This is a remote role. Candidates must reside in the state of Ohio. 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 ...
This is a remote role. Candidates must reside in the state of Ohio. 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 ...
Executive Case Manager (Remote)
Cincinnati, OH ยท On-site +1
This is a remote role. Candidates must reside in the state of Ohio. 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 ...
Executive Case Manager (Remote)
Cincinnati, OH ยท On-site +1
This is a remote role. Candidates must reside in the state of Ohio. 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 ...
Senior Business Immigration Case Manager
Cincinnati, OH ยท Remote
$65K - $105K/yr
The purpose of our Senior Business Immigration Case Manager is toโฏprovide overall team support ... Encourage and set example for positive team morale, even within a remote work environment * Oversee ...
Quick apply
Senior Business Immigration Case Manager
Cincinnati, OH ยท Remote
$65K - $105K/yr
The purpose of our Senior Business Immigration Case Manager is toโฏprovide overall team support ... Encourage and set example for positive team morale, even within a remote work environment * Oversee ...
Field Case Manager - Vocational
Cincinnati, OH ยท On-site +1
Sedgwick Field Case Managers work face to face with their injured workers and medical providers to ... remote work environment that allows face to face interaction with injured workers and medical ...
Field Case Manager - Vocational
Cincinnati, OH ยท On-site +1
Sedgwick Field Case Managers work face to face with their injured workers and medical providers to ... remote work environment that allows face to face interaction with injured workers and medical ...
Field Case Manager - Vocational
Cincinnati, OH ยท On-site +1
Sedgwick Field Case Managers work face to face with their injured workers and medical providers to ... remote work environment that allows face to face interaction with injured workers and medical ...
Field Case Manager - Vocational
Cincinnati, OH ยท On-site +1
Sedgwick Field Case Managers work face to face with their injured workers and medical providers to ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Hospice Workflow Specialist/ Weekend Manager REMOTE
Cincinnati, OH ยท Remote
$71K - $89K/yr
Participate in meetings, case reviews, and operational planning activities as required ... Previous experience in remote clinical management or workflow coordination. Key Competencies
Quick apply
RN Hospice Workflow Specialist/ Weekend Manager REMOTE
Cincinnati, OH ยท Remote
$71K - $89K/yr
Participate in meetings, case reviews, and operational planning activities as required ... Previous experience in remote clinical management or workflow coordination. Key Competencies
Business Immigration Paralegal
Cincinnati, OH ยท Remote
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... Case Manager. * Assistโฏother team members with case or document preparation, asโฏrequired. * Contribute to positive team morale, even within a remote work environment. What you bring:
Quick apply
Business Immigration Paralegal
Cincinnati, OH ยท Remote
$40K - $70K/yr
... Case Manager. * Assistโฏother team members with case or document preparation, asโฏrequired. * Contribute to positive team morale, even within a remote work environment. What you bring:
Field Reimbursement Manager
Florence, KY ยท On-site +1
... remote interaction and on-site training. This position is client-facing and customer-facing and ... Reimbursement Support on Case management, billing and coding updates, appropriate claims submission ...
Field Reimbursement Manager
Florence, KY ยท On-site +1
... remote interaction and on-site training. This position is client-facing and customer-facing and ... Reimbursement Support on Case management, billing and coding updates, appropriate claims submission ...
Claims Specialist with FineOS Remote Fulltime Responsibilities ... To provide Absence case management and claim adjudications, based on medical documentation and the ...
Quick apply
Claims Specialist with FineOS Remote Fulltime Responsibilities ... To provide Absence case management and claim adjudications, based on medical documentation and the ...
Corporate Accommodations Specialist *REMOTE
Cincinnati, OH ยท On-site +1
$23/hr
Develop, monitor, and adjust case management plans based on employees' changing needs and ... Work Environment This role operates in a 100% remote work environment, providing flexibility while ...
Corporate Accommodations Specialist *REMOTE
Cincinnati, OH ยท On-site +1
$23/hr
Develop, monitor, and adjust case management plans based on employees' changing needs and ... Work Environment This role operates in a 100% remote work environment, providing flexibility while ...
Business Immigration Attorney
Cincinnati, OH ยท Remote
$70K - $105K/yr
Prepare immigration-based filings for complex case management * Gain rapport and foster strong ... Contribute to positive team morale, even within a remote work environment * Ability to multi-task ...
Quick apply
Business Immigration Attorney
Cincinnati, OH ยท Remote
$70K - $105K/yr
Prepare immigration-based filings for complex case management * Gain rapport and foster strong ... Contribute to positive team morale, even within a remote work environment * Ability to multi-task ...
Warren, Clermont, and Butler County, Ohio (and surrounding areas) Job Type: Full-Time | Remote with Field Visits Industry: Healthcare / Social Services / Case Management About the Opportunity at ...
Warren, Clermont, and Butler County, Ohio (and surrounding areas) Job Type: Full-Time | Remote with Field Visits Industry: Healthcare / Social Services / Case Management About the Opportunity at ...
Provides ongoing case management and advocacy for approx. 250-500 registered students with ... Remote work is not a right, it is a work arrangement that can be modified or revoked by Miami ...
