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Remote Case Reviewer Jobs in California (NOW HIRING)

Pair Team

$21.25 - $27/hr

While the position is 90 % remote within the United States , candidates must be able to work ... Our team regularly reviews applications and will reach out to candidates whose qualifications align ...

Larry H. Parker

Case Management Attorney

Long Beach, CA · Remote

Remote but must be able to meet with clients on occasion at our Los Angeles Office Pay: $100K/year ... Review and evaluate liability, insurance availability, and treatment plan for the firm's high value ...

Larry H. Parker

Case Management Attorney

Long Beach, CA · Remote

$100K/yr

Remote but must be able to meet with clients on occasion at our Los Angeles Office Pay: $100K/year ... Review and evaluate liability, insurance availability, and treatment plan for the firm's high value ...

Larry H. Parker

Case Management Attorney

Long Beach, CA · Remote

$100K/yr

Remote but must be able to meet with clients on occasion at our Los Angeles Office Pay: $100K/year ... Review and evaluate liability, insurance availability, and treatment plan for the firm's high value ...

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All JobsCase Reviewer JobsRemote Case Reviewer JobsRemote Case Reviewer Jobs in California

Remote Case Reviewer information

What are the key skills and qualifications needed to thrive as a remote case reviewer?

To thrive as a Remote Case Reviewer, you need strong analytical skills, attention to detail, and relevant professional credentials, often in fields like healthcare, insurance, or law. Familiarity with case management software, electronic documentation systems, and industry regulations (such as HIPAA for healthcare) is typically required. Excellent written communication, time management, and independent decision-making are standout soft skills for this role. These abilities ensure accurate, compliant, and efficient case evaluations while maintaining high-quality standards in a remote work environment.

What is the difference between Remote Case Reviewer vs Remote Claims Processor?

AspectRemote Case ReviewerRemote Claims Processor
Required CredentialsHigh school diploma or equivalent; healthcare or legal background often preferredHigh school diploma or equivalent; experience in insurance or claims processing beneficial
Work EnvironmentHome-based, independent review settingHome-based, processing insurance claims
Industry UsageHealthcare, legal, insurance sectorsInsurance companies, third-party administrators
Common Search/ComparisonRemote Case Reviewer vs Remote Claims Processor

While both roles are remote and involve handling cases or claims, Remote Case Reviewers primarily evaluate and assess cases, often requiring specialized knowledge in healthcare or legal fields. Remote Claims Processors focus on processing insurance claims, verifying information, and ensuring accurate payment. Understanding these differences helps job seekers identify the role that best matches their skills and career goals.

What are some common challenges remote case reviewers face, and how can they effectively manage them?

Remote Case Reviewers often encounter challenges such as managing a high volume of cases, staying organized with digital documentation, and maintaining clear communication with team members across different locations. To address these, it's important to develop strong time management skills, utilize standardized review checklists, and take advantage of collaboration tools like secure messaging platforms. Regular virtual meetings and clear protocols help ensure consistency and quality, while ongoing training can keep reviewers up to date on best practices.

What is a remote case reviewer?

Remote case reviewers are professionals who assess and evaluate cases, such as medical, legal, or insurance files, from a remote location rather than working on-site. Their responsibilities typically include reviewing documentation, ensuring compliance with policies and regulations, and providing recommendations or decisions based on their findings. Remote case reviewers use secure digital platforms to access and analyze case materials, enabling flexibility and efficiency in their work. This role can be found in industries like healthcare, law, insurance, and finance. Strong attention to detail and analytical skills are essential for success in this position.
What are the most commonly searched types of Case Reviewer jobs in California? The most popular types of Case Reviewer jobs in California are:
What are popular job titles related to Remote Case Reviewer jobs in California? For Remote Case Reviewer jobs in California, the most frequently searched job titles are:
What job categories do people searching Remote Case Reviewer jobs in California look for? The top searched job categories for Remote Case Reviewer jobs in California are:
What cities in California are hiring for Remote Case Reviewer jobs? Cities in California with the most Remote Case Reviewer job openings:
Remote Case Reviewer jobs near you
Infographic showing various Remote Case Reviewer job openings in California as of August 2026, with employment types broken down into 65% Full Time, 23% Part Time, and 12% Contract. Highlights an 100% Remote job distribution.

Case Management Specialist (Remote Flexible, Non-Bilingual)

