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Remote Case Manager Jobs in Rio Rancho, NM (NOW HIRING)

Symmetry

Entry Level Remote Sales

Albuquerque, NM · Remote

$100K/yr

We are looking to train people to become a manager of Remote Insurance Sales Representatives and ... Customizing options to meet their financial need in case of a death or disability with the ...

Symmetry

Entry Level Remote Sales

Albuquerque, NM · On-site +1

$100K/yr

We are looking to train people to become a manager of Remote Insurance Sales Representatives and ... Customizing options to meet their financial need in case of a death or disability with the ...

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How much do remote case manager jobs pay per hour?

As of Aug 29, 2026, the average hourly pay for remote case manager in Rio Rancho, NM is $23.43, according to ZipRecruiter salary data. Most workers in this role earn between $18.22 and $25.48 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.

More about Remote Case Manager jobs

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For Remote Case Manager jobs in Rio Rancho, NM, the most frequently searched job titles are:

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The top searched job categories for Remote Case Manager jobs in Rio Rancho, NM are:

What cities near Rio Rancho, NM are hiring for Remote Case Manager jobs?

Cities near Rio Rancho, NM with the most Remote Case Manager job openings:

Remote Case Manager jobs near you
Infographic showing various Remote Case Manager job openings in Rio Rancho, NM as of August 2026, with employment types broken down into 62% Full Time, 17% Part Time, and 21% Contract. Highlights an 4% In-person, and 96% Remote job distribution, with an average salary of $48,728 per year, or $23.4 per hour.

Supervisor, RxCompass Operations - REMOTE

Southern Scripts

Albuquerque, NM • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 4 days ago

Job description

Supervisor, RxCompass Operations - REMOTE


ROLES AND RESPONSIBILITIES

The RxCompass Operations Supervisor reports to the Manager of RxCompass / Variable Copay Operations and is responsible for overseeing frontline Care Coordinators and Care Navigators supporting RxCompass program workflows. This role ensures daily operational execution, queue performance, service level adherence, and high-quality member support. The Supervisor actively monitors operational queues, manages performance metrics, coaches team members, and ensures the timely resolution of member cases. The RxCompass Operations Supervisor is required to perform the following duties and professionally undertake the following responsibilities:

 

Frontline Operations Oversight

 

  • Monitor and manage daily RxCompass operational queues to ensure timely processing and service level adherence.
  • Ensure coordinators actively work assigned queues and meet turnaround expectations.
  • Review queue aging, backlog, and case status to maintain operational flow and prevent service delays.
  • Rebalance workloads as needed to ensure equitable distribution of work across team members.

 

Performance Management

 

  • Monitor team KPIs, including productivity, queue throughput, quality scores, adherence, and service levels.
  • Conduct regular performance check-ins with team members to reinforce expectations and performance standards.
  • Identify performance gaps and provide real-time coaching to improve operational outcomes.
  • Escalate performance concerns to the Manager when corrective action may be required.

 

Queue & Workflow Management

 

  • Ensure team members follow established workflows and SOPs for RxCompass program processes.
  • Track and address aging cases or unresolved items that may impact member service delivery.
  • Ensure coordinators properly document case activity and maintain accurate system records.
  • Coordinate with other teams to resolve operational blockers affecting queue completion.


What We Have to Offer

Our benefits package is designed to keep our employees happy and healthy - physically, mentally and financially.

  • High Medical, Dental, Vision Insurance
  • Disability and Life insurance
  • Employee Assistance Program
  • Remote work options
  • Generous Paid-Time Off
  • Annual Reviews and Development Plans
  • Retirement Plan with company match immediately 100% vested



Member & Client Escalation Support

 

  • Serve as the first escalation point for complex member cases or service issues.
  • Assist coordinators in resolving barriers related to prescriptions, pharmacies, physicians, or program eligibility.
  • Escalate systemic or recurring operational issues to the Manager when necessary.

 

Team Development

 

  • Support onboarding and training of new coordinators and navigators.
  • Reinforce best practices for member communication, documentation, and service delivery.
  • Promote accountability, professionalism, and member-first service culture within the team.

 

Cross-Functional Collaboration

 

  • Work with Pharmacy Operations, Claims, Client Services, and other internal teams to resolve operational issues.
  • Provide feedback on workflow improvements and operational enhancements.
  • Support implementation of new operational processes or program updates.

 

 

Supervisory Responsibility

 

  • Directly supervises Care Coordinators, Care Navigators, and related frontline operational staff.
  • Responsible for daily performance oversight, coaching, and workload management.
  • Provides feedback to the Manager regarding staffing needs, performance concerns, and operational improvements.
  • Abides by all obligations under HIPAA related to Protected Health Information (PHI).
  • If a HIPAA violation is discovered, whether individually or by another, you must report the violation to the Compliance Officer and/or Human Resources.
  • Attend, complete, and demonstrate competency in all required HIPAA Training offered by the company.
  • Flexibility to understand, appreciate, and embrace that this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee. Duties, responsibilities, and activities may change, or new ones may be assigned at any time with or without notice.


 

Position Type and Expected Hours of Work
  • Full-time/Salaried/Exempt.
  • Hours are 10:00 AM - 7:00 PM CST. We cover clients from the West to the East Coast, work times must be adjusted to cover meetings in all time zones. Ability to work extended hours, weekends, and holidays pursuant to industry demands.

Travel

No travel is expected for this position.



Required Skills and Competencies

 

  • 3–5+ years experience in healthcare operations, pharmacy benefits, specialty pharmacy, or related field (preferred) 
  • 1–3+ years leadership experience supervising frontline teams (preferred) s
  • Strong understanding of queue management and service-level driven environments.
  • Ability to monitor operational metrics and coach team members to improve performance.
  • Strong organizational and prioritization skills.
  • Excellent communication and coaching abilities.
  • Ability to manage competing operational demands in a fast-paced environment.
  • Proficiency in Microsoft Office and operational reporting tools.
  • Knowledge of HIPAA compliance and member data protection requirements.

 

Education and Experience

 

  • Bachelor’s degree preferred 
  • Relevant healthcare, pharmacy benefit management, or specialty pharmacy operations experience preferred.
  • Experience working in high-volume service environments with defined SLAs.


RxCompass, LLC provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, RxCompass, LLC complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

RxCompass, LLC expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of RxCompass, LLC employees to perform their job duties may result in discipline up to and including discharge. EOE M/F/D/V

 

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