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Remote Case Manager Jobs in Raleigh, NC (NOW HIRING)

Valeris

Executive Case Manager (Remote)

Raleigh, NC · Remote

This is a remote role. Candidates must reside in the state of North Carolina. When you join the team as an Executive Case Manager, you'll have the opportunity to make a difference in the lives of our ...

Sedgwick

RN Field Case Manager

Raleigh, NC · On-site +1

$75K - $96K/yr

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 ...

York Risk Services

RN Field Case Manager

Raleigh, NC · On-site +1

$75K - $96K/yr

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 ...

ClinDCast LLC

EHR Epic Analyst

Cary, NC · Remote

Remote (Based in Raleigh, NC) Position Type: Contract We are seeking an experienced EHR Epic ... Provide expertise in Epic tools , including Clinical Case Management, Rover, MyChart Bedside ...

NetApp

Product Manager - Active IQ

Morrisville, NC · Remote

... case workflows, and leveraging support data to continuously improve the customer and engineer ... Drive evolution of remote support tools and support platforms. * Leverage AutoSupport, telemetry ...

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Remote Case Manager information

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How much do remote case manager jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for remote case manager in Raleigh, NC is $24.06, according to ZipRecruiter salary data. Most workers in this role earn between $18.70 and $26.15 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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For Remote Case Manager jobs in Raleigh, NC, the most frequently searched job titles are:

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The top searched job categories for Remote Case Manager jobs in Raleigh, NC are:

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Cities near Raleigh, NC with the most Remote Case Manager job openings:

Remote Case Manager jobs near you
Infographic showing various Remote Case Manager job openings in Raleigh, NC as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $50,053 per year, or $24.1 per hour.

Executive Case Manager (Remote)

PharmaCord LLC

Raleigh, NC • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 6 hours ago

PharmaCord rating

7.0

Company rating: 7.0 out of 10

Based on 12 frontline employees who took The Breakroom Quiz

270th of 500 rated business services

Job description

Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Formed by the merger of PharmaCord and Mercalis, Valeris™ revolutionizes the path from life sciences innovation to real-life impact to build a world in which every patient gets the care they need. Valeris works on behalf of life sciences companies to improve the patient experience so that patients can access and adhere to critical medications. Backed by proven industry expertise, a deep commitment to patient care, the latest technology, and exceptionally talented team members, Valeris provides the data and strategic insights, patient support services and healthcare provider engagement tools to help life sciences companies successfully commercialize new products. Valeris provides commercialization solutions to more than 500 life sciences customers and has provided access and affordability support to millions of patients. The company is headquartered in Morrisville, North Carolina and Jeffersonville, Indiana. To learn more about Valeris, please visit www.valeris.com.
This is a remote role. Candidates must reside in the state of North Carolina.
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 each day as they look to you as part of their dedicated support team for helping them navigate the tricky process of getting access to their complex medication. You'll compassionately deliver an exceptional experience to many patients per day always remembering that every prescription or document belongs to a real person who is looking for thorough and efficient management of their records. You'll adjust your approach to their needs by communicating clearly, focusing on the accuracy of the details of their medical records, your mastery of the program requirements, and ensuring their prescriptions or cases are handled in a timely manner. An Executive Case Manager has the ability to translate knowledge into patient friendly language and education.
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.
Key Responsibilities:
  • 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

Qualifications:
  • 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

Physical Demands & Work Environment
  • 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.

Why Work for Valeris?
We're committed to supporting the well-being and success of our team members. As part of our organization, full-time employees can expect:
  • 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&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

Any offer of employment is contingent upon the successful completion of a background check and, depending on the position, a drug screen in accordance with company standards. Please note that this job description is not intended to be an exhaustive list of all duties, responsibilities, or activities associated with the position. Responsibilities and tasks may be modified at any time, with or without notice.
Our Commitment to Equal Opportunity
At Valeris, we don't just accept difference - we celebrate it, support it and we thrive on it for the benefit of our employees, our products and our community. Valeris is proud to be an equal opportunity employer.
Important Notice
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

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