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Remote Insurance Case Management Jobs in New York

IAVA

Case Manager

Manhattan, NY · Remote

$22 - $28.25/hr

IAVA's RRRP is our best in class national referral service with an intensive remote case management component. Since its launch in late 2012, our Case Managers have helped more than 8,000 veterans ...

CVS Health

Case Management Analyst (Remote)

New York, NY · Remote

$21.10 - $44.99/hr

Adhere to case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies. Essential Competencies and Functions: * Meet performance ...

HMG Careers

Remote Insurance Agent

Avenel, NJ · Remote

$69K/yr

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 ...

HMG Careers

Remote Insurance Agent

Paterson, NJ · Remote

$69K/yr

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 ...

HMG Careers

Remote Insurance Agent

Jersey City, NJ · Remote

$69K/yr

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 ...

HMG Careers

Remote Insurance Agent

New York, NY · Remote

$69K/yr

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 ...

HMG Careers

Remote Insurance Agent

Stamford, CT · Remote

$69K/yr

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 ...

HMG Careers

Remote Insurance Agent

Newark, NJ · Remote

$69K/yr

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 ...

Promoted2

Remote Insurance Agent

Newark, NJ · Remote

$60K - $110K/yr

Remote Insurance Sales Agent | $60k-$110k+ First Year | No Cold Calling Earn strong first-year ... Manage client pipeline using our CRM system * Follow up to ensure satisfaction and policy retention

HMG Careers

Remote Insurance Agent

Elizabeth, NJ · Remote

$69K/yr

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 are popular job titles related to Remote Insurance Case Management jobs in New York? For Remote Insurance Case Management jobs in New York, the most frequently searched job titles are:
What job categories do people searching Remote Insurance Case Management jobs in New York look for? The top searched job categories for Remote Insurance Case Management jobs in New York are:
What cities in New York are hiring for Remote Insurance Case Management jobs? Cities in New York with the most Remote Insurance Case Management job openings:
Remote Insurance Case Management jobs near you
Infographic showing various Remote Insurance Case Management job openings in New York as of July 2026, with employment types broken down into 66% Full Time, 17% Part Time, and 17% Contract. Highlights an 100% Remote job distribution.

Regional Managed Care Case Manager for SNF/LTC

Care Network

Valley Stream, NY • Remote

Full-time

Re-posted 12 days ago

Job description

Virtue Clinical Solutions is actively seeking an experienced Regional Managed Care Manager to oversee Managed Care programs for skilled nursing facilities. This position is suited for a healthcare professional with a robust background in skilled nursing care management and a keen ability to lead remote teams.

Experience Requirements:

  • Required: Minimum of 1-3 years direct experience in skilled nursing facilities, with specific skills in obtaining Managed Care authorizations and appeals 
  • Preferred: Over 5 years of experience, including supervisory roles overseeing team members and managing complex healthcare operations, preferably within managed care environments.

Responsibilities:

  • Manage and track authorizations for HMO patients across multiple skilled nursing facilities.
  • Supervise a team of case managers, and managed care coordinators ensuring seamless communication between Admissions, Social Work, Rehab, and Billing departments.
  • Lead critical care committees and enhance overall service delivery and patient care.
  • Coordinate with insurance case managers to discuss patient care plans, progress, and discharge plans, and advocate for patient care.
  • Compile appeal packages for denied services or coverage.
  • Promote ongoing professional development and ensure staff competencies align with the highest standards of care.

Qualifications:

  • In-depth knowledge of Medicare, Medicaid, and Commercial Insurance guidelines, including specific programs like HARP, AARP, Obamacare, No-Fault, and Workers Comp.
  • Experience within skilled nursing facility settings.
  • Strong leadership capabilities with demonstrated skills in mentoring and developing remote teams.
  • Proficient in Microsoft Excel and Word; exceptional verbal and written communication skills.
  • Organizational with the ability to manage multiple tasks effectively .
Care Network logo

About Care Network

Sourced by ZipRecruiter

We provide information and guidance and practical and emotional support to help people and communities. We work alongside local people to improve confidence and connection. The passion and commitment of our team, combined with an army of dedicated local volunteers, means that we are truly embedded within communities across the districts of the county. We will always continue to work in this manner as it has repeatedly proven to be the most effective way to help and support local people. We are aware that for many, a lot of uncertainty lies around the future of access to health and social care services and we are committed to try and fill these gaps, supporting our service users along every step of their own personal journeys.

Industry

Non-profits

Company size

11 - 50 Employees

Headquarters location

Hardwick, Cambridgeshire, UK

Social media

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