In this role, you will guide members through a collaborative case management process built on ... Work Environment You will be working in an approved remote environment within the states of:
Quick apply
In this role, you will guide members through a collaborative case management process built on ... Work Environment You will be working in an approved remote environment within the states of:
Quick apply
In this role, you will guide members through a collaborative case management process built on ... Work Environment You will be working in an approved remote environment within the states of:
In this role, you will guide members through a collaborative case management process built on ... Work Environment You will be working in an approved remote environment within the states of:
Quick apply
In this role, you will guide members through a collaborative case management process built on ... Work Environment You will be working in an approved remote environment within the states of:
In this role, you will guide members through a collaborative case management process built on ... Work Environment You will be working in an approved remote environment within the states of:
In this role, you will guide members through a collaborative case management process built on ... Work Environment You will be working in an approved remote environment within the states of:
AAA Life Insurance Company seeks a Case Support Specialist to coordinate information and prepare cases for underwriting, working with agents, applicants, vendors, and internal partners to ensure ...
AAA Life Insurance Company seeks a Case Support Specialist to coordinate information and prepare cases for underwriting, working with agents, applicants, vendors, and internal partners to ensure ...
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Detroit, MI ยท Remote
$35 - $39/hr
Job Title: RN Case Manager Location: 100% Remote Duration: 12+ months License Required: Active & unrestricted Michigan RN license The RN Case Manager serves as the primary point of contact for ...
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Be Seen First
Detroit, MI ยท Remote
$35 - $39/hr
Job Title: RN Case Manager Location: 100% Remote Duration: 12+ months License Required: Active & unrestricted Michigan RN license The RN Case Manager serves as the primary point of contact for ...
Detroit, MI ยท On-site +1
$70K - $140K/yr
Senior IBM Case Manager/BAW Developer will design, develop, integrate, and support Workflow/Case ... Remote roles will also have the opportunity to come together in our offices for moments that matter.
Detroit, MI ยท On-site +1
$70K - $140K/yr
Senior IBM Case Manager/BAW Developer will design, develop, integrate, and support Workflow/Case ... Remote roles will also have the opportunity to come together in our offices for moments that matter.
Detroit, MI ยท On-site +1
$70K - $140K/yr
Senior IBM Case Manager/BAW Developer will design, develop, integrate, and support Workflow/Case ... Remote roles will also have the opportunity to come together in our offices for moments that matter.
Detroit, MI ยท On-site +1
$70K - $140K/yr
Senior IBM Case Manager/BAW Developer will design, develop, integrate, and support Workflow/Case ... Remote roles will also have the opportunity to come together in our offices for moments that matter.
Document all case management activities in accordance with regulatory and accreditation standards ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Document all case management activities in accordance with regulatory and accreditation standards ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Document all case management activities in accordance with regulatory and accreditation standards ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Document all case management activities in accordance with regulatory and accreditation standards ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Sterling Heights, MI ยท Remote
Document all case management activities in accordance with regulatory and accreditation standards ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Sterling Heights, MI ยท Remote
Document all case management activities in accordance with regulatory and accreditation standards ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Document all case management activities in accordance with regulatory and accreditation standards ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Document all case management activities in accordance with regulatory and accreditation standards ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Document all case management activities in accordance with regulatory and accreditation standards ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Document all case management activities in accordance with regulatory and accreditation standards ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Document all case management activities in accordance with regulatory and accreditation standards ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Document all case management activities in accordance with regulatory and accreditation standards ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Detroit, MI ยท Remote
$20 - $25/hr
Remote Duration: 12 months Description: * The Case Manager RN leads the coordination of a multidisciplinary team to deliver a holistic, person centric care management program to a diverse health plan ...
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Detroit, MI ยท Remote
$20 - $25/hr
Remote Duration: 12 months Description: * The Case Manager RN leads the coordination of a multidisciplinary team to deliver a holistic, person centric care management program to a diverse health plan ...
In this remote role, you will gather documents, obtain signatures, review information, and maintain case progression while delivering excellent customer experience. A 1-2 year background in life ...
In this remote role, you will gather documents, obtain signatures, review information, and maintain case progression while delivering excellent customer experience. A 1-2 year background in life ...
Remote - Fully remote associate must be located in Michigan (MI). * Some travel to state and other ... Oversee market-specific clinical programs, including Case Management (CM), Bright Start Maternity ...
Remote - Fully remote associate must be located in Michigan (MI). * Some travel to state and other ... Oversee market-specific clinical programs, including Case Management (CM), Bright Start Maternity ...
Remote - Fully remote associate must be located in Michigan (MI). * Some travel to state and other ... Oversee market-specific clinical programs, including Case Management (CM), Bright Start Maternity ...
