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

Fortrea

FSP In-House CRA II - Remote US

Durham, NC · On-site +1

Remote based US. Job Overview: The In-House Clinical Research Associate II (IHCRA II) is an ... To perform Case Report Form review, query generation and resolution against established data review ...

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IQVIA

Medical Director, Cardiology

Durham, NC · Remote

May perform medical case review of Serious Adverse Events (SAEs), including review of case ... Current or prior license to practice medicine. #LI-Remote #LI-NITINMAHAJAN IQVIA is a leading ...

IQVIA

Medical Director, Cardiology

Durham, NC · Remote

May perform medical case review of Serious Adverse Events (SAEs), including review of case ... Current or prior license to practice medicine. #LI-Remote #LI-NITINMAHAJAN IQVIA is a leading ...

IQVIA

Medical Director, Cardiology

Durham, NC · Remote

May perform medical case review of Serious Adverse Events (SAEs), including review of case ... Current or prior license to practice medicine. #LI-Remote #LI-NITINMAHAJAN IQVIA is a leading ...

IQVIA

Medical Director, Cardiology

Durham, NC · Remote

May perform medical case review of Serious Adverse Events (SAEs), including review of case ... Current or prior license to practice medicine. #LI-Remote #LI-NITINMAHAJAN IQVIA is a leading ...

Bavariannordic

Manager, Retail Contracting

Durham, NC · Remote

$120K - $155K/yr

US Remote Department: Commercial Reports To: Senior Director, NA Access, Pricing and Contracting ... Collaborate with key stakeholders during business case review to ensure alignment on financial ...

Iatinsurancegroup

Claims Major Case Director

Raleigh, NC · On-site +1

$92K - $130K/yr

... remote arrangements for the ideal candidate. This role is a true complex claims handling role that ... reviewing and analyzing reports and related bills. * Identifies and addresses subrogation ...

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All JobsCase Reviewer JobsRemote Case Reviewer JobsRemote Case Reviewer Jobs in Raleigh, NC

Remote Case Reviewer information

See Raleigh, NC salary details

$18

$46

$77

How much do remote case reviewer jobs pay per hour?

As of Aug 28, 2026, the average hourly pay for remote case reviewer in Raleigh, NC is $46.21, according to ZipRecruiter salary data. Most workers in this role earn between $34.33 and $55.87 per hour, depending on experience, location, and employer.

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 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 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 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 popular job titles related to Remote Case Reviewer jobs in Raleigh, NC?

For Remote Case Reviewer jobs in Raleigh, NC, the most frequently searched job titles are:

What job categories do people searching Remote Case Reviewer jobs in Raleigh, NC look for?

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

What cities near Raleigh, NC are hiring for Remote Case Reviewer jobs?

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

Remote Case Reviewer jobs near you
Infographic showing various Remote Case Reviewer 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 $96,108 per year, or $46.2 per hour.

Case Manager Nurse Advocate- Raleigh area

Synergy Healthcare USA LLC

Raleigh, NC • On-site, Remote

Full-time

PTO

Re-posted 7 days ago

Job description

SYNERGY HEALTHCARE: Case Manager Nurse Advocate– Greater Raleigh Area
Job Summary:
We are seeking an experienced Case Manager to join our growing team and serve as a Nurse Advocate for our new clients and their employees. The ideal candidate will be located in the greater Raleigh area, with the ability to travel on occasion to visit clients in NC/SC. He/she must have a thorough understanding of the healthcare system, and will be responsible for providing guidance and support to members in navigating the complex healthcare/insurance landscape.
As a dedicated Nurse Advocate, you will be responsible for resolving a myriad of issues for their members and allowing you the flexibility to “think outside the box”. With your clinical experience and background, you will help members better understand their health status and available treatment options. You will have a unique opportunity and have time to develop valued relationships with members and executive teams with your specific employer clients.
This opportunity allows for remote work so can be flexible on location. Minimal travel within the States of NC/SC for periodic client visits (open enrollment meeting, annual activity reviews etc) may be required. Most if not all work will be done virtually out of the convenience of your own home office.
The key to your success will rely on your ability to cultivate trusted relationships with stakeholders, members, and their families. Our growing Synergy team is passionate about delivering an exceptional healthcare experience that is personal, data driven, and value based to help every person live their healthiest life.
Key Responsibilities:
  • Serve as the primary point of contact for members seeking assistance with navigating the healthcare system.
  • Work with members to identify their healthcare needs and provide clinical support.
  • Liaison with TPAs and insurance companies to resolve claim and billing issues.
  • Educate members on their healthcare benefits and how to effectively utilize them.
  • Advocate for members so they can receive improved healthcare outcomes, including referrals to specialists and timely access to care.
  • Collaborate with other healthcare professionals, including physicians and nurses to ensure seamless coordination of care.
  • Monitor member health status and progress towards achieving their healthcare goals.
  • Maintain accurate and up-to-date records of member interactions and healthcare interventions.
  • Client facing reporting with the potential for limited travel to client worksites.
  • Health Risk Assessment review to encourage lifestyle modification and improve overall wellness.
Qualifications:
  • Active nursing license with a Bachelor of Science in Nursing (BSN) degree preferred.
  • Minimum of 3 years of experience as a nurse case manager or in a related healthcare field.
  • CCM certification or CCM eligible. Commit to CCM exam within the first year.
  • In-depth knowledge of the healthcare and insurance systems.
  • Strong analytical and problem-solving skills with the ability to identify and resolve complex healthcare issues.
  • Excellent communication and interpersonal skills with the ability to interact effectively with employees and healthcare professionals.
  • Ability to work remotely, independently, and as part of a team in a fast-paced, dynamic environment.
  • Strong organizational skills with the ability to manage multiple tasks and priorities simultaneously.
  • Proficient in the use of electronic health records (EHRs), Outlook, Excel, and other healthcare-related software.
Benefits:
This is a full time, benefits eligible, salaried position. In addition to competitive pay, PTO, and paid holidays, Synergy also offers a schedule that includes half day Fridays!
If you are passionate about helping others and have a solid understanding of the healthcare system, we encourage you to apply for this exciting opportunity as a Case Manager Nurse Advocate with our growing organization. Please contact Dean Kiradjieff at deank@synergyhealthcare.com today!

Apply