This is a remote role. Candidates must reside in the state of North Carolina. When you join the ... Relationship Management * Builds trusted relationships with patients, prescribers, and appropriate ...
This is a remote role. Candidates must reside in the state of North Carolina. When you join the ... Relationship Management * Builds trusted relationships with patients, prescribers, and appropriate ...
This is a remote role. Candidates must reside in the state of North Carolina. When you join the ... Relationship Management * Builds trusted relationships with patients, prescribers, and appropriate ...
This is a remote role. Candidates must reside in the state of North Carolina. When you join the ... Relationship Management * Builds trusted relationships with patients, prescribers, and appropriate ...
Remote * Case Volume: 77 RVUs * Case Types: Diagnostic * Must be board-certified Please apply for ... Experience simplified assignment management and timesheet submittals via the Medicus Portal. Unlock ...
Remote * Case Volume: 77 RVUs * Case Types: Diagnostic * Must be board-certified Please apply for ... Experience simplified assignment management and timesheet submittals via the Medicus Portal. Unlock ...
Remote Registered Nurse (RN) Case Manager
Raleigh, NC · Remote
$50K/yr
Case management or Clinical Trial Nurse experience, a plus. * Bachelor's degree preferred. * Remote work eligibility is subject to all work from home criteria met and based on business need. Physical ...
Remote Registered Nurse (RN) Case Manager
Raleigh, NC · Remote
$50K/yr
Case management or Clinical Trial Nurse experience, a plus. * Bachelor's degree preferred. * Remote work eligibility is subject to all work from home criteria met and based on business need. Physical ...
Remote Registered Nurse (RN) Case Manager
Raleigh, NC · Remote
$50K/yr
Case management or Clinical Trial Nurse experience, a plus. * Bachelor's degree preferred. * Remote work eligibility is subject to all work from home criteria met and based on business need. Physical ...
Remote Registered Nurse (RN) Case Manager
Raleigh, NC · Remote
$50K/yr
Case management or Clinical Trial Nurse experience, a plus. * Bachelor's degree preferred. * Remote work eligibility is subject to all work from home criteria met and based on business need. Physical ...
EHR Epic Analyst
Cary, NC · Remote
Remote (Based in Raleigh, NC) Position Type: Contract We are seeking an experienced EHR Epic ... Provide expertise in Epic tools , including Clinical Case Management, Rover, MyChart Bedside ...
Quick apply
EHR Epic Analyst
Cary, NC · Remote
Remote (Based in Raleigh, NC) Position Type: Contract We are seeking an experienced EHR Epic ... Provide expertise in Epic tools , including Clinical Case Management, Rover, MyChart Bedside ...
Case Manager Nurse Advocate- Raleigh area
Raleigh, NC · On-site +1
SYNERGY HEALTHCARE: Case Manager Nurse Advocate- Greater Raleigh Area Job Summary: We are seeking ... This opportunity allows for remote work so can be flexible on location. Minimal travel within the ...
Case Manager Nurse Advocate- Raleigh area
Raleigh, NC · On-site +1
SYNERGY HEALTHCARE: Case Manager Nurse Advocate- Greater Raleigh Area Job Summary: We are seeking ... This opportunity allows for remote work so can be flexible on location. Minimal travel within the ...
RN Field Case Manager
Raleigh, NC · On-site +1
$75K - $96K/yr
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 ...
RN Field Case Manager
Raleigh, NC · On-site +1
$75K - $96K/yr
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 ...
RN Field Case Manager
Raleigh, NC · On-site +1
$75K - $96K/yr
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 ...
RN Field Case Manager
Raleigh, NC · On-site +1
$75K - $96K/yr
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 ...
Provide in-field case management services such as assessment, planning, advocacy, monitoring, and evaluation that are comprehensive, culturally competent, trauma-informed, and meet the client's needs.
Quick apply
Provide in-field case management services such as assessment, planning, advocacy, monitoring, and evaluation that are comprehensive, culturally competent, trauma-informed, and meet the client's needs.
Supervisor II Facility-Based Care Managers (Full-time Remote, North Carolina Based)
Morrisville, NC · On-site +1
This position is full-time remote. Selected candidate must reside in North Carolina and be willing ... care, case management and plans of care Provide Customer Service * Develop strong working ...
Supervisor II Facility-Based Care Managers (Full-time Remote, North Carolina Based)
Morrisville, NC · On-site +1
This position is full-time remote. Selected candidate must reside in North Carolina and be willing ... care, case management and plans of care Provide Customer Service * Develop strong working ...
