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Remote Director Case Management Jobs in Michigan

Huntington

Senior IBM Case Manager/BAW Developer

Detroit, MI · On-site +1

$70K - $140K/yr

  • Medical

  • Life

  • Retirement

  • PTO

Experience in IBM FileNet Content Management (CPE, workflows, integrations, IBM Case Manager or IBM ... Remote roles will also have the opportunity to come together in our offices for moments that matter.

Huntington

Senior IBM Case Manager/BAW Developer

Detroit, MI · On-site +1

$70K - $140K/yr

  • Medical

  • Life

  • Retirement

  • PTO

Experience in IBM FileNet Content Management (CPE, workflows, integrations, IBM Case Manager or IBM ... Remote roles will also have the opportunity to come together in our offices for moments that matter.

Sedgwick

RN Field Case Manager

Grand Rapids, MI · On-site +1

$74K - $95K/yr

  • Medical

  • Dental

  • Retirement

  • PTO

Apply your medical/clinical or rehabilitation knowledge and experience to assist in the management ... remote work environment that allows face to face interaction with injured workers and medical ...

York Risk Services

RN Field Case Manager

Grand Rapids, MI · On-site +1

$74K - $95K/yr

  • Medical

  • Dental

  • Retirement

  • PTO

Apply your medical/clinical or rehabilitation knowledge and experience to assist in the management ... remote work environment that allows face to face interaction with injured workers and medical ...

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Remote Director Case Management information

What are the key skills and qualifications needed to thrive as a remote director case management, and why are they important?

To thrive as a Remote Director Case Management, you need a solid background in nursing or social work, leadership experience, and a relevant degree or licensure (such as RN or LCSW). Familiarity with case management software, electronic health records (EHRs), and utilization review systems is typically required, along with certifications like CCM or ACM. Strong communication, problem-solving, and organizational skills are essential for leading teams and coordinating care across diverse settings. These competencies ensure effective patient outcomes, regulatory compliance, and efficient management of remote case management teams.

What is a remote director case management?

A Remote Director of Case Management is a senior healthcare professional who oversees the case management department or program for a hospital, healthcare system, or insurance company while working remotely. Their responsibilities include supervising case managers, ensuring compliance with regulations, optimizing patient outcomes, and managing resources efficiently. They collaborate with clinical teams, develop policies, and monitor performance metrics to improve patient care coordination. Working remotely, they leverage technology to communicate, review cases, and lead their teams effectively.

What is the difference between Remote Director Case Management vs Remote Case Manager?

AspectRemote Director Case ManagementRemote Case Manager
CredentialsRN, BSN, or relevant healthcare management certificationsRN or relevant healthcare certifications
Work EnvironmentOversees teams, manages programs, strategic planningProvides direct patient support, manages individual cases
Employer & IndustryHospitals, insurance companies, healthcare organizationsHospitals, clinics, insurance providers
Search & Comparison IntentLeadership, management, program oversightPatient care, case coordination, direct support

The main difference is that Remote Director Case Management focuses on overseeing teams and programs at a strategic level, while Remote Case Managers handle direct patient interactions and case coordination. Both roles require healthcare credentials, but the director position involves leadership responsibilities and program management.

How does a remote director case management effectively lead and support their team while working remotely?

As a Remote Director of Case Management, you will typically leverage digital communication tools and regular virtual meetings to maintain strong connections with your team. Effective remote leadership involves setting clear expectations, providing consistent feedback, and ensuring open lines of communication to address any challenges. You may collaborate closely with interdisciplinary teams, including nurses, social workers, and physicians, coordinating care plans and optimizing patient outcomes. Building trust and fostering a supportive, results-driven culture remotely is essential for team cohesion and success.
What are popular job titles related to Remote Director Case Management jobs in Michigan? For Remote Director Case Management jobs in Michigan, the most frequently searched job titles are:
What job categories do people searching Remote Director Case Management jobs in Michigan look for? The top searched job categories for Remote Director Case Management jobs in Michigan are:
What cities in Michigan are hiring for Remote Director Case Management jobs? Cities in Michigan with the most Remote Director Case Management job openings:
Remote Director Case Management jobs near you

RN, telephonic Clinical Case Manager

Managed Medical Review Organization

Novi, MI • Remote

Full-time

Posted 17 days ago

Job description

About the Role
We are looking for an experienced RN Clinical Case Manager to support a disability claim review program. In this role, you will guide members through a collaborative case management process built on assessment, planning, care coordination, and ongoing evaluation. Your work directly supports improvement in members' (patients) disabling and co-morbid conditions and helps maximize their employability. You will own your caseload from start to finish and be responsible for an efficient, timely, and complete case management process.


What You'll Do
Determine the appropriate case management track for each assigned case.
Conduct telephonic clinical assessments covering activities of daily living, psycho-social factors, recent hospitalizations, current clinical status, treatment plans and medications, treating physicians, special needs, and the appropriate outreach interval for each case.
Develop customized, member-specific clinical case management plans.
Perform ongoing periodic telephonic outreach at intervals set during the initial clinical assessment.
Request and track receipt of the records and documentation needed to identify ongoing case management needs.
Build and maintain a case management resource library to provide members with information relevant to their conditions.
Assess whether a review is needed for a member's return to their own occupation, and identify the appropriate physician specialty when it is.
Collaborate with vocational specialists during the case management process when needed.
Conduct thorough, ongoing quality review of all case documentation and ensure completeness and accuracy of case paperwork.
Communicate with members, physicians, employers, and clients as appropriate.
Enter case activities into the case management system accurately and within client-required timeframes.
Maintain compliance with applicable practice standards and guidelines, including strict confidentiality and HIPAA adherence.


What You'll Bring
Unrestricted RN licensure, without sanctions.
Current certification in case management or a related field, or the ability to qualify for certification testing within six months of hire.
Minimum of five years of clinical experience.
Minimum of five years of case management experience in one or more of the following: medical, workers' compensation, auto, or disability case management.
Working knowledge of diagnostic coding (ICD-10).
Strong critical thinking, decision-making, and organizational skills with close attention to detail.
Ability to meet deadlines and turnaround times consistently.
Ability to work independently as well as within a team.
Computer literacy, including solid working knowledge of Microsoft Word and Excel.
Strong written, verbal, and telephonic communication skills, with the ability to manage multiple priorities.
Bachelor's degree in nursing or a health-related field.
Working knowledge of the insurance industry, medical claims, and/or disability claims.
Experience with Lean production management.


Work Environment
You will be working in an approved remote environment within the states of: Michigan, Illinois, Florida, Texas, or Minnesota. Stressful conditions may arise when the workload becomes more demanding than usual.

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