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Remote Maternity Case Management Jobs in Ohio (NOW HIRING)

Valeris

Executive Case Manager (Remote)

Cincinnati, OH · Remote

This is a remote role. Candidates must reside in the state of Ohio. When you join the team as an ... Relationship Management * Builds trusted relationships with patients, prescribers, and appropriate ...

VIVA USA INC

Nurse Case Manager

Columbus, OH · On-site +1

Fully remote (never coming onsite) Position Summary The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual ...

Amerihealth Caritas

Care Manager II

Dublin, OH · Remote

Fully remote position; candidates must reside in Ohio. * Some travel may be required within a 60 ... maternity members to determine eligibility and need for care coordination and case management ...

Kelly Services

Case Manager

Columbus, OH · Remote

$27 - $33/hr

Remote, U.S.-based, from an approved work location (Must be within 100 miles of Columbus, OH) Pay ... Maintain strong attention to detail, organizational skills, and effective time management. Work ...

Sedgwick

Field Case Manager - Vocational

Cincinnati, OH · On-site +1

Apply your medical/clinical or rehabilitation knowledge and experience to assist in the management ... remote work environment that allows face to face interaction with injured workers and medical ...

Sedgwick

Field Case Manager - Vocational

Dublin, OH · On-site +1

Apply your medical/clinical or rehabilitation knowledge and experience to assist in the management ... remote work environment that allows face to face interaction with injured workers and medical ...

Sedgwick

Field Case Manager - Vocational

Toledo, OH · On-site +1

Apply your medical/clinical or rehabilitation knowledge and experience to assist in the management ... remote work environment that allows face to face interaction with injured workers and medical ...

Sedgwick

VOC Field Case Manager

Akron, OH · Remote

$73K - $75K/yr

Apply your medical/clinical or rehabilitation knowledge and experience to assist in the management ... remote work environment that allows face to face interaction with injured workers and medical ...

York Risk Services

VOC Field Case Manager

Akron, OH · Remote

$73K - $75K/yr

Apply your medical/clinical or rehabilitation knowledge and experience to assist in the management ... remote work environment that allows face to face interaction with injured workers and medical ...

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Remote Maternity Case Management information

What is remote maternity case management?

Remote maternity case management is a healthcare service where case managers, often nurses or social workers, support pregnant individuals virtually through phone calls, video conferences, or digital platforms. They help monitor the pregnancy, provide education, coordinate care among healthcare providers, and address any risks or complications. This approach allows expectant mothers to receive personalized support and resources from the comfort of their homes, improving health outcomes for both mother and baby. Remote case management is especially valuable for those with high-risk pregnancies or limited access to in-person care.

What are the key skills and qualifications needed to thrive as a remote maternity case manager?

To thrive as a Remote Maternity Case Manager, you need a background in nursing or social work, knowledge of maternal health, and relevant licensure (such as RN or LCSW). Familiarity with case management software, telehealth platforms, and secure electronic health records is typically required. Exceptional communication, empathy, and organizational skills help you effectively support and educate expectant mothers remotely. These skills and qualifications are crucial for delivering quality, coordinated care and ensuring positive health outcomes in a virtual environment.

How do remote maternity case managers typically coordinate care with healthcare providers and patients from a distance?

Remote maternity case managers use a combination of phone calls, secure messaging, and video conferencing to maintain regular communication with expectant mothers and healthcare providers. They are responsible for assessing patient needs, developing care plans, monitoring progress, and providing education and support, all while ensuring privacy and compliance with healthcare regulations. Building trust and rapport remotely can be a challenge, but strong organizational and communication skills help bridge the gap. Collaboration with OB/GYNs, nurses, social workers, and insurance representatives is essential to ensure comprehensive support for each patient.

What is the difference between Remote Maternity Case Management vs Remote Prenatal Care Coordinator?

AspectRemote Maternity Case ManagementRemote Prenatal Care Coordinator
CertificationsCase management certification, nursing or health-related credentialsObstetric or prenatal care certifications, nursing background
Work EnvironmentRemote, healthcare settings, patient advocacyRemote, healthcare settings, patient education and support
Industry UsageUsed by insurance companies, healthcare providers, case management agenciesUsed by clinics, hospitals, prenatal programs

Both roles involve supporting pregnant women remotely, but Remote Maternity Case Management focuses on coordinating care, managing health plans, and advocating for patients, while Remote Prenatal Care Coordinators primarily provide education, support, and guidance during pregnancy. The roles often overlap but differ mainly in scope and primary responsibilities.

What are the most commonly searched types of Maternity Case Management jobs in Ohio?

The most popular types of Maternity Case Management jobs in Ohio are:

What are popular job titles related to Remote Maternity Case Management jobs in Ohio?