Supervisor II Facility-Based Care Managers (Full-time Remote, North Carolina Based)
Morrisville, NC · On-site +1
This position is full-time remote. Selected candidate must reside in North Carolina and be willing ... care, case management and plans of care Provide Customer Service * Develop strong working ...
Supervisor II Facility-Based Care Managers (Full-time Remote, North Carolina Based)
Morrisville, NC · On-site +1
This position is full-time remote. Selected candidate must reside in North Carolina and be willing ... care, case management and plans of care Provide Customer Service * Develop strong working ...
Experience participating in IEP meetings, acting as case manager, and completing comprehensive case ... Flexible, remote scheduling * No-cost continuing education courses and clinical workshops tailored ...
Quick apply
Experience participating in IEP meetings, acting as case manager, and completing comprehensive case ... Flexible, remote scheduling * No-cost continuing education courses and clinical workshops tailored ...
Lead end-to-end workflow automation across support case management. * Define and track ... Familiarity with remote support tools and knowledge management systems. * Understanding of ...
Lead end-to-end workflow automation across support case management. * Define and track ... Familiarity with remote support tools and knowledge management systems. * Understanding of ...
Remote Litigation Attorney - OrderID: 4282
Greensboro, NC · Remote
$42.59 - $44.63/hr
Case Management: Manage a high-volume caseload of 100-200 special education claims, ensuring timely ... Remote Work Skills: Dedicated workspace, reliable Wi-Fi, and comfort with virtual tools like ...
Quick apply
Remote Litigation Attorney - OrderID: 4282
Greensboro, NC · Remote
$42.59 - $44.63/hr
Case Management: Manage a high-volume caseload of 100-200 special education claims, ensuring timely ... Remote Work Skills: Dedicated workspace, reliable Wi-Fi, and comfort with virtual tools like ...
This position is for 12+ months, with option of extension, and will be worked remote. Candidate may ... case management systems Required/Desired Skills: Program Management experience managing multiple ...
Quick apply
This position is for 12+ months, with option of extension, and will be worked remote. Candidate may ... case management systems Required/Desired Skills: Program Management experience managing multiple ...
Graduation from an accredited school of Nursing and three (3) years of full-time, post degree experience providing care management, case management, care coordination, discharge planning, or ...
Graduation from an accredited school of Nursing and three (3) years of full-time, post degree experience providing care management, case management, care coordination, discharge planning, or ...
Workflow Manager, Pharmacovigilance Operations (Specialist II, PSS) Remote based (US or Canada)
Durham, NC · Remote
... systems, and case managementtools * Strong organizational and project management skills ... Work Environment: * Work is performed in a remote based office environment with exposure to ...
Workflow Manager, Pharmacovigilance Operations (Specialist II, PSS) Remote based (US or Canada)
Durham, NC · Remote
... systems, and case managementtools * Strong organizational and project management skills ... Work Environment: * Work is performed in a remote based office environment with exposure to ...
This is a Remote role. Primary Responsibilities * Monitor Utilization Management and Case Management activities through the development of KPIs and benchmarks (i.e. member engagement rates ...
Quick apply
This is a Remote role. Primary Responsibilities * Monitor Utilization Management and Case Management activities through the development of KPIs and benchmarks (i.e. member engagement rates ...
This position is for 12+ months, with option of extension, and will be worked remote. Candidate may ... Knowledge of social services and medicaid programs or similarly complex case management systems.
Quick apply
This position is for 12+ months, with option of extension, and will be worked remote. Candidate may ... Knowledge of social services and medicaid programs or similarly complex case management systems.
Remote Case Management information
See Mebane, NC salary details
$12.47 - $14.68
6% of jobs
$16.74 is the 25th percentile. Wages below this are outliers.
$14.68 - $16.89
20% of jobs
The median wage is $18.96 / hr.
$16.89 - $19.10
25% of jobs
$19.10 - $21.31
21% of jobs
$21.86 is the 75th percentile. Wages above this are outliers.
$21.31 - $23.52
9% of jobs
$23.52 - $25.73
5% of jobs
$25.73 - $27.94
4% of jobs
$27.94 - $30.15
3% of jobs
$30.15 - $32.36
2% of jobs
$32.36 - $34.57
2% of jobs
$34.57 - $36.78
1% of jobs
$12
$21
$36
How much do remote case management jobs pay per hour?
What is remote case management?
How does remote case management typically facilitate effective collaboration with interdisciplinary teams?
What are the key skills and qualifications needed to thrive as a remote case manager, and why are they important?