Provides ongoing case management and advocacy for approx. 250-500 registered students with ... Remote work is not a right, it is a work arrangement that can be modified or revoked by Miami ...
Law and Motion Associate - Of Counsel (Remote)
Cincinnati, OH ยท Remote
$120K - $216K/yr
This fully remote position is for an Associate - Of Counsel (Remote) and is available nationwide in ... Manager and/or Case Staffer. Qualifications: * Must be admitted to the CA state bar and comply with ...
Law and Motion Associate - Of Counsel (Remote)
Cincinnati, OH ยท Remote
$120K - $216K/yr
This fully remote position is for an Associate - Of Counsel (Remote) and is available nationwide in ... Manager and/or Case Staffer. Qualifications: * Must be admitted to the CA state bar and comply with ...
Research and Writing Attorney
Cincinnati, OH ยท On-site +1
Research & Writing Attorney ALBUQUERQUE, NM No relocation required - Albuquerque-area and remote ... Experienced investigators (retired police officers), dedicated case managers, and paralegals.
Research and Writing Attorney
Cincinnati, OH ยท On-site +1
Research & Writing Attorney ALBUQUERQUE, NM No relocation required - Albuquerque-area and remote ... Experienced investigators (retired police officers), dedicated case managers, and paralegals.
Research & Writing Attorney ALBUQUERQUE, NM No relocation required -- Albuquerque-area and remote ... Experienced investigators (retired police officers), dedicated case managers, and paralegals.
Quick apply
Research & Writing Attorney ALBUQUERQUE, NM No relocation required -- Albuquerque-area and remote ... Experienced investigators (retired police officers), dedicated case managers, and paralegals.
Pre-Litigation Associate - Of Counsel (Remote)
Cincinnati, OH ยท Remote
$120K - $216K/yr
This fully remote position is for an Associate - Of Counsel (Remote) is available nationwide in any ... Manager and/or Case Staffer. Qualifications: * Must be admitted to the CA state bar and comply with ...
Pre-Litigation Associate - Of Counsel (Remote)
Cincinnati, OH ยท Remote
$120K - $216K/yr
This fully remote position is for an Associate - Of Counsel (Remote) is available nationwide in any ... Manager and/or Case Staffer. Qualifications: * Must be admitted to the CA state bar and comply with ...
Therapist
Cincinnati, OH ยท On-site +1
Collaborate with case management, peer support, and medical staff to coordinate whole-person care ... Travel & Remote Work Expectations * Maintain reliable transportation and travel regularly between ...
Therapist
Cincinnati, OH ยท On-site +1
Collaborate with case management, peer support, and medical staff to coordinate whole-person care ... Travel & Remote Work Expectations * Maintain reliable transportation and travel regularly between ...
Legal Support Assistant
Mason, OH ยท On-site +1
$20/hr
... remote-support environment. You'll work daily with attorneys and team members located across the ... Experience with legal or case management software such as Clio (preferred) * Experience using Apple ...
Legal Support Assistant
Mason, OH ยท On-site +1
$20/hr
... remote-support environment. You'll work daily with attorneys and team members located across the ... Experience with legal or case management software such as Clio (preferred) * Experience using Apple ...
Remote Case Manager information
See Covington, KY salary details
$14 - $16.48
6% of jobs
$18.80 is the 25th percentile. Wages below this are outliers.
$16.48 - $18.96
20% of jobs
The median wage is $21.29 / hr.
$18.96 - $21.44
25% of jobs
$21.44 - $23.93
21% of jobs
$24.55 is the 75th percentile. Wages above this are outliers.
$23.93 - $26.41
9% of jobs
$26.41 - $28.89
5% of jobs
$28.89 - $31.37
4% of jobs
$31.37 - $33.85
3% of jobs
$33.85 - $36.34
2% of jobs
$36.34 - $38.82
2% of jobs
$38.82 - $41.30
1% of jobs
$13
$24
$41
How much do remote case manager jobs pay per hour?
What is a remote case manager?
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?
How does a remote case manager typically collaborate with other healthcare professionals while working from home?
What is the difference between Remote Case Manager vs Remote Social Worker?
| Aspect | Remote Case Manager | Remote Social Worker |
|---|---|---|
| Credentials | Typically requires a nursing license or certification in case management | Requires a social work degree and state licensure |
| Work Environment | Primarily administrative, coordinating patient care remotely | Provides counseling and support services remotely or in community settings |
| Employer & Industry | Healthcare providers, insurance companies, managed care organizations | Hospitals, 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.
What job categories do people searching Remote Case Manager jobs in Covington, KY look for?
The top searched job categories for Remote Case Manager jobs in Covington, KY are:
What cities near Covington, KY are hiring for Remote Case Manager jobs?
Cities near Covington, KY with the most Remote Case Manager job openings:

Full-time
Medical, Dental, Vision, Retirement, PTO
Re-posted 21 days ago
Job description
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.
- 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 clientโs 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 patientโs 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 Valerisโ values as the driving force behind the teamโs 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
- 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
- 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.
- 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 amp;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
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