania Experience in Case Management and/or ...

Corvel

Telephonic Case Manager I

Norristown, PA · Remote

$63K - $95K/yr

This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Provide medical case management to ... process taking into consideration experience, qualifications, and overall fit for the role. The ...

1 Alpha Consulting LLC

Enrollment Case Manager

York, PA · On-site +1

$20.50 - $21.50/hr

Experience with data entry and automated case management systems. * familiarity with healthcare networks, disability services, or enrollment processes. * Bilingual (Spanish/English) preferred.

County of Chester, PA

Casework Specialist, CYF

PA · On-site +1

$56K/yr

Monitor client participation/ progress in programs as per established case management standards ... Knowledge of court process and procedure * Experience and knowledge in child development.

Xactus

Re Verification Processor

Broomall, PA · On-site +1

$20/hr

Our remote workforce provides many opportunities for you to enhance your skills while maintaining a ... Management may assign new duties, reassign existing duties, or eliminate a function based on ...

CSAA

Apply project management and change management concepts to drive adoption of new processes, tools ... Proficiency with Microsoft Word, Excel, and matter or case management systems; ability to prepare ...

CSAA

Apply project management and change management concepts to drive adoption of new processes, tools ... Proficiency with Microsoft Word, Excel, and matter or case management systems; ability to prepare ...

Clarvida - North Carolina

Intern

Forest Hills, PA · On-site +1

$14 - $18.50/hr

Various Locations (On-site/Hybrid/Remote depending on placement) Employment Type: Internship ... while developing clinical, case management, and professional skills under supervision.

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Remote Case Management Processor information

What is the difference between Remote Case Management Processor vs Remote Claims Processor?

AspectRemote Case Management ProcessorRemote Claims Processor
CredentialsTypically requires case management certifications or healthcare-related credentialsOften requires insurance or claims processing certifications
Work EnvironmentHealthcare or social services settings, remote or office-basedInsurance companies, healthcare providers, remote or office-based
Industry UsageHealthcare, social services, insuranceInsurance, healthcare, financial services
Job FocusManaging patient or client cases, coordinating servicesProcessing insurance claims, verifying coverage

While both roles involve processing information remotely, the Remote Case Management Processor focuses on managing client cases and coordinating services, often in healthcare or social services. In contrast, the Remote Claims Processor primarily handles insurance claims, verifying coverage and processing payments. Understanding these differences helps job seekers identify the right role based on their credentials and career interests.

What cities in Pennsylvania are hiring for Remote Case Management Processor jobs? Cities in Pennsylvania with the most Remote Case Management Processor job openings:
Remote Case Management Processor jobs near you

LPN Case Manager

Prestige

PA • Remote

$75K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 9 days ago

Job description

Case Manager

At Prestige Healthcare Services, we are committed to delivering exceptional care and support to our patients and their families. Our skilled facilities offer a range of short-term and long-term skilled rehabilitation services to meet the diverse needs of our patients. We are seeking a dedicated and compassionate Case Manager to join our team.

Responsibilities:

• Develop, implement, and monitor individualized care plans in collaboration with the interdisciplinary team (nursing, therapy, social services, dietary)

• Coordinate and communicate with insurance companies and managed care organizations to obtain authorizations and manage utilization review

• Facilitate timely and safe discharge planning

• Serve as primary point of contact for residents and families regarding care plans, insurance coverage, and discharge options

• Monitor length of stay and levels of care to ensure appropriate resource utilization

• Maintain accurate and timely documentation in the electronic health record (EHR) in compliance with state and federal regulations

• Ensure compliance with CMS, state survey, and facility policies related to case management and discharge planning

• Collaborate with admissions to review referrals and support smooth transitions into the facility

What We Offer:

This is a Remote Position.

  • Competitive Rate

  • Medical, Dental, and Vision Insurance

  • 401K Retirement Plan

  • Paid Time Off (PTO)

  • Employee Wellness Program

  • Flexible Spending Account

  • Employee Assistance Program

  • Daily Pay

Requirements

LPN in the state of Pennsylvania

Experience in Case Management and/or Admissions in a long-term care setting.

If you are a motivated and compassionate healthcare professional looking for a new challenge, we encourage you to apply for this exciting opportunity.

To learn more about this role and how you can make a difference at Prestige Healthcare Services, please apply today!

Prestige Healthcare Services is an equal opportunity employer.