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Remote Managed Care Jobs in Riverside, CA (NOW HIRING)

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Nurse Care Manager

Irvine, CA · Remote

$40 - $60/hr

This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ... Give AI chatbots diverse and complex healthcare-related problems and evaluate their outputs

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Nurse Care Manager

San Bernardino, CA · Remote

$40 - $60/hr

This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ... Give AI chatbots diverse and complex healthcare-related problems and evaluate their outputs

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Nurse Care Manager

Jurupa Valley, CA · Remote

$40 - $60/hr

This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ... Give AI chatbots diverse and complex healthcare-related problems and evaluate their outputs

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Nurse Care Manager

Santa Ana, CA · Remote

$40 - $60/hr

This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ... Give AI chatbots diverse and complex healthcare-related problems and evaluate their outputs

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Nurse Care Manager

Hesperia, CA · Remote

$40 - $60/hr

This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ... Give AI chatbots diverse and complex healthcare-related problems and evaluate their outputs

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Nurse Care Manager

Anaheim, CA · Remote

$40 - $60/hr

This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ... Give AI chatbots diverse and complex healthcare-related problems and evaluate their outputs

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Nurse Care Manager

Moreno Valley, CA · Remote

$40 - $60/hr

This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ... Give AI chatbots diverse and complex healthcare-related problems and evaluate their outputs

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Nurse Care Manager

Riverside, CA · Remote

$40 - $60/hr

This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ... Give AI chatbots diverse and complex healthcare-related problems and evaluate their outputs

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Nurse Care Manager

Rancho Cucamonga, CA · Remote

$40 - $60/hr

This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ... Give AI chatbots diverse and complex healthcare-related problems and evaluate their outputs

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Nurse Care Manager

Pomona, CA · Remote

$40 - $60/hr

This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ... Give AI chatbots diverse and complex healthcare-related problems and evaluate their outputs

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Nurse Care Manager

Fontana, CA · Remote

$40 - $60/hr

This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ... Give AI chatbots diverse and complex healthcare-related problems and evaluate their outputs

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See Riverside, CA salary details

$62.6K

$92.6K

$129.4K

How much do remote managed care jobs pay per year?

As of May 29, 2026, the average yearly pay for remote managed care in Riverside, CA is $92,589.00, according to ZipRecruiter salary data. Most workers in this role earn between $75,600.00 and $108,000.00 per year, depending on experience, location, and employer.

What is a Remote Managed Care job?

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 are the key skills and qualifications needed to thrive in the Remote Managed Care position, and why are they important?

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 typical daily responsibilities for someone working in a Remote Managed Care position?

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.
More about Remote Managed Care jobs
What are popular job titles related to Remote Managed Care jobs in Riverside, CA? For Remote Managed Care jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Remote Managed Care jobs in Riverside, CA look for? The top searched job categories for Remote Managed Care jobs in Riverside, CA are:
What cities near Riverside, CA are hiring for Remote Managed Care jobs? Cities near Riverside, CA with the most Remote Managed Care job openings:
Remote Managed Care jobs near you

Institutional Claims Examiner

LSMA Management Inc

San Bernardino, CA • On-site, Remote

$31 - $36/hr

Other

This job post has expired today. Applications are no longer accepted.

Job description

Description

The Institutional Claims Examiner is responsible for the accurate, timely, and compliant adjudication of institutional (hospital/facility) medical claims in accordance with applicable HMO, Medi-Cal, Medicare, and Commercial contracts. This role ensures proper determination of financial responsibility among health plans, providers, and delegated entities, while adhering to California and federal regulatory requirements applicable to a healthcare Management Services Organization (MSO).

Requirements

MINIMUM & PREFERRED QUALIFICATIONS


Education/Training

Minimum: High School Diploma or equivalent.

Preferred: Additional coursework or training in healthcare administration, medical billing, or managed care.

Experience 

Minimum: Five years of managed care claims processing experience.

Preferred: Two - three years of recent institutional/hospital claims experience involving Medicare, Medi-Cal, HMO, PPO, and Commercial products.

Any combination of educational and work experience that would be equivalent to the stated minimum requirements would qualify for consideration of this position.

Certification(s)

Professional claims or medical billing certifications preferred.

Skills, Knowledge & Abilities

Advanced knowledge of institutional claims processing, including UB-04 and CMS-1500 claim forms.

Strong understanding of DRG, OPPS/APC, Ambulatory Surgery, and RBRVS reimbursement methodologies.

Working knowledge of Medi-Cal, Medicare, and California managed care regulations, including prompt payment requirements.

Proficiency with claims processing systems, third-party pricing software, and standard office applications (Microsoft Office).

Strong analytical, problem-solving, and decision-making abilities.

Excellent written and verbal communication skills; ability to read, write, and communicate effectively in English.

Ability to manage multiple priorities in a fast-paced, deadline-driven environment.

Demonstrated attention to detail and commitment to accuracy and compliance.


PHYSICAL, MENTAL & ENVIRONMENTAL REQUIREMENTS

The physical, mental, and environmental demands described here are representative of those required to successfully perform the essential functions of this job. This role is primarily sedentary and requires the ability to sit for extended periods while performing work at a computer workstation. The position involves light physical activity, including the ability to lift up to 10 pounds and to bend, stoop, reach, and file materials as needed. The employee must be able to frequently use a computer, keyboard, and standard office equipment, and maintain focus, manage workload pressures, and meet deadlines in a professional healthcare office or remote work environment.


PAY RANGE

$31.00 - $36.00 / hourly

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