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Remote Case Manager Jobs in Rochester, MA (NOW HIRING)

Bcbsri

Case Manager

Providence, RI · Remote

$73K - $110K/yr

It's why we offer flexible work arrangements that include remote and hybrid opportunities and paid ... Certified Case Manager (CCM) * Reside in Rhode Island or other Nurse Licensure Compact state (NLC)

CVS Health

Case Manager, Registered Nurse

Providence, RI · Remote

$54K - $155K/yr

Position Summary This is a remote work from home role anywhere in the US with virtual training ... Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization ...

Pharmacy Careers

Appeals Pharmacist (Remote)

Providence, RI · On-site +1

$57.75 - $70.50/hr

Appeals Pharmacist - Ensure Fair Medication Access for Patients A confidential managed care ... Collaborate with physicians, nurses, and medical directors during case reviews. * Track, document ...

Ocean Spray

Manager, Technical Lead - FP&A

Lakeville, MA · On-site +1

$104K - $143K/yr

We are open to remote candidates. The Manager, Technical Lead FP&A is a critical member of the ... Coordinate and execute use case testing, enduser validation activities, and postimplementation ...

Ocean Spray

Manager, Technical Lead - FP&A

Lakeville, MA · On-site +1

$104K - $143K/yr

We are open to remote candidates. The Manager, Technical Lead FP&A is a critical member of the ... Coordinate and execute use case testing, end-user validation activities, and post-implementation ...

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All JobsCase JobsRemote Case Manager JobsRemote Case Manager Jobs in Rochester, MA

Remote Case Manager information

See Rochester, MA salary details

$14

$25

$43

How much do remote case manager jobs pay per hour?

As of Jun 9, 2026, the average hourly pay for remote case manager in Rochester, MA is $25.45, according to ZipRecruiter salary data. Most workers in this role earn between $19.76 and $27.69 per hour, depending on experience, location, and employer.

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.

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
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What job categories do people searching Remote Case Manager jobs in Rochester, MA look for? The top searched job categories for Remote Case Manager jobs in Rochester, MA are:
What cities near Rochester, MA are hiring for Remote Case Manager jobs? Cities near Rochester, MA with the most Remote Case Manager job openings:
Remote Case Manager jobs near you

Case Manager

Bcbsri

Providence, RI • Remote

$73K - $110K/yr

Full-time

Medical, Dental, Vision, PTO

Posted 10 days ago

Job description

Pay Range:

$73,600.00 - $110,400.00 

Please emailHR_Talent_AcquisitionTeam@bcbsri.orgif you are a candidate seeking a reasonable accommodation for the application and/or interview process.

At BCBSRI, our greatest resource is our people.

We come from varying backgrounds, different cultures, and unique experiences. We are hard-working, caring, and creative individuals who collaborate, support one another, and grow together. Passion, empathy, and understanding are at the forefront of everything we do-not just for our members, but for our employees as well.


We recognize that to do your best work, you have to be your best self.
It's why we offer flexible work arrangements that include remote and hybrid opportunities and paid time off. We provide tuition reimbursement and assist with student-loan repayment. We offer health, dental, and vision insurance as well as programs that support your mental health and well-being. We pay competitively, offer bonuses and investment plans, and are committed to growing and developing our employees.


Our culture is one of belonging.
We strive to be transparent and accountable. We believe in equipping our associates with the knowledge and resources they need to be successful. No matter where you're at in the organization, you're an integral part of our team and your input, thoughts, and ideas are valued.

Join others who value a workplace for all.
We appreciate and celebrate everything that makes us unique, from personal characteristics to past experiences. Our different perspectives strengthen us as an organization and help us better serve all Rhode Islanders.

We're dedicated to serving Rhode Islanders.
Our focus extends beyond providing access to high-quality, affordable, and equitable care. To further improve the health and well-being of our fellow Rhode Islanders, we regularly roll up our sleeves and get to work (literally) in communities all across the state-building homes, working in food pantries, revitalizing community centers, and transforming outdoor spaces for children and adults. Because we believe it is our collective responsibility to uplift our fellow Rhode Islanders when and where we can, our associates receive additional paid time to volunteer.

