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 · 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 · 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 · Remote
$65K - $105K/yr
The purpose of our Senior Business Immigration Case Manager is to provide 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 · Remote
$65K - $105K/yr
The purpose of our Senior Business Immigration Case Manager is to provide overall team support ... Encourage and set example for positive team morale, even within a remote work environment * Oversee ...
Field Case Manager - Vocational
Cincinnati, OH · 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 · 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 · 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 · 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 ...
This is a REMOTE, work from home position*** The Case Manager is responsible for all customer service functions and quality control of the final investigative product, also serving as the liaison ...
This is a REMOTE, work from home position*** The Case Manager is responsible for all customer service functions and quality control of the final investigative product, also serving as the liaison ...
Case Manager: Substance use disorder & Mental health (Full-time/Part-time - 1099)
Cincinnati, OH · On-site +1
$21 - $26/hr
The role is a remote, telehealth position Essential Duties and Responsibilities * Complete initial ... Provide recovery-oriented, person-centered case management services. * Complete timely, accurate ...
Case Manager: Substance use disorder & Mental health (Full-time/Part-time - 1099)
Cincinnati, OH · On-site +1
$21 - $26/hr
The role is a remote, telehealth position Essential Duties and Responsibilities * Complete initial ... Provide recovery-oriented, person-centered case management services. * Complete timely, accurate ...
RN Hospice Workflow Specialist/ Weekend Manager REMOTE
Cincinnati, OH · 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
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RN Hospice Workflow Specialist/ Weekend Manager REMOTE
Cincinnati, OH · 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 · Remote
$40K - $70K/yr
... Case Manager. * Assist other team members with case or document preparation, as required. * Contribute to positive team morale, even within a remote work environment. What you bring:
Quick apply
Business Immigration Paralegal
Cincinnati, OH · Remote
$40K - $70K/yr
... Case Manager. * Assist other team members with case or document preparation, as required. * Contribute to positive team morale, even within a remote work environment. What you bring:
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 ...
Field Reimbursement Manager
Florence, KY · 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 ...
New
Field Reimbursement Manager
Florence, KY · 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 ...
New
Business Immigration Attorney
Cincinnati, OH · 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 · 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 ...
Law and Motion Associate - Of Counsel (Remote)
Cincinnati, OH · 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 · 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 ...
Pre-Litigation Associate - Of Counsel (Remote)
Cincinnati, OH · 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 · 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 ...
Critical Situation Leader
Norwood, OH · Remote
$65K - $75K/yr
Remote Position - USA About US CDK Global is a leading provider of cloud-based software to ... Manage case escalations brought up by the customer or internal CDK staff * Work with Care ...
Critical Situation Leader
Norwood, OH · Remote
$65K - $75K/yr
Remote Position - USA About US CDK Global is a leading provider of cloud-based software to ... Manage case escalations brought up by the customer or internal CDK staff * Work with Care ...
Personal Injury Attorney (Ohio)
Cincinnati, OH · Remote
$150K - $180K/yr
Case Evaluation: Analyze liability, damages, and risk to guide case direction * Client ... Work Style: Self-driven, organized, and comfortable managing a full caseload in a remote ...
Quick apply
Personal Injury Attorney (Ohio)
Cincinnati, OH · Remote
$150K - $180K/yr
Case Evaluation: Analyze liability, damages, and risk to guide case direction * Client ... Work Style: Self-driven, organized, and comfortable managing a full caseload in a remote ...
Personal Injury Attorney (Ohio)
Cincinnati, OH · On-site +1
$150K - $180K/yr
Case Evaluation: Analyze liability, damages, and risk to guide case direction * Client ... Work Style: Self-driven, organized, and comfortable managing a full caseload in a remote ...
Personal Injury Attorney (Ohio)
Cincinnati, OH · On-site +1
$150K - $180K/yr
Case Evaluation: Analyze liability, damages, and risk to guide case direction * Client ... Work Style: Self-driven, organized, and comfortable managing a full caseload in a remote ...
Personal Injury Attorney (Ohio)
Cincinnati, OH · Remote
$150K - $180K/yr
Case Evaluation: Analyze liability, damages, and risk to guide case direction * Client ... Work Style: Self-driven, organized, and comfortable managing a full caseload in a remote ...
Quick apply
Personal Injury Attorney (Ohio)
Cincinnati, OH · Remote
$150K - $180K/yr
Case Evaluation: Analyze liability, damages, and risk to guide case direction * Client ... Work Style: Self-driven, organized, and comfortable managing a full caseload in a remote ...
This is a remote position, based in Ohio and is responsible for managing territories in the ... Develop and strengthen relationships with attorneys, case managers, paralegals, and law firms ...
Quick apply
This is a remote position, based in Ohio and is responsible for managing territories in the ... Develop and strengthen relationships with attorneys, case managers, paralegals, and law firms ...
This role is fully remote. No flexibility outside of these locations: Georgia (Atlanta), Kentucky ... Create best-in-class tools for both internal and external stakeholders such as scorecards, case ...
This role is fully remote. No flexibility outside of these locations: Georgia (Atlanta), Kentucky ... Create best-in-class tools for both internal and external stakeholders such as scorecards, case ...
Remote Case Manager information
See Independence, KY salary details
$14.20 - $16.72
6% of jobs
$19.07 is the 25th percentile. Wages below this are outliers.
$16.72 - $19.23
20% of jobs
The median wage is $21.59 / hr.
$19.23 - $21.75
25% of jobs
$21.75 - $24.27
21% of jobs
$24.90 is the 75th percentile. Wages above this are outliers.
$24.27 - $26.78
9% of jobs
$26.78 - $29.30
5% of jobs
$29.30 - $31.82
4% of jobs
$31.82 - $34.34
3% of jobs
$34.34 - $36.85
2% of jobs
$36.85 - $39.37
2% of jobs
$39.37 - $41.89
1% of jobs
$14
$24
$41
How much do remote case manager jobs pay per hour?
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 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?
What is a remote case manager?
How does a remote case manager typically collaborate with other healthcare professionals while working from home?

Full-time
Medical, Dental, Vision, Retirement, PTO
Re-posted 5 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 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
- 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