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Remote Managed Care Jobs in Ohio (NOW HIRING)

... managed care contracts billing regulations, coding and fee schedules. Proactively manages access ... This is a remote role with minimal travel requirements. A successful candidate would possess these ...

Physician (Patient Care)

Columbus, OH · On-site +1

$175 - $200/hr

Mindful. is the nation's largest hybrid psychiatric care platform specializing in the treatment of ... remote follow-ups) What you will do: * Conduct psychiatric evaluations * Manage your patient ...

Case Manager

Columbus, OH · Remote

$28.50/hr

Remote, U.S.-based, from an approved work location (Must be within 100 miles of Columbus, OH) Pay ... Knowledge of the managed care industry, including government payers, is strongly desired. Must be ...

RN Care Manager PRN

Cleveland, OH · Remote

$41.20 - $62.17/hr

The RN Hospital Care Manager I delivers comprehensive care management services to designated ... If applying for a remote or hybrid role, this includes remote work expectations related to ...

Remote Pharmacist

Columbus, OH · On-site +1

$58 - $60/hr

We are a long-term care pharmacy providing pharmaceutical services to skilled nursing facilities ... Receive and manage inbound calls related to order issues and clarifications. * Evaluate medication ...

Showing results 21-40

Remote Managed Care information

See Ohio salary details

$57K

$84.4K

$117.9K

How much do remote managed care jobs pay per year?

As of Sep 6, 2026, the average yearly pay for remote managed care in Ohio is $84,374.00, according to ZipRecruiter salary data. Most workers in this role earn between $68,900.00 and $98,400.00 per year, depending on experience, location, and employer.

What is a remote managed care?

A Remote Managed Care job involves overseeing healthcare services, cost management, and patient care coordination from a remote location. Professionals in this role work with insurance providers, healthcare facilities, and patients to ensure efficient and cost-effective care. Responsibilities may include reviewing treatment plans, managing claims, and ensuring compliance with healthcare regulations. Remote Managed Care positions are common in insurance companies, hospitals, and telehealth organizations, requiring strong communication and analytical skills.

What does a remote managed care do?

In a Remote Managed Care role, your primary daily tasks often include coordinating care plans, reviewing healthcare claims, ensuring members receive appropriate medical services, and communicating with providers, patients, and insurance companies. You may spend much of your day using online platforms to track cases, resolve billing issues, and document patient interactions. Collaboration with clinical teams, providers, and case managers is common to address patient needs and ensure the quality and cost-effectiveness of care. Working remotely requires a high level of self-motivation and strong organizational skills, as you’ll manage your caseload with minimal direct supervision.

What are the key skills and qualifications needed to thrive in remote managed care?

To thrive in a Remote Managed Care role, you need a solid understanding of healthcare administration, insurance processes, patient advocacy, and compliance — usually demonstrated by relevant experience or a degree in healthcare or business. Familiarity with managed care software platforms, claims management systems, and relevant certifications such as Certified Case Manager (CCM) or Certified Professional in Healthcare Management (CPHM) are often required. Strong communication, time management, and problem-solving skills set top performers apart in this position. These skills are critical for effectively coordinating patient care, ensuring regulatory compliance, and delivering excellent service while working remotely.

What are the most commonly searched types of Managed Care jobs in Ohio?

The most popular types of Managed Care jobs in Ohio are:

What cities in Ohio are hiring for Remote Managed Care jobs?

Cities in Ohio with the most Remote Managed Care job openings:

Infographic showing various Remote Managed Care job openings in Ohio as of August 2026, with employment types broken down into 96% Full Time, and 4% Part Time. Highlights an 100% Remote job distribution, with an average salary of $84,374 per year, or $40.6 per hour.

RN Hospice Workflow Specialist/ Weekend Manager REMOTE

Affinity Care of Ohio

Cincinnati, OH • Remote

$71K - $89K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 19 days ago


Job description

Job Description

RN Hospice Workflow Specialist / Weekend Manager (Remote)

Position Summary

The RN Hospice Workflow Specialist / Weekend Manager is responsible for overseeing and coordinating hospice clinical operations during weekends while ensuring efficient workflow management, regulatory compliance, and high-quality patient care. This remote leadership role serves as a key resource for clinical staff, provides operational oversight, supports interdisciplinary team communication, and facilitates timely patient care interventions across the hospice program.

