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Remote Case Manager Jobs in Rhode Island (NOW HIRING)

VIVA USA INC

Clinical Pharmacist Advisor

Woonsocket, RI · On-site +1

$113K - $135K/yr

Remote Description: Position Summary As a Clinical Pharmacist Advisor, Medicare B Operations, you ... You will be responsible for accurate case set up, review of clinical information for decisioning ...

Sagility LLC

Licensed Health Insurance Agents

Carolina, RI · Remote

$20/hr

... case management, member engagement, provider solutions, payment integrity, claims cost containment ... This is a seasonal, fully remote opportunity. Schedules, pay rates, program details, and assignment ...

New

Sagility

Licensed Health Insurance Agents

Carolina, RI · Remote

$20/hr

... case management, member engagement, provider solutions, payment integrity, claims cost containment ... This is a seasonal, fully remote opportunity. Schedules, pay rates, program details, and assignment ...

New

micro1 AI

Pharmacovigilance Expert

Providence, RI · Remote

$70 - $80/hr

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Reconcile figures and case counts across report sections and data sources, identifying and ...

micro1 AI

Clinical Pharmacy Technicians

Providence, RI · Remote

$70 - $80/hr

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Reconcile figures and case counts across report sections and data sources, identifying and ...

Veterans Health Administration

Social Worker

Providence, RI · On-site +1

$71K - $112K/yr

Identifies high risk patients and provides case management services. * Provides crisis intervention services, seeking to address the cause as well as presenting complaint, engaging family and other ...

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All JobsCase JobsRemote Case Manager JobsRemote Case Manager Jobs in Rhode Island

Remote Case Manager information

See Rhode Island salary details

$14

$24

$41

How much do remote case manager jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for remote case manager in Rhode Island is $24.24, according to ZipRecruiter salary data. Most workers in this role earn between $18.85 and $26.35 per hour, depending on experience, location, and employer.

What is a remote case manager?

A Remote Case Manager is a professional who coordinates and manages client care or services from a remote location, often using digital tools and communication platforms. They typically work in healthcare, social services, insurance, or related fields, assessing client needs, developing care plans, and ensuring clients receive appropriate support. Remote Case Managers maintain regular contact with clients, providers, and other stakeholders via phone, email, or video conferencing. Their goal is to facilitate effective service delivery and improve client outcomes while working outside of a traditional office setting.

What does a remote case manager do?

As a remote case manager, also known as a telephonic case manager, you work from home to coordinate files and patient care. You can find case manager positions in both the medical field and the social work industry. In a role as a nurse case manager, you act as an advocate for patients. Your responsibilities are to recommend treatment options, establish a care plan, communicate with families and support groups, and coordinate inpatient and outpatient care. If you work as a social work case manager, you support disadvantaged individuals and families of all ages. Your duties include assessing the needs of clients and planning meal delivery, transportation, counseling, and at-home care.

What are the key skills and qualifications needed to thrive as a remote case manager, and why are they important?

To thrive as a Remote Case Manager, you need a background in social work, nursing, or a related field, often requiring a relevant degree and licensure or certification. Familiarity with case management software, electronic health records, and secure communication platforms is critical for managing cases and maintaining confidentiality. Excellent organizational skills, empathy, and strong verbal and written communication help build rapport and coordinate care effectively from a distance. These competencies ensure effective support for clients, streamlined case management, and compliance with regulations in a remote environment.

How does a remote case manager typically collaborate with other healthcare professionals while working from home?

Remote Case Managers frequently collaborate with physicians, nurses, social workers, and other healthcare providers through secure digital communication tools such as video calls, emails, and case management platforms. They participate in virtual team meetings, share patient updates, and coordinate care plans to ensure seamless service delivery. Building strong professional relationships and maintaining clear, consistent communication are essential for effective remote teamwork. Adaptability and proficiency in using collaboration technologies are vital to successfully manage cases and deliver optimal outcomes.

What is the difference between Remote Case Manager vs Remote Social Worker?

AspectRemote Case ManagerRemote Social Worker
CredentialsTypically requires a nursing license or certification in case managementRequires a social work degree and state licensure
Work EnvironmentPrimarily administrative, coordinating patient care remotelyProvides counseling and support services remotely or in community settings
Employer & IndustryHealthcare providers, insurance companies, managed care organizationsHospitals, social service agencies, healthcare organizations

Remote Case Managers focus on coordinating patient care and managing cases within healthcare settings, often requiring specific certifications. Remote Social Workers provide counseling and support, requiring social work licensure. Both roles operate remotely but serve different functions within the healthcare and social services industries.

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What job categories do people searching Remote Case Manager jobs in Rhode Island look for?

The top searched job categories for Remote Case Manager jobs in Rhode Island are:

What cities in Rhode Island are hiring for Remote Case Manager jobs?

Cities in Rhode Island with the most Remote Case Manager job openings:

Remote Case Manager jobs near you
Infographic showing various Remote Case Manager job openings in Rhode Island as of August 2026, with employment types broken down into 85% Full Time, 13% Part Time, and 2% Contract. Highlights an 83% Physical, 2% Hybrid, and 15% Remote job distribution, with an average salary of $50,428 per year, or $24.2 per hour.

Clinical Pharmacist Advisor

VIVA USA INC

Woonsocket, RI • On-site, Remote

$113K - $135K/yr

Contractor

Posted 29 days ago

Job description

Remote
Description:
Position Summary
As a Clinical Pharmacist Advisor, Medicare B Operations, you will support Medicare Part B members, prescribers, and providers by processing coverage-related requests for injectable and infused medications covered under their medical benefits. You will be responsible for accurate case set up, review of clinical information for decisioning the request, performing outreach to providers for more information when needed, and ensuring accurate decisions that comply with compendia and Medicare guidelines, CMS-mandated timelines, and internal quality standards. You will demonstrate strong attention to detail, professional verbal and written communication skills, and the ability to problem-solve in a highly regulated, fast-paced environment. This is a great opportunity to initiate a career with a leading healthcare company by reviewing information and completing timely and accurate documentation of Medicare Part B requests, in compliance with Medicare guidelines, while promoting a best-in-class service experience.
Duties
Case Review and Processing
Process incoming coverage-related requests from members and prescribers.
Accurately set up cases, review documentation, and apply work instructions to ensure correct and timely processing.
Read, analyze, and interpret business and medical correspondence, technical procedures, and Medicare regulations to support decision-making.
Outreach and Information Gathering
Conduct outbound calls to members and providers to obtain missing or additional information required to complete requests.
Communicate clearly, professionally, and empathetically while projecting a positive business image.
Documentation, Accuracy, and Compliance Standards
Provide clear, concise, and accurate documentation of all case activity across systems.
Ensure all cases are properly closed and meet CMS-mandated timelines, department productivity expectations, and quality standards.
Apply clinical judgment and knowledge effectively, utilizing drug compendia resources, evolving work instructions, and CMS Medicare guidance.
Continuous Learning and Development
Acquire and maintain working knowledge of evolving work instructions, systems, and Medicare guidance.
Participate in coaching, feedback, and development discussions with direct leadership.
Experience
Previous experience in managed care, PBM environment, institutional healthcare, pharmacy, or related experience (preferred).
Education
Bachelor's degree in pharmacy or Pharm D. required. Must have an active license in good standing in state of residence.
Notes:
This position is full-time, remote, non-exempt, and requires schedule flexibility based on business needs.
Fully remote (never coming onsite)
SAFETY SENSITIVE
Business hours: 7am-8pm EST Monday-Friday and rotating weekend/holiday. Training: 9am-5:30pm EST
VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status

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