 

Why this job matters:

Deploy corporate strategy for supporting members in obtaining best-fit care within immediate health care system and other supporting services while promoting access to evidenced based care. Educate, empower, and coordinate services for members to improve members' well-being and moderate claims trends. Facilitate communication between identified care team members including but not limited to members and or their appointed representatives, providers, community-based organizations, and the health plan to ensure members receive the full benefit of integrated care.

What you will do:

  • Manage membersthrough evidence-based care, promote access to healthcare system, and assess needs to identify appropriate interventions. Member management includes, but is not limited to, the conduction of health assessments(telephonic and face-to-face) to identify high-risk or emerging risk members for education and intervention and the evaluation and modification of action plansby working with members and collaborating with providers.

  • Evaluate member services to ensure appropriate levels and coordination of care, including pre-authorization, concurrent review, quality-of-care screening, and discharge planning. Ensure member and provider satisfaction by demonstrating knowledge of member plan benefits and community resources.

  • Identify opportunitiesto moderate claims costs for the employer group and individual members. Promote and monitorthe use of wraparound service programs for optimal member experience while managing chronic and acute care needs.

  • Facilitate communicationbetween members, providers, and stakeholders to coordinate and implement action plans for improving members' total health. Provide continuity and consistency of careby building positive relationships between members, families, providers, care coordinators, and the health plan.

  • Engage in team operations including supervision, team huddles, staff meetings, case rounds, metric management, training opportunities, department initiatives, and projects. Work collaborativelyto develop and implement solutions, identify barriers, and exemplify corporate values through accountability, collaboration, integrity, and respect.

  • Perform other duties as assigned

What you'll need to succeed:

  • Unrestricted Rhode Island Nursing License

  • Unrestricted Massachusetts Nursing License

  • Three years' experience in a medical/clinical environment or managed health plan

  • Must obtain Certified Case Manager (CCM) certification within three years of employment

The extras:

  • Bachelor's degree in nursing

  • Certified Case Manager (CCM)

  • Reside in Rhode Island or other Nurse Licensure Compact state (NLC)

  • Bilingual Spanish, Portuguese

  • Experience working in a managed care/health maintenance organization

  • Experience implementing and upholding Quality, CMS, NCQA requirements

  • Knowledge of utilization management and/or coordination of care

  • Knowledge of population health and chronic condition management principles, aligning with corporate initiatives such as specialty within high-risk maternity and rising risk conditions such as diabetes, hypertension, COPD, etc.

  • Understanding of health care delivery system access points and services

  • Demonstration of successful (member) engagement via application of Motivational Interviewing techniques and health coaching

  • Ability to navigate the healthcare delivery system

  • Understanding of evidence-based care programs and approaches

  • Strategic and critical thinking skills

  • Strong analytical skills

  • Strong business acumen

  • Strong presentation negotiation, problem-solving, and decision-making skills

  • Strong written and verbal communication skills

  • Experience in health coaching and motivational interview techniques

  • Ability to work effectively with a wide variety of people in individual and group settings

  • Strong organizing skills, with the ability to prioritize and respond to shifting deadlines

  • Strong time management skills

 

Location:
BCBSRI is headquartered in downtown Providence, conveniently located near the train station and bus terminal. We actively support associate well-being and work/life balance and offer the following schedules, based on role:

  • In-office: onsite 5 days per week
  • Hybrid: onsite 2-4 days per week
  • Remote: onsite 0-1 days per week. Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia

Our culture of belonging at Blue Cross & Blue Shield of Rhode Island (BCBSRI) is at the core of all we do, and it strengthens our ability to meet the challenges of today's healthcare industry. BCBSRI is an equal opportunity employer.

The law requires an employer to post notices describing the Federal laws. Please visitwww.eeoc.gov/know-your-rights-workplace-discrimination-illegal to view the "Know Your Rights" poster.

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