Remote - Fully remote associate must be located in Michigan (MI). * Some travel to state and other ... Oversee market-specific clinical programs, including Case Management (CM), Bright Start Maternity ...
Southfield, MI ยท Remote
$70 - $120/hr
Central Home Health Care has been providing care to patients in the metro Detroit area for over 40 years. We are looking for a registered nurse, preferably with a background in home care. You will be ...
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Southfield, MI ยท Remote
$70 - $120/hr
Central Home Health Care has been providing care to patients in the metro Detroit area for over 40 years. We are looking for a registered nurse, preferably with a background in home care. You will be ...
Southfield, MI ยท Remote
$70 - $120/hr
Central Home Health Care has been providing care to patients in the metro Detroit area for over 40 years. We are looking for a registered nurse, preferably with a background in home care. You will be ...
Quick apply
Southfield, MI ยท Remote
$70 - $120/hr
Central Home Health Care has been providing care to patients in the metro Detroit area for over 40 years. We are looking for a registered nurse, preferably with a background in home care. You will be ...
Detroit, MI ยท On-site +1
$26.41 - $51.49/hr
Preferred candidates will have previous case management, managed care, or inpatient hospital experience. Experience in a behavioral health setting would be a plus. TRAVEL in the field to designated ...
Detroit, MI ยท On-site +1
$26.41 - $51.49/hr
Preferred candidates will have previous case management, managed care, or inpatient hospital experience. Experience in a behavioral health setting would be a plus. TRAVEL in the field to designated ...
$13.20 - $15.54
6% of jobs
$17.72 is the 25th percentile. Wages below this are outliers.
$15.54 - $17.88
20% of jobs
The median wage is $20.07 / hr.
$17.88 - $20.22
25% of jobs
$20.22 - $22.55
21% of jobs
$23.14 is the 75th percentile. Wages above this are outliers.
$22.55 - $24.89
9% of jobs
$24.89 - $27.23
5% of jobs
$27.23 - $29.57
4% of jobs
$29.57 - $31.91
3% of jobs
$31.91 - $34.25
2% of jobs
$34.25 - $36.59
2% of jobs
$36.59 - $38.93
1% of jobs
$13
$22
$38
| 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.
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.

Full-time
Posted 10 days ago
About the Role
We are looking for an experienced RN Clinical Case Manager to support a disability claim review program. In this role, you will guide members through a collaborative case management process built on assessment, planning, care coordination, and ongoing evaluation. Your work directly supports improvement in members' (patients) disabling and co-morbid conditions and helps maximize their employability. You will own your caseload from start to finish and be responsible for an efficient, timely, and complete case management process.
What You'll Do
Determine the appropriate case management track for each assigned case.
Conduct telephonic clinical assessments covering activities of daily living, psycho-social factors, recent hospitalizations, current clinical status, treatment plans and medications, treating physicians, special needs, and the appropriate outreach interval for each case.
Develop customized, member-specific clinical case management plans.
Perform ongoing periodic telephonic outreach at intervals set during the initial clinical assessment.
Request and track receipt of the records and documentation needed to identify ongoing case management needs.
Build and maintain a case management resource library to provide members with information relevant to their conditions.
Assess whether a review is needed for a member's return to their own occupation, and identify the appropriate physician specialty when it is.
Collaborate with vocational specialists during the case management process when needed.
Conduct thorough, ongoing quality review of all case documentation and ensure completeness and accuracy of case paperwork.
Communicate with members, physicians, employers, and clients as appropriate.
Enter case activities into the case management system accurately and within client-required timeframes.
Maintain compliance with applicable practice standards and guidelines, including strict confidentiality and HIPAA adherence.
What You'll Bring
Unrestricted RN licensure, without sanctions.
Current certification in case management or a related field, or the ability to qualify for certification testing within six months of hire.
Minimum of five years of clinical experience.
Minimum of five years of case management experience in one or more of the following: medical, workers' compensation, auto, or disability case management.
Working knowledge of diagnostic coding (ICD-10).
Strong critical thinking, decision-making, and organizational skills with close attention to detail.
Ability to meet deadlines and turnaround times consistently.
Ability to work independently as well as within a team.
Computer literacy, including solid working knowledge of Microsoft Word and Excel.
Strong written, verbal, and telephonic communication skills, with the ability to manage multiple priorities.
Bachelor's degree in nursing or a health-related field.
Working knowledge of the insurance industry, medical claims, and/or disability claims.
Experience with Lean production management.
Work Environment
You will be working in an approved remote environment within the states of: Michigan, Illinois, Florida, Texas, or Minnesota. Stressful conditions may arise when the workload becomes more demanding than usual.
Sourced by ZipRecruiter
Public administration
51 - 200 Employees
Novi, MI, US
2007