The ideal candidate is an experienced Registered Nurse with hospice expertise, strong clinical judgment, excellent organizational skills, and the ability to effectively manage multiple priorities in a remote environment.


Essential Duties and ResponsibilitiesWeekend Clinical Operations Management
  • Provide remote leadership and oversight of hospice clinical operations during weekends and designated after-hours periods.

  • Monitor daily workflow, staffing coverage, patient census, and clinical priorities.

  • Coordinate and manage urgent patient care needs, admissions, recertifications, discharges, and death visits.

  • Ensure timely triage and response to patient, family, and referral source concerns.

  • Support field clinicians in complex clinical decision-making and symptom management.

Workflow Coordination
  • Manage and optimize weekend clinical workflows to ensure continuity of care.

  • Review and prioritize incoming referrals, physician orders, and clinical documentation.

  • Monitor EMR work queues and ensure completion of critical tasks.

  • Coordinate communication among nurses, social workers, chaplains, physicians, and other interdisciplinary team members.

  • Identify workflow barriers and implement solutions to improve efficiency and patient outcomes.

Clinical Leadership
  • Serve as the primary clinical resource for weekend staff.

  • Provide guidance regarding hospice eligibility, regulatory requirements, documentation standards, and care planning.

  • Escalate significant clinical concerns to executive leadership and medical directors as appropriate.

  • Support staff development through coaching, mentoring, and problem-solving assistance.

Quality and Compliance
  • Ensure compliance with Medicare Conditions of Participation, state regulations, accreditation standards, and organizational policies.

  • Review clinical documentation for completeness, accuracy, and timeliness.

  • Monitor quality indicators and address identified issues promptly.

  • Participate in quality improvement initiatives and process enhancement projects.

Communication and Collaboration
  • Maintain effective communication with patients, families, referral sources, physicians, and internal departments.

  • Facilitate seamless transitions of care and coordination among team members.

  • Provide detailed handoff reports to weekday leadership teams.

  • Participate in meetings, case reviews, and operational planning activities as required.


QualificationsRequired
  • Active, unrestricted Registered Nurse (RN) license.

  • Minimum of 3 years of hospice nursing experience.

  • Minimum of 1 year of leadership, supervisory, or care coordination experience.

  • Strong knowledge of hospice regulations, Medicare guidelines, and end-of-life care practices.

  • Experience using electronic medical record (EMR) systems.

  • Excellent communication, critical thinking, and organizational skills.

  • Ability to work independently in a remote environment.

  • Reliable internet connection and dedicated home workspace.

Preferred
  • BSN preferred.

  • CHPN (Certified Hospice and Palliative Nurse) certification preferred.

  • Experience with multi-site hospice operations.

  • Previous experience in remote clinical management or workflow coordination.


Key Competencies
  • Clinical Leadership

  • Hospice Regulatory Knowledge

  • Workflow Optimization

  • Staff Support and Coaching

  • Patient-Centered Care

  • Time Management

  • Critical Thinking

  • Conflict Resolution

  • Interdisciplinary Collaboration

  • Documentation Excellence


Work Schedule
  • Remote position.

  • Primarily weekend coverage (Saturday and Sunday), with flexibility for holidays and occasional weekday support as needed.

  • Availability for on-call consultation and urgent operational issues during assigned shifts.


Physical Requirements
  • Ability to sit, use a computer, and communicate via phone and video conferencing for extended periods.

  • Ability to review electronic clinical records and documentation.

  • Occasional travel may be required for training, meetings, or organizational events.


Compensation and Benefits
  • Competitive salary based on experience.

  • Health, dental, and vision insurance.

  • Paid time off and holiday pay.

  • Retirement savings plan.

  • Continuing education and professional development opportunities.

  • Certification reimbursement and leadership growth opportunities.