For Remote Maternity Case Management jobs in Ohio, the most frequently searched job titles are:

What job categories do people searching Remote Maternity Case Management jobs in Ohio look for?

The top searched job categories for Remote Maternity Case Management jobs in Ohio are:

What cities in Ohio are hiring for Remote Maternity Case Management jobs?

Cities in Ohio with the most Remote Maternity Case Management job openings:

Remote Maternity Case Management jobs near you
Infographic showing various Remote Maternity Case Management job openings in Ohio as of August 2026, with employment types broken down into 93% Full Time, and 7% Part Time. Highlights an 100% Remote job distribution.

Executive Case Manager (Remote)

Valeris

Cincinnati, OH • Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 20 days ago

Job description

Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Formed by the merger of PharmaCord and Mercalis, Valeris™ revolutionizes the path from life sciences innovation to real-life impact to build a world in which every patient gets the care they need. Valeris works on behalf of life sciences companies to improve the patient experience so that patients can access and adhere to critical medications. Backed by proven industry expertise, a deep commitment to patient care, the latest technology, and exceptionally talented team members, Valeris provides the data and strategic insights, patient support services and healthcare provider engagement tools to help life sciences companies successfully commercialize new products. Valeris provides commercialization solutions to more than 500 life sciences customers and has provided access and affordability support to millions of patients. The company is headquartered in Morrisville, North Carolina and Jeffersonville, Indiana. To learn more about Valeris, please visit www.valeris.com.
This is a remote role. Candidates must reside in the state of Ohio.
When you join the team as an Executive Case Manager, you'll have the opportunity to make a difference in the lives of our patients each day as they look to you as part of their dedicated support team for helping them navigate the tricky process of getting access to their complex medication. You'll compassionately deliver an exceptional experience to many patients per day always remembering that every prescription or document belongs to a real person who is looking for thorough and efficient management of their records. You'll adjust your approach to their needs by communicating clearly, focusing on the accuracy of the details of their medical records, your mastery of the program requirements, and ensuring their prescriptions or cases are handled in a timely manner. An Executive Case Manager has the ability to translate knowledge into patient friendly language and education.
A typical day in this role will include ownership of your patient journey from initiation to closure by using your critical thinking skills and your knowledge of the program and industry rules and standards. This includes completing benefit investigations, tracking prior authorizations / denial appeals, and assisting patients or other callers/stakeholders through resolution (via email, inbound/outbound calls and using our patented technology, Lynk). This role requires a strong understanding of pharmacy and medical billing and coding, excellent communication skills, and the ability to navigate complex reimbursement processes.
The Executive Case Manager provides expertise on insurance coverage and common access and reimbursement challenges affecting patients, healthcare providers and clients. The Executive Case Manager responsibilities include education on the access and reimbursement support tools available from PharmaCord and participating program, advising HCPs and/or patients and caregivers on the benefits and program eligibility for a specific patient, and educating HCP offices on Payor processes and procedures.
Key Responsibilities:
  • Relationship Management
    • Builds trusted relationships with patients, prescribers, and appropriate client stakeholders regarding reimbursement inquiries and challenges through proactive communication, timely and accurate execution of deliverables and demonstrated relentless passion for helping patients.
  • Manages all relationships in a manner that adheres to all relevant laws, regulations, program-specific operating procedures and industry standards related to access and affordability, including HIPAA and insurance guidelines.
    • Managed through call/contact center structure, this role supports inbound and outbound calls to patients, caregivers, specialty pharmacies and healthcare professionals.
    • Performs post Benefits Investigation calls to patients and/or physicians explaining coverage options and next steps in the access journey.
    • Manages all client inquiries as appropriate, such as case specific statuses.
    • Manages HCP inquiries, as applicable, pursuant to business rules.
  • All communications with the client’s field teams will remain compliant and adhere to ways of working protocols outlined between PharmaCord and the client teams. Inbound Call Management
    • Manages inbound calls as directed by the program-approved FAQs
    • Triage patients to internal or external resources as appropriate.
  • Personalized Case Management
    • Provides personalized case management to patients and HCPs including outbound communication to HCPs, specialty pharmacies and patients to communicate benefit coverage and/or appropriately help drive next steps in obtaining coverage and/or access to prescribed medicine. All communications for case management will follow the guidelines set forth for the program and only provide information publicly available and/or outlined in the patient insert.
    • Leverages electronic tools to identify benefits and payer coverage; completes manual benefit investigation as needed.
    • Identifies and communicates patient’s plan benefit coverage including the need for prior authorization, appeal, tier exception, and/or formulary exclusions.
    • Serves as a subject matter expert to internal team as required and appropriate.
