About the Role We are looking for an experienced RN Clinical Case Manager to support a disability ... Work Environment You will be working in an approved remote environment within the states of:
New
About the Role We are looking for an experienced RN Clinical Case Manager to support a disability ... Work Environment You will be working in an approved remote environment within the states of:
New
About the Role We are looking for an experienced RN Clinical Case Manager to support a disability ... Work Environment You will be working in an approved remote environment within the states of:
New
Conduct comprehensive case assessments , engaging employees, managers, and HR partners to ... LI-REMOTE #HiringNow #LifeAtTELUSHealth A bit about us We're a people-focused, customer-first ...
Conduct comprehensive case assessments , engaging employees, managers, and HR partners to ... LI-REMOTE #HiringNow #LifeAtTELUSHealth A bit about us We're a people-focused, customer-first ...
Detroit, MI · On-site +1
$70K - $140K/yr
Remote roles will also have the opportunity to come together in our offices for moments that matter ... disability insurance, retirement savings plan, paid leave programs, paid holidays and paid time off ...
Detroit, MI · On-site +1
$70K - $140K/yr
Remote roles will also have the opportunity to come together in our offices for moments that matter ... disability insurance, retirement savings plan, paid leave programs, paid holidays and paid time off ...
Detroit, MI · On-site +1
$70K - $140K/yr
Remote roles will also have the opportunity to come together in our offices for moments that matter ... disability insurance, retirement savings plan, paid leave programs, paid holidays and paid time off ...
Detroit, MI · On-site +1
$70K - $140K/yr
Remote roles will also have the opportunity to come together in our offices for moments that matter ... disability insurance, retirement savings plan, paid leave programs, paid holidays and paid time off ...
As these issues arise, a team of remote nurses coordinate care with other healthcare providers ... As a Nurse Case Manager, you will: * Review documentation from in-home visits * Provide telephonic ...
As these issues arise, a team of remote nurses coordinate care with other healthcare providers ... As a Nurse Case Manager, you will: * Review documentation from in-home visits * Provide telephonic ...
Grand Rapids, MI · On-site +1
$74K - $95K/yr
Sedgwick Field Case Managers work face to face with their injured workers and medical providers to ... remote work environment that allows face to face interaction with injured workers and medical ...
Grand Rapids, MI · On-site +1
$74K - $95K/yr
Sedgwick Field Case Managers work face to face with their injured workers and medical providers to ... remote work environment that allows face to face interaction with injured workers and medical ...
Grand Rapids, MI · On-site +1
$74K - $95K/yr
Sedgwick Field Case Managers work face to face with their injured workers and medical providers to ... remote work environment that allows face to face interaction with injured workers and medical ...
Grand Rapids, MI · On-site +1
$74K - $95K/yr
Sedgwick Field Case Managers work face to face with their injured workers and medical providers to ... remote work environment that allows face to face interaction with injured workers and medical ...
Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ... disability or protected veteran status. We proudly support and encourage people with military ...
Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ... disability or protected veteran status. We proudly support and encourage people with military ...
Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ... disability or protected veteran status. We proudly support and encourage people with military ...
Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ... disability or protected veteran status. We proudly support and encourage people with military ...
Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ... disability or protected veteran status. We proudly support and encourage people with military ...
Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ... disability or protected veteran status. We proudly support and encourage people with military ...
Sterling Heights, MI · Remote
Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ... disability or protected veteran status. We proudly support and encourage people with military ...
Sterling Heights, MI · Remote
Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ... disability or protected veteran status. We proudly support and encourage people with military ...
Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ... disability or protected veteran status. We proudly support and encourage people with military ...
Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ... disability or protected veteran status. We proudly support and encourage people with military ...
Sterling Heights, MI · Remote
Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ... disability or protected veteran status. We proudly support and encourage people with military ...
Sterling Heights, MI · Remote
Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ... disability or protected veteran status. We proudly support and encourage people with military ...
Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ... disability or protected veteran status. We proudly support and encourage people with military ...
Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ... disability or protected veteran status. We proudly support and encourage people with military ...
Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ... disability or protected veteran status. We proudly support and encourage people with military ...
Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ... disability or protected veteran status. We proudly support and encourage people with military ...
Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ... disability or protected veteran status. We proudly support and encourage people with military ...
Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ... disability or protected veteran status. We proudly support and encourage people with military ...
Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ... disability or protected veteran status. We proudly support and encourage people with military ...
Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ... disability or protected veteran status. We proudly support and encourage people with military ...
Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ... disability or protected veteran status. We proudly support and encourage people with military ...
Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ... disability or protected veteran status. We proudly support and encourage people with military ...
... disabilities. We are a company built on excellence. We have a culture that values growth ... This is a work-from-home position, and the case manager will travel to meet and work with clients ...
... disabilities. We are a company built on excellence. We have a culture that values growth ... This is a work-from-home position, and the case manager will travel to meet and work with clients ...
Experience participating in IEP meetings, acting as case manager, and completing comprehensive case ... Flexible, remote scheduling * No-cost continuing education courses and clinical workshops tailored ...
Quick apply
Experience participating in IEP meetings, acting as case manager, and completing comprehensive case ... Flexible, remote scheduling * No-cost continuing education courses and clinical workshops tailored ...
| Aspect | Remote Disability Case Manager | Remote Medical Claims Specialist |
|---|---|---|
| Required Credentials | Case management certification, healthcare or social work background | Insurance claims processing certification, healthcare knowledge |
| Work Environment | Home office, healthcare or insurance companies | Home office, insurance providers or third-party administrators |
| Employer & Industry | Insurance companies, healthcare providers, government agencies | Insurance companies, third-party claims processors |
| Search & Comparison Intent | Understanding roles in disability management, remote case handling | Claims processing, insurance reimbursement, medical billing |
The Remote Disability Case Manager primarily focuses on coordinating disability claims, assessing client needs, and managing cases remotely within healthcare and insurance settings. In contrast, the Remote Medical Claims Specialist handles processing and reviewing medical claims for insurance reimbursement. While both roles require healthcare knowledge and work remotely, they differ in their core responsibilities and industry focus.

Full-time
Posted 3 days ago
New
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.
Sourced by ZipRecruiter
Public administration
51 - 200 Employees
Novi, MI, US
2007