What is the difference between Remote Case Management vs Remote Social Work?
| Aspect | Remote Case Management | Remote Social Work |
|---|---|---|
| Required Credentials | Case management certification, relevant experience | Social work degree (BSW, MSW), licensure |
| Work Environment | Healthcare, insurance, community organizations | Healthcare, mental health, child welfare agencies |
| Employer & Industry Usage | Insurance companies, healthcare providers, social service agencies | Hospitals, clinics, government agencies, nonprofits |
| Common Search & Comparison | Yes | Yes |
Remote Case Management and Remote Social Work share similarities in working with clients remotely and requiring relevant certifications. However, social workers typically hold degrees and licenses, and work in broader social service settings, while case managers focus on coordinating care within healthcare or insurance industries. Both roles are vital in supporting clients remotely but differ in credentials and specific industry applications.
What job categories do people searching Remote Case Management jobs in Mebane, NC look for?
The top searched job categories for Remote Case Management jobs in Mebane, NC are:
What cities near Mebane, NC are hiring for Remote Case Management jobs?
Cities near Mebane, NC with the most Remote Case Management job openings:

Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 29 days ago
PharmaCord rating
7.0
Based on 12 frontline employees who took The Breakroom Quiz
270th of 500 rated business services
Job description
This is a remote role. Candidates must reside in the state of North Carolina.
When you join the team as an Executive Case Manager, you'll have the opportunity to make a difference in the lives of our patients each day as they look to you as part of their dedicated support team for helping them navigate the tricky process of getting access to their complex medication. You'll compassionately deliver an exceptional experience to many patients per day always remembering that every prescription or document belongs to a real person who is looking for thorough and efficient management of their records. You'll adjust your approach to their needs by communicating clearly, focusing on the accuracy of the details of their medical records, your mastery of the program requirements, and ensuring their prescriptions or cases are handled in a timely manner. An Executive Case Manager has the ability to translate knowledge into patient friendly language and education.
A typical day in this role will include ownership of your patient journey from initiation to closure by using your critical thinking skills and your knowledge of the program and industry rules and standards. This includes completing benefit investigations, tracking prior authorizations / denial appeals, and assisting patients or other callers/stakeholders through resolution (via email, inbound/outbound calls and using our patented technology, Lynk). This role requires a strong understanding of pharmacy and medical billing and coding, excellent communication skills, and the ability to navigate complex reimbursement processes.
The Executive Case Manager provides expertise on insurance coverage and common access and reimbursement challenges affecting patients, healthcare providers and clients. The Executive Case Manager responsibilities include education on the access and reimbursement support tools available from PharmaCord and participating program, advising HCPs and/or patients and caregivers on the benefits and program eligibility for a specific patient, and educating HCP offices on Payor processes and procedures.
Key Responsibilities:
- Relationship Management
- Builds trusted relationships with patients, prescribers, and appropriate client stakeholders regarding reimbursement inquiries and challenges through proactive communication, timely and accurate execution of deliverables and demonstrated relentless passion for helping patients.
- Manages all relationships in a manner that adheres to all relevant laws, regulations, program-specific operating procedures and industry standards related to access and affordability, including HIPAA and insurance guidelines.
- Managed through call/contact center structure, this role supports inbound and outbound calls to patients, caregivers, specialty pharmacies and healthcare professionals.
- Performs post Benefits Investigation calls to patients and/or physicians explaining coverage options and next steps in the access journey.
- Manages all client inquiries as appropriate, such as case specific statuses.
- Manages HCP inquiries, as applicable, pursuant to business rules.
- All communications with the client's field teams will remain compliant and adhere to ways of working protocols outlined between PharmaCord and the client teams. Inbound Call Management
- Manages inbound calls as directed by the program-approved FAQs
- Triage patients to internal or external resources as appropriate.
- Personalized Case Management
- Provides personalized case management to patients and HCPs including outbound communication to HCPs, specialty pharmacies and patients to communicate benefit coverage and/or appropriately help drive next steps in obtaining coverage and/or access to prescribed medicine. All communications for case management will follow the guidelines set forth for the program and only provide information publicly available and/or outlined in the patient insert.
- Leverages electronic tools to identify benefits and payer coverage; completes manual benefit investigation as needed.
- Identifies and communicates patient's plan benefit coverage including the need for prior authorization, appeal, tier exception, and/or formulary exclusions.
- Serves as a subject matter expert to internal team as required and appropriate.
- Uses electronic resources to obtain benefit coverage outcome and if needed, outbound call to payers and HCPs to follow up on proper submission and/or outcome.
- Coordinates nurse teach with nurse educators, as applicable to program.
- Supports adherence services as applicable to program.
- Identifies peer support resources for patients.
- Proactively communicates needs for reverification of prior authorization or re-enrollment.
- Identifies and reports adverse events, product complaints, special situation reports and/or medical inquiries received in accordance with program operating procedures and the Business Rules.