    • Uses electronic resources to obtain benefit coverage outcome and if needed, outbound call to payers and HCPs to follow up on proper submission and/or outcome.
    • Coordinates nurse teach with nurse educators, as applicable to program.
    • Supports adherence services as applicable to program.
    • Identifies peer support resources for patients.
    • Proactively communicates needs for reverification of prior authorization or re-enrollment.
    • Identifies and reports adverse events, product complaints, special situation reports and/or medical inquiries received in accordance with program operating procedures and the Business Rules.
    • Documents all activities within the PharmaCord Lynk system, maintaining detailed records of reimbursement activities, including claims status, payments, and appeals.
    • Generate reports and analysis as needed to identify trends and opportunities for improvement.in accordance with business requirements.
  • Utilize Valeris’ values as the driving force behind the team’s success
  • On time adherence to training deadlines for all corporate policies and procedures
  • Ensure all SOPs are followed with consistency
  • Perform additional tasks or projects as assigned
​Qualifications:
  • Completion of Bachelor's degree (or higher) required
    • A degree in healthcare administration, social science or similar related fields is strongly preferred.
  • Minimum two years of experience in healthcare access delivery or management is strongly preferred.
  • 5-10 years of experience in insurance reimbursement, patient access, direct patient care, and/or patient education experience will be considered in lieu of degree.
  • Will consider other certifications and five or more consecutive years of experience in relevant field. Certification examples include PACS (Prior Authorization Certified Specialist), CHES (Certified Health Education Specialist) or CCM in healthcare or social science (Certified Case Manager).
  • Strong understanding of medical terminology, coding systems (ICD-10, CPT, HCPCS), and insurance processes.
  • Demonstrated examples of executing within guardrails recognizing urgency and consistently delivering patient centric results.
  • Excellent attention to detail and organizational skills.
  • Ability to prioritize tasks and work efficiently in a fast-paced environment.
  • Effective written and verbal communication and interpersonal skills, with the ability to interact professionally with diverse stakeholders.
  • Demonstrates the ability to think critically and issue resolution.
  • Knowledge of healthcare compliance regulations, including HIPAA and Medicare/Medicaid guidelines.
  • Bi-lingual skills are a plus.
  • Remote work eligibility is subject to all work from home criteria met and based on business need
Physical Demands amp; Work Environment
  • While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to sit for long periods of time, use hands to type, handle or feel; and reach with hands and arms. Prefer candidates who can type at least 35 words per minute with 97% accuracy.
  • Although very minimal, flexibility to travel as needed is preferred.
  • This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, etc.
Why Work for Valeris?
We’re committed to supporting the well-being and success of our team members. As part of our organization, full-time employees can expect:
  • Medical, dental, and vision plans, including HSA- and FSA-eligible options, with Valeris contributing toward premium costs
  • Additional health support, including telehealth and Employee Assistance Program (EAP) services
  • Company match on Health Savings Account contributions
  • Free Basic Life and AD amp;D coverage equal to your annual earnings, with a minimum of $50,000 and a maximum of $300,000
  • Company-paid Short-Term Disability coverage, with the option to purchase Long-Term Disability
  • 401(k) Retirement Savings Plan with 100% match on the first 5% you contribute, with immediate vesting
  • Paid Time Off (PTO) and Sick Leave to support work-life balance
  • Team members receive nine paid holidays plus two floating holidays
  • Opportunities for advancement in a company that supports personal and professional growth
  • A challenging, stimulating work environment that encourages new ideas
  • Work for a company that values diversity and makes deliberate efforts to create an inclusive workplace
  • A mission-driven, inclusive culture where your work makes a meaningful impact
Any offer of employment is contingent upon the successful completion of a background check and, depending on the position, a drug screen in accordance with company standards. Please note that this job description is not intended to be an exhaustive list of all duties, responsibilities, or activities associated with the position. Responsibilities and tasks may be modified at any time, with or without notice.
Our Commitment to Equal Opportunity
At Valeris, we don’t just accept difference – we celebrate it, support it and we thrive on it for the benefit of our employees, our products and our community. Valeris is proud to be an equal opportunity employer.
Important Notice

Due to an increase in hiring scams, please be aware that if you are selected to move forward in our hiring process, a member of our Talent Acquisition team will contact you directly using an official @pharmacord.com and/or @valeris.com, @echo.newtonsoftware.com email address regarding next steps in our interview process.

Please Note:
  • PharmaCord will never use Microsoft Teams to reach out to candidates for interview scheduling. However, video interviews are typically conducted via Microsoft Teams. Official meeting links will always be sent from an @valeris.com, @pharmacord.com or @echo.newtonsoftware.com email address, or through our scheduling platform, Calendly.
  • We will never request your bank account information at any stage of the hiring process.
  • We will never send a check (electronic or physical) to purchase home office equipment.

If you receive any suspicious communication regarding employment with PharmaCord, please report it to our Talent Acquisition team immediately at careers@pharmacord.com

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