Pair Team

San Bernardino, CA • On-site, Remote

$22 - $28/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 9 days ago

Job description

About Pair Team
At Pair Team, we're an innovative, mission-driven company reimagining how Medicaid and Medicare serves the most underserved populations. As a tech-enabled medical group, we deliver whole-person care - clinical, behavioral, and social - by partnering with organizations deeply connected to the communities we serve.
We're building a care model that empowers clinicians and care teams to do what they do best: provide compassionate, high-impact care. At Pair Team, we leverage AI and automation to reduce administrative burden, streamline coordination, and ensure patients receive timely, personalized support.
Our work is powered by a deeply collaborative team of nurses, social workers, community health workers, and medical professionals working alongside product, technology, and operations to close care gaps and improve outcomes for high-need patients.
We're one of the largest Enhanced Care Management providers in California and are on track to build the nation's largest clinically integrated network supporting high-need patients. Our model has demonstrated real impact, including a 58% reduction in emergency department visits and a 29% reduction in hospital admissions.
At Pair Team, were not just delivering care - we're building the future of more equitable, community-driven healthcare.
Our Values
  • Lead with integrity: We keep our commitments and take responsibility for our actions. We are dependable and choose authenticity over perfection.
  • Embrace challenges: We leave our egos at the door and step forward into discomfort instead of back into safety. We help each other to learn and provide feedback using candor and kindness.
  • Break through walls: We go the extra mile for our patients, partners and one another, and we run toward hard things. We are resilient in our push for consistent improvement and challenge the status quo.
  • Act beyond yourself: We build each other up and respect boundaries. We seek first to understand and assume positive intent.
  • Care comes first: We hold ourselves to the highest standards for our patients. We are relentless in the pursuit of our mission, and ensure that we are taking care of ourselves in order to care for others.
In the News
  • Forbes: For Pair Team, Accessibility Is About Delivering Healthcare To Those Who Need It The Most
  • TechCrunch: Building for Medicaid's regulatory moment with Neil Batlivala from Pair Team
  • Axios: Pair Team collects $9M for Medicaid-based care
About the Opportunity
Pair Team is building a team of deeply passionate individuals ready to change primary care operations for those who need it most. We are looking for a highly motivated full-time Lead Care Manager who is willing to think creatively and empathically to help our team change the way people access healthcare.
We seek a full-time Lead Care Manager to play a critical role in our whole-person, interdisciplinary care model, responsible for directly outreaching and engaging with individuals living with Serious Mental Illness/ Substance Use Disorder, experiencing homelessness, and/or those who have high medical needs. We believe in the power of trust and relationships to successfully engage those who may have never received the kind of whole-health care that Pair Team can provide.
This position primarily allows for remote work; however, it includes 2-3 times a month on-site visits in the community alongside a fellow PairMate. You can expect to engage in these in-person activities 2-3 times per month, close to your city, while the majority of your duties, approximately 90%, will be performed from your home
What You'll Do
  • Maintain ongoing caseload of individuals through the utilization of evidence based approaches to promote engagement and achievement of health goals
  • Use relationship-based strategies to support members with social support navigation, understanding that many may have lived personal experiences causing them to be initially hesitant or distrusting of the health care system
  • Conducts periodic telephonic and SMS outreach to ensure timely follow-up to members
  • Work with member to identify health/wellness goals and incorporate goals into Health Action Plan/Shared Care Plan
  • Supports nurse care manager, behavioral health care manager, nurse practitioner and Community Engagement Specialist with delegated tasks
  • Collaborates on care issues with Enhanced Care Management team by participating in systematic case reviews and consulting with nurse care manager, behavioral health care manager, and nurse practitioner before taking clinical actions
  • Consistently meet monthly encounter metrics to ensure compliance with health plan regulations
  • Identify and break down barriers ensuring individuals' continuation with the program
  • Assists individuals in securing connection to community supports by scheduling appointments, managing referrals, and ensuring timely follow-ups
  • Coordinate physical care management appointments through collaboration with external and internal providers
  • Utilize external and internal online platforms to collaborate with team members and carry out daily tasks

What You'll Need
  • 1+ years of general work experience (Case Management preferred)
  • You are physically located in California
    • Field Ops requires you to maintain reliable transportation for engagement at clinic, community based organization, and health system partner locations
    • Virtual Ops requires a quiet, HIPAA compliant and internet connected space
  • Strong understanding of cultural fluency
  • High degree of empathy
  • Ability to work collaboratively in a multidisciplinary team
  • An eye for optimization
  • Organizational skills
  • Ability to remain patient when faced with adversity
  • Strong technical skills and comfort with technology innovation, past experience with CRM databases, basic Excel, Word, email, and video conferencing
  • A valid driver's license and auto liability insurance
Preferred Qualifications:
  • Demonstrated professional or personal lived experience working closely with individuals experiencing complex chronic needs, homelessness, or Severe Mental Illness/Substance Use Disorder
  • 2+ years of case management experience
  • Experience with motivational interviewing
  • Knowledge of medical terminology
  • Zest for problem solving, seeking answers, and thinking outside the box
  • Detail-oriented and organized self-starter who is a rockstar multitasker
  • Reliable and comfortable in an ever-changing environment

Because We Value You
  • Salary: $25/hr
  • Comprehensive health, vision & dental insurance
  • 401k
  • Monthly $100 work from home expense stipend for your WFH days
  • Gas reimbursements for your on-site engagement days
  • Flexible vacation policy -- take the time you need to recharge!
  • We provide all of the equipment needed for the role
  • Opportunity for rapid career progression with plenty of room for personal growth!

Pair Team is an Equal Opportunity Employer. At Pair Team, we value diversity and strive to provide an inclusive environment for all applicants and employees. All applicants will be considered without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, marital status, age, disability, political affiliation, military service, genetic information, or any other characteristic covered by federal, state, or local law.
Pair Team participates in E-Verify to verify employment eligibility for new hires.
Any offer of employment at Pair Team is conditioned upon passing a pre-employment background check. Following a conditional job offer, candidates will undergo comprehensive employment background checks, including; criminal history, reference checks, and driving records if a role requires vehicle use.
We do not conduct any TA business outside of our @pairteam.com emails. If you're ever concerned about spam or fraudulent activity, please reach out to recruiting@pairteam.com.
Note: Please be aware that while we sincerely appreciate your interest, due to the high volume of requests, we're unable to respond to general position inquiries via email. To apply for a position with us, please submit your application for the role you are interested in. Our team regularly reviews applications and will reach out to candidates whose qualifications align with our current openings listed below. Thank you!

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