... join our remote MDS division as a Clinical Reimbursement Specialist . Clinical Reimbursement ... The CRS also reviews reimbursement systems for PDPM and Case Mix to ensure accurate and optimized ...
... join our remote MDS division as a Clinical Reimbursement Specialist . Clinical Reimbursement ... The CRS also reviews reimbursement systems for PDPM and Case Mix to ensure accurate and optimized ...
... join our remote MDS division as a Clinical Reimbursement Specialist . Clinical Reimbursement ... The CRS also reviews reimbursement systems for PDPM and Case Mix to ensure accurate and optimized ...
... join our remote MDS division as a Clinical Reimbursement Specialist . Clinical Reimbursement ... The CRS also reviews reimbursement systems for PDPM and Case Mix to ensure accurate and optimized ...
The RN Care Manager, as part of an interdisciplinary team (IDT), serves frail elders, adults with physical disabilities and adults with intellectual/developmental disabilities who are members of ...
The RN Care Manager, as part of an interdisciplinary team (IDT), serves frail elders, adults with physical disabilities and adults with intellectual/developmental disabilities who are members of ...
Remote Case Manager information
See Madison, WI salary details
$14.53 - $17.11
6% of jobs
$19.52 is the 25th percentile. Wages below this are outliers.
$17.11 - $19.69
20% of jobs
The median wage is $22.10 / hr.
$19.69 - $22.26
25% of jobs
$22.26 - $24.84
21% of jobs
$25.48 is the 75th percentile. Wages above this are outliers.
$24.84 - $27.41
9% of jobs
$27.41 - $29.99
5% of jobs
$29.99 - $32.57
4% of jobs
$32.57 - $35.14
3% of jobs
$35.14 - $37.72
2% of jobs
$37.72 - $40.30
2% of jobs
$40.30 - $42.87
1% of jobs
$14
$24
$42
How much do remote case manager jobs pay per hour?
As of Jul 20, 2026, the average hourly pay for remote case manager in Madison, WI is $24.95, according to ZipRecruiter salary data. Most workers in this role earn between $19.38 and $27.12 per hour, depending on experience, location, and employer.
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?
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.
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.
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.
More about Remote Case Manager jobs
What are popular job titles related to Remote Case Manager jobs in Madison, WI? For Remote Case Manager jobs in Madison, WI, the most frequently searched job titles are:
What job categories do people searching Remote Case Manager jobs in Madison, WI look for? The top searched job categories for Remote Case Manager jobs in Madison, WI are:
What cities near Madison, WI are hiring for Remote Case Manager jobs? Cities near Madison, WI with the most Remote Case Manager job openings:
Other
Medical, Dental, Life, Retirement, PTO
Posted 11 days ago
Job description
Overview
MDS Solutions, a division of Key Rehabilitation, is looking for fun, energetic, and self-driven team members to join our remote MDS division as a Clinical Reimbursement Specialist.
Clinical Reimbursement Specialist (CRS)
The Clinical Reimbursement Specialist (CRS) plays a critical role in supporting clients through specialized project work, including conducting RAI assessments, developing comprehensive care plans, and delivering targeted education and training to MDS Coordinators on the Resident Assessment Instrument (RAI) process. This work is performed in strict alignment with applicable laws, regulations, and company standards. The CRS also reviews reimbursement systems for PDPM and Case Mix to ensure accurate and optimized reimbursement. Additionally, the CRS provides support with interim long-term and short-term contract coordination, ensuring the smooth completion of these efforts
About Us:
At Key Rehab, we're shaking up rehab services with a fresh, standout approach. We offer a wide range of services, stick to top-notch systems, and work in strategic locations to get the best results for our patients and support our clients' goals. We're all about clear communication, using our deep experience to deliver therapy that's both effective and affordable. Our reputation is built on great patient care, happy clients and staff, and solid management. We are proud to exceed expectations for patients, families, healthcare providers, and businesses.
We prioritize both exceptional patient care and the well-being of our employees. We are committed to delivering compassionate, results-driven therapy while offering the flexibility and comprehensive benefits needed to thrive in today's healthcare environment. Our team is large enough to offer competitive pay and benefits but small enough to ensure personalized attention and support for your career aspirations.
Whether you're looking for a role that accommodates family commitments, travel plans, home projects, or future savings, we provide tailored solutions to fit your lifestyle. Join us and experience a workplace that values your individual needs and career goals. Come experience a rewarding career where you're valued and supported every step of the way.
