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Remote Insurance Case Management Jobs in Florida

Case Management RN

Miami, FL · Remote

$32.60 - $42.79/hr

Oscar is the first health insurance company built around a full stack technology platform and a ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas.

Remote Insurance Representative | Flexible Schedule | Commission-Based This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...

Remote Insurance Representative | Flexible Schedule | Commission-Based This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...

Remote Insurance Representative | Flexible Schedule | Commission-Based This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...

Remote Insurance Representative | Flexible Schedule | Commission-Based This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...

Remote Insurance Representative | Flexible Schedule | Commission-Based This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...

Remote Insurance Representative | Flexible Schedule | Commission-Based This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...

Remote Insurance Representative | Flexible Schedule | Commission-Based This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...

Remote Insurance Representative | Flexible Schedule | Commission-Based This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...

Remote Insurance Representative | Flexible Schedule | Commission-Based This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...

Remote Insurance Representative | Flexible Schedule | Commission-Based This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...

Remote Insurance Representative | Flexible Schedule | Commission-Based This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...

Remote Insurance Representative | Flexible Schedule | Commission-Based This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...

Remote Insurance Representative | Flexible Schedule | Commission-Based This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...

Remote Insurance Representative | Flexible Schedule | Commission-Based This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...

Remote Insurance Representative | Flexible Schedule | Commission-Based This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...

Remote Insurance Representative | Flexible Schedule | Commission-Based This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...

Remote Insurance Representative | Flexible Schedule | Commission-Based This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...

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Remote Insurance Case Management information

What are the key skills and qualifications needed to thrive as a Remote Insurance Case Manager, and why are they important?

To thrive as a Remote Insurance Case Manager, you need a solid understanding of insurance policies, claims processes, and case management principles, typically supported by a relevant degree or insurance certifications. Familiarity with case management software, claims processing systems, and secure communication platforms is essential. Excellent organizational skills, attention to detail, and strong written and verbal communication make someone stand out in this role. These skills ensure accurate, efficient handling of cases, effective client support, and compliance with regulatory standards in a remote environment.

What are some common challenges faced in remote insurance case management, and how can they be addressed?

Remote insurance case managers often face challenges such as coordinating care and communication across multiple stakeholders, managing large caseloads, and ensuring timely follow-ups without in-person interactions. To address these, it’s important to utilize robust digital tools for secure documentation and communication, establish clear routines for regular check-ins with clients and providers, and stay organized with task management software. Proactive communication and collaboration with both internal team members and external partners are key to overcoming the distance barrier and ensuring high-quality case management.

What is remote insurance case management?

Remote insurance case management involves overseeing and coordinating insurance claims or cases from a remote location, often working from home or another off-site setting. Professionals in this role assess client needs, communicate with policyholders, healthcare providers, and other stakeholders, and ensure that cases are processed efficiently and in compliance with regulations. Technology and secure software platforms are used to track cases, maintain documentation, and facilitate virtual communication. This role is common in health, disability, and life insurance, and requires strong organizational, communication, and analytical skills.

What is the difference between Remote Insurance Case Management vs Remote Insurance Claims Adjuster?

AspectRemote Insurance Case ManagementRemote Insurance Claims Adjuster
CredentialsTypically requires insurance or case management certificationsRequires claims adjusting licenses or certifications
Work EnvironmentCoordinate with clients, providers, and insurers to manage casesEvaluate and settle insurance claims, often reviewing documentation
Industry UsageUsed across health, auto, and property insurance sectorsPrimarily in auto, property, and health insurance claims
Search & Comparison IntentPeople seeking case management roles or servicesPeople comparing claims adjusting roles or careers

Remote Insurance Case Management involves coordinating and managing insurance cases, focusing on client advocacy and case resolution. In contrast, Remote Insurance Claims Adjusters evaluate and settle insurance claims by reviewing evidence and documentation. Both roles require industry-specific certifications and are integral to the insurance industry, but they serve different functions within the claims process.

What job categories do people searching Remote Insurance Case Management jobs in Florida look for? The top searched job categories for Remote Insurance Case Management jobs in Florida are:
What cities in Florida are hiring for Remote Insurance Case Management jobs? Cities in Florida with the most Remote Insurance Case Management job openings:
Infographic showing various Remote Insurance Case Management job openings in Florida as of July 2026, with employment types broken down into 82% Full Time, 9% Part Time, and 9% Contract. Highlights an 9% In-person, and 91% Remote job distribution.
Case Management RN

Case Management RN

Oscar Health

Miami, FL • Remote

$32.60 - $42.79/hr

Full-time

Posted 13 days ago


Oscar Health rating

6.9

Company rating: 6.9 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

249th of 299 rated insurance


Job description

Hi, we're Oscar. We're hiring a Case Management RN to join our Clinical Concierge Team.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role:

Educate members on improving health outcomes, assist with transitions from care settings, participate in process improvement and other pilot programs as they arise, and work with support teams to ensure care for our members.

You will report into the Case Management Supervisor.

Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote

Pay Transparency: The base pay for this role is: $32.60 - $42.79 per hour. You are also eligible for employee benefits, monthly vacation accrual at a rate of 15 days per year.

Responsibilities:

  • Help coordinate care across a variety of settings (inpatient, outpatient, post acute, ER, home care)
  • You will reach out to members undergoing difficult health challenges and develop care plans
  • You will reach out to hospital case managers to assist with discharge planning
  • Communicate with members by phone or secure messaging to provide education on health conditions, new medications, and procedures
  • Compliance with all applicable laws and regulations
  • Other responsibilities as assigned

Requirements:

  • Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate unrestricted RN license
  • Obtain additional state licenses to meet our needs
  • 2+ years of clinical experience to include hospital, outpatient or community-based care management
  • 1+ years of experience in Care Coordination and Navigation

Bonus points:

  • BSN
  • Working knowledge of Milliman Guidelines
  • CCM Certification
  • Behavioral Health experience

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.

California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.


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