- Documents all activities within the PharmaCord Lynk system, maintaining detailed records of reimbursement activities, including claims status, payments, and appeals.
- Generate reports and analysis as needed to identify trends and opportunities for improvement.in accordance with business requirements.
- Utilize Valeris' values as the driving force behind the team's success
- On time adherence to training deadlines for all corporate policies and procedures
- Ensure all SOPs are followed with consistency
- Perform additional tasks or projects as assigned
Qualifications:
- Completion of Bachelor's degree (or higher) required
- A degree in healthcare administration, social science or similar related fields is strongly preferred.
- Minimum two years of experience in healthcare access delivery or management is strongly preferred.
- 5-10 years of experience in insurance reimbursement, patient access, direct patient care, and/or patient education experience will be considered in lieu of degree.
- Will consider other certifications and five or more consecutive years of experience in relevant field. Certification examples include PACS (Prior Authorization Certified Specialist), CHES (Certified Health Education Specialist) or CCM in healthcare or social science (Certified Case Manager).
- Strong understanding of medical terminology, coding systems (ICD-10, CPT, HCPCS), and insurance processes.
- Demonstrated examples of executing within guardrails recognizing urgency and consistently delivering patient centric results.
- Excellent attention to detail and organizational skills.
- Ability to prioritize tasks and work efficiently in a fast-paced environment.
- Effective written and verbal communication and interpersonal skills, with the ability to interact professionally with diverse stakeholders.
- Demonstrates the ability to think critically and issue resolution.
- Knowledge of healthcare compliance regulations, including HIPAA and Medicare/Medicaid guidelines.
- Bi-lingual skills are a plus.
- Remote work eligibility is subject to all work from home criteria met and based on business need
Physical Demands & Work Environment
- While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to sit for long periods of time, use hands to type, handle or feel; and reach with hands and arms. Prefer candidates who can type at least 35 words per minute with 97% accuracy.
- Although very minimal, flexibility to travel as needed is preferred.
- This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, etc.
Why Work for Valeris?
We're committed to supporting the well-being and success of our team members. As part of our organization, full-time employees can expect:
- Medical, dental, and vision plans, including HSA- and FSA-eligible options, with Valeris contributing toward premium costs
- Additional health support, including telehealth and Employee Assistance Program (EAP) services
- Company match on Health Savings Account contributions
- Free Basic Life and AD&D coverage equal to your annual earnings, with a minimum of $50,000 and a maximum of $300,000
- Company-paid Short-Term Disability coverage, with the option to purchase Long-Term Disability
- 401(k) Retirement Savings Plan with 100% match on the first 5% you contribute, with immediate vesting
- Paid Time Off (PTO) and Sick Leave to support work-life balance
- Team members receive nine paid holidays plus two floating holidays
- Opportunities for advancement in a company that supports personal and professional growth
- A challenging, stimulating work environment that encourages new ideas
- Work for a company that values diversity and makes deliberate efforts to create an inclusive workplace
- A mission-driven, inclusive culture where your work makes a meaningful impact
Any offer of employment is contingent upon the successful completion of a background check and, depending on the position, a drug screen in accordance with company standards. Please note that this job description is not intended to be an exhaustive list of all duties, responsibilities, or activities associated with the position. Responsibilities and tasks may be modified at any time, with or without notice.
Our Commitment to Equal Opportunity
At Valeris, we don't just accept difference - we celebrate it, support it and we thrive on it for the benefit of our employees, our products and our community. Valeris is proud to be an equal opportunity employer.
Important Notice
Due to an increase in hiring scams, please be aware that if you are selected to move forward in our hiring process, a member of our Talent Acquisition team will contact you directly using an official @pharmacord.com and/or @valeris.com, @echo.newtonsoftware.com email address regarding next steps in our interview process.
Please Note:
- PharmaCord will never use Microsoft Teams to reach out to candidates for interview scheduling. However, video interviews are typically conducted via Microsoft Teams. Official meeting links will always be sent from an @valeris.com, @pharmacord.com or @echo.newtonsoftware.com email address, or through our scheduling platform, Calendly.
- We will never request your bank account information at any stage of the hiring process.
- We will never send a check (electronic or physical) to purchase home office equipment.
If you receive any suspicious communication regarding employment with PharmaCord, please report it to our Talent Acquisition team immediately at careers@pharmacord.com
What PharmaCord employees say
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About PharmaCord
Sourced by ZipRecruiter
Industry
Pharmaceutical and medicine manufacturing
Company size
501 - 1,000 Employees
Headquarters location
Jeffersonville, IN, US
Year founded
2016