We offer a creative, engaging, and flexible work environment, alongside a comprehensive benefits package designed to support your success and well-being:
Responsibilities
Qualifications
Minimum Qualifications:
Key Rehab is an equal opportunity employer/service provider.
MDS Solutions, a division of Key Rehabilitation, is looking for fun, energetic, and self-driven team members to join our remote MDS division as a Clinical Reimbursement Specialist.
Clinical Reimbursement Specialist (CRS)
The Clinical Reimbursement Specialist (CRS) plays a critical role in supporting clients through specialized project work, including conducting RAI assessments, developing comprehensive care plans, and delivering targeted education and training to MDS Coordinators on the Resident Assessment Instrument (RAI) process. This work is performed in strict alignment with applicable laws, regulations, and company standards. The CRS also reviews reimbursement systems for PDPM and Case Mix to ensure accurate and optimized reimbursement. Additionally, the CRS provides support with interim long-term and short-term contract coordination, ensuring the smooth completion of these efforts
About Us:
At Key Rehab, we're shaking up rehab services with a fresh, standout approach. We offer a wide range of services, stick to top-notch systems, and work in strategic locations to get the best results for our patients and support our clients' goals. We're all about clear communication, using our deep experience to deliver therapy that's both effective and affordable. Our reputation is built on great patient care, happy clients and staff, and solid management. We are proud to exceed expectations for patients, families, healthcare providers, and businesses.
We prioritize both exceptional patient care and the well-being of our employees. We are committed to delivering compassionate, results-driven therapy while offering the flexibility and comprehensive benefits needed to thrive in today's healthcare environment. Our team is large enough to offer competitive pay and benefits but small enough to ensure personalized attention and support for your career aspirations.
Whether you're looking for a role that accommodates family commitments, travel plans, home projects, or future savings, we provide tailored solutions to fit your lifestyle. Join us and experience a workplace that values your individual needs and career goals. Come experience a rewarding career where you're valued and supported every step of the way.
We offer a creative, engaging, and flexible work environment, alongside a comprehensive benefits package designed to support your success and well-being:
- Competitive salaries with bonus opportunities
- Ample opportunities for promotion, transfer, and advancement
- Work that is meaningful, fulfilling, and provides high job satisfaction
- Reasonable working hours promoting work-life balance
- Continuing education (CE) opportunities for ongoing professional development
- Generous paid time off
- Comprehensive health, dental, and life insurance packages
- 401K with discretionary matching
- Mileage and licensure reimbursements
- Flexible Spending Account (FSA) and Health Savings Account (HSA) options
Responsibilities
- Serve as a trusted advisor to healthcare agencies and facilities, offering expert guidance and insights to optimize their operations.
- Assist clients in assessing, planning, developing, and implementing systems and processes related to reimbursement, tailored to the specific needs and contracts established with each client.
- Provide consulting services and technical expertise, including interim MDS management, ensuring providers receive the support they need to achieve optimal outcomes.
- Stay up-to-date on professional standards of clinical care, federal and state regulations, QM measures, and the RAI process to ensure the delivery of accurate, compliant, and effective solutions.
- Deliver high-quality, professional services that encompass reimbursement optimization, staff education, in-depth research, system analysis, creative problem-solving, and the presentation of actionable recommendations to clients.
- Identify and address training needs, developing and conducting training sessions or in-service programs as requested by clients to enhance staff competency and performance.
- Operate within the defined scope of work, maintaining strict adherence to client agreements and expectations.
- Uphold client confidentiality and ensure full compliance with HIPAA regulations, safeguarding sensitive information throughout the engagement.
Qualifications
Minimum Qualifications:
- Bachelor's degree in nursing from an accredited college or university, with at least five (5) years of clinical experience, including 3+ years specializing in the RAI process.
- Current and unrestricted RN ,along with active RAC-CT certification, ensuring adherence to industry standards and best practices.
- Possesses exceptional critical thinking skills, with the proven ability to make informed decisions, demonstrate sound clinical judgment, and apply expert knowledge in quality improvement concepts and processes.
- Demonstrates strong leadership abilities and excels in interpersonal communication, fostering collaboration, and guiding teams to achieve optimal clinical outcomes.
Key Rehab is an equal opportunity employer/service provider.