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Remote Case Management Processor Jobs in Tampa, FL

Sedgwick

Field Case Manager

Tampa, FL · On-site +1

Apply your medical/clinical or rehabilitation knowledge and experience to assist in the management ... remote work environment that allows face-to-face interaction with injured workers and medical ...

York Risk Services

Field Case Manager

Tampa, FL · On-site +1

Apply your medical/clinical or rehabilitation knowledge and experience to assist in the management ... remote work environment that allows face-to-face interaction with injured workers and medical ...

paradigm

Clinical Navigator

Tampa, FL · Remote

$61K - $84K/yr

In this role, you will partner closely with case managers, clinical associates, providers, payers ... This is a fully remote position with typical business hours; however, there may be instances when ...

paradigm

Clinical Navigator

Tampa, FL · Remote

$61K - $84K/yr

In this role, you will partner closely with case managers, clinical associates, providers, payers ... This is a fully remote position with typical business hours; however, there may be instances when ...

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Remote Case Management Processor information

See Tampa, FL salary details

$13

$23

$40

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

As of Sep 14, 2026, the average hourly pay for remote case management processor in Tampa, FL is $23.40, according to ZipRecruiter salary data. Most workers in this role earn between $18.17 and $25.43 per hour, depending on experience, location, and employer.

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.

Remote Case Management Processor jobs near you

RN, Nurse Case Management, Risk Management - Lakeland

Lakeland, FL • On-site, Remote

Publix Super Markets, Inc.
Retail • 10K+ employees
Learn more about Publix Super Markets, Inc.external

$5.4K - $8.1K/mo

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 24 days ago

Key responsibilities

  • conduct ongoing clinical case management and evaluation of the medical care for associates who have sustained on-the-job injuries

  • monitor prescribed medications and coordinate appropriate diagnostic services and specialist provider referrals

  • monitor and clarify provider documentation to ensure appropriate treatment and recovery objectives are achieved

Publix rating

6.8

Company rating: 6.8 out of 10

Based on 4,739 frontline employees who took The Breakroom Quiz

Job description

Description
The purpose of this position is to provide medical evaluation, clinical management, and coordination of medical services for Publix associates that have sustained on-the-job injuries. The Nurse Case Manager is responsible for the evaluation of the medical necessity of recommended services, coordination of those services, and monitoring of these services to facilitate timely return to work within nationally accepted disability duration guidelines. The Nurse Case Manger monitors the ongoing treatment plan to ensure treatment is appropriate and recovery objectives are achieved. The RN Case Managers are required to acquire and maintain licensure credentials and requirements in all of the states in which Publix conducts business.
The impact this position has on Publix is that the RN Nurse Case Manager is critical to the process of a timely and accurate return to work for injured associates. This has a direct productivity/financial impact on the departments in which the associates work. This process directly impacts the medical and indemnity costs of the workers compensation claim.
The responsibilities listed on this position analysis are not intended to be all-inclusive and additional responsibilities may be assigned as needed.
Responsibilities include:
  • conducting ongoing clinical case management and evaluation of the medical care for associates who have sustained on-the-job injuries
  • monitoring of prescribed medications
  • collaborating with medical provider and claims team to identify and coordinate appropriate diagnostic services and specialist provider referrals
  • monitoring/or clarification of provider documentation
  • identifying the best vendor sources for medical supplies and other clinical services that provide the best outcome and value

Additional Information
Your application may have additional steps that you will need to complete in order to remain eligible for consideration. Please be sure to monitor your email, including your spam folder, on a daily basis for critical, time-sensitive emails that could require action within 24-48 hours.
Please do not use your Publix email address when applying. Once your application has been successfully submitted you will receive a confirmation email.
For this position, Publix does not and will not file a petition or application with the USCIS or Department of State on behalf of any noncitizen for any immigration-related benefit to work and/or to continue to work in the United States, e.g., an H-1B or TN petition or permanent residence.
Year End Bonus
As a year-end bonus to associates, Publix issues one month's extra pay (pro-rated in the first year) each year if associate remains employed through issue date of the bonus check that year. This is calculated as a 13th month of pay in the Potential Annual Pay with Bonus line above.
Required Qualifications
  • Associate's Degree in Nursing (ADN) and active Florida RN license.
  • Must be unencumbered to secure licensure in the states in which Publix operates.
  • Minimum of three years of clinical experience in hospital, clinic or institutional setting
  • Basic Life Support. Current unrestricted Florida licensure.
  • Required to successfully complete CCM Certified Case Management and pass the national certification exam within 2 years of employment.
  • Excellent verbal and written communication skills
  • Excellent negotiation and problem-solving skills
  • Ability to multitask with several projects and files with minimal direct supervision
  • Basic skill level in Microsoft Office programs including Word, Excel and Outlook

Preferred Qualifications
  • Bachelor of Science in Nursing (BSN)
  • Some experience in case management, utilization review and/or Workers Comp
  • CCM (Certified Case Manager) or COHN (Certified Occupational Health Nurse)
  • Knowledge of application of medical protocols and guidelines
  • Knowledge of the Workers Compensation process and requirements for Medical management in the multiple states in which Publix operates
  • Advanced skill level in Risk Master
  • Intermediate skill level in Microsoft Office programs including Word, Excel and Outlook, ODG Guidelines Special Program and multiple clinical vendor information portals

Benefits Information
  • Employee stock ownership plan that contributes Publix stock to associates each year at no cost
  • An opportunity to purchase additional shares of our privately-held stock
  • 401(k) retirement savings plan
  • Group health, dental and vision plans
  • Paid Time Off
  • Paid Parental Leave
  • Short- and long-term disability insurance
  • Tuition reimbursement
  • Free hot lunches (buffet-style) at facilities with a cafeteria
  • Visit our website to see all of our benefits: Benefits - Jobs (publix.com)

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