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Remote Director Case Management Jobs in Minnesota

Adecco

Corporate Security Analyst

Minneapolis, MN · Remote

$33/hr

... case management platforms, validation tools, business productivity tools, and reporting resources ... remote work environment. · Intermediate proficiency with Microsoft 365 products, including Excel ...

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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 Minnesota? For Remote Director Case Management jobs in Minnesota, the most frequently searched job titles are:
What job categories do people searching Remote Director Case Management jobs in Minnesota look for? The top searched job categories for Remote Director Case Management jobs in Minnesota are:
What cities in Minnesota are hiring for Remote Director Case Management jobs? Cities in Minnesota with the most Remote Director Case Management job openings:
Remote Director Case Management jobs near you

Case Management Health Support Coordinator

Blue Cross and Blue Shield of Minnesota

Eagan, MN • On-site, Remote

$21.64 - $27.05/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 13 days ago

Blue Cross Blue Shield Of Minnesota rating

6.0

Company rating: 6.0 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

280th of 301 rated insurance

Job description

About Blue Cross and Blue Shield of Minnesota

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate, you are joining a culture that is built on values of succeeding together, finding a better way, and doing the right thing. If you are ready to make a difference, join us.


The Impact You'll Have Supports clinical case managers by preparing non-clinical case information for review. Responsibilities include entering member information, identifying high-cost cases, creating program cases in the system, and assigning them to the clinical queue. What You'll Do
  • Perform clerical tasks to prepare cases for clinicalreview,securing clinicians can focus on member care.
  • Conduct phone numbersearchesusing internal systems and provider outreach.
  • Creates and assigns cases for clinical review,confirmingaccurate routing to the appropriate clinical queue.
  • Handle limited inbound calls, including transfers from MEA, and coordinate program setup or team communication via chat.
  • Verify and update member demographic information in the system, ensuring accuracy andidentifyinghigh-cost cases.
How You'll Do It
  • Recognizing workflow improvements and collaborating with leadership to implement the changes.
  • Receiving, researching, and prioritizing referrals through mailbox and work queues.
  • Performs additional responsibilities consistent with the scope and level of the role, as assigned.
Required Skills & Experience
  • 4+ years of experience in related role or 2+ years internal experience.
  • High school diploma (or equivalent)
Preferred Skills & Experience
  • Ability to communicate detailed information to diverse audiences, actively listen to understand varied perspectives, and facilitate alignment on operational priorities.
  • Ability to analyze complex operational issues, evaluate tradeoffs, and collaborate with stakeholders to reach effective, sustainable solutions.
  • Ability to organize work across multiple assignments, balance shifting priorities, and manage time to meet commitments while supporting team coordination.
  • Healthcare experience and/or knowledge of the managed care and health care/insurance industry.
  • Experience with healthcare regulations including Mental Health Parity (MHPAEAA) Federal Regulatory requirements and applicable state laws.
  • Medicaid and commercial insurance experience.
  • Understanding of population health management trends, clinical program design, and healthcare market dynamics.
  • Experience developing and implementing strategy and strategic initiatives.
  • Process improvement and ability to implement tools or systems that improve team efficiency and accuracy.
  • Understanding of medical claims and coding.
Role Designation Teleworker

Role designation definition:

  • Teleworking is working full time remote.
  • Hybrid is a minimum of 2 days onsite.
  • Onsite is full-time onsite.
Compensation and Benefits $21.64 - $27.05 - $32.46 Hourly

Pay is based on several factors which vary based on position, including skills, ability, and knowledge the selected individual is bringing to the specific job.

We offer a comprehensive benefits package which may include:

  • Medical, dental, and vision insurance

  • Life insurance

  • 401k

  • Paid Time Off (PTO)

  • Volunteer Paid Time Off (VPTO)

  • And more

To discover more about what we have to offer, please review our benefits page.

Equal Employment Opportunity Statement

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. Blue Cross of Minnesota is an Equal Opportunity Employer and maintains an Affirmative Action plan, as required by Minnesota law applicable to state contractors. All qualified applications will receive consideration for employment without regard to, and will not be discriminated against based on any legally protected characteristic.


Individuals with a disability who need a reasonable accommodation in order to apply, please contact us at: talent.acquisition@bluecrossmn.com.


Blue Cross and Blue Shield of Minnesota and Blue Plus are nonprofit independent licensees of the Blue Cross and Blue Shield Association.


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