This is a remote role. Candidates must reside in the state of North Carolina. When you join the ... Relationship Management * Builds trusted relationships with patients, prescribers, and appropriate ...
This is a remote role. Candidates must reside in the state of North Carolina. When you join the ... Relationship Management * Builds trusted relationships with patients, prescribers, and appropriate ...
Executive Case Manager (Remote)
Raleigh, NC ยท On-site +1
This is a remote role. Candidates must reside in the state of North Carolina. When you join the ... Relationship Management * Builds trusted relationships with patients, prescribers, and appropriate ...
Executive Case Manager (Remote)
Raleigh, NC ยท On-site +1
This is a remote role. Candidates must reside in the state of North Carolina. When you join the ... Relationship Management * Builds trusted relationships with patients, prescribers, and appropriate ...
Remote Registered Nurse (RN) Case Manager
Raleigh, NC ยท Remote
$50K/yr
Case management or Clinical Trial Nurse experience, a plus. * Bachelor's degree preferred. * Remote work eligibility is subject to all work from home criteria met and based on business need. Physical ...
Remote Registered Nurse (RN) Case Manager
Raleigh, NC ยท Remote
$50K/yr
Case management or Clinical Trial Nurse experience, a plus. * Bachelor's degree preferred. * Remote work eligibility is subject to all work from home criteria met and based on business need. Physical ...
Remote Registered Nurse (RN) Case Manager
Raleigh, NC ยท On-site +1
$50K/yr
Case management or Clinical Trial Nurse experience, a plus. * Bachelor's degree preferred. * Remote work eligibility is subject to all work from home criteria met and based on business need. Physical ...
Remote Registered Nurse (RN) Case Manager
Raleigh, NC ยท On-site +1
$50K/yr
Case management or Clinical Trial Nurse experience, a plus. * Bachelor's degree preferred. * Remote work eligibility is subject to all work from home criteria met and based on business need. Physical ...
Case Manager Nurse Advocate- Raleigh area
Raleigh, NC ยท On-site +1
SYNERGY HEALTHCARE: Case Manager Nurse Advocate- Greater Raleigh Area Job Summary: We are seeking ... This opportunity allows for remote work so can be flexible on location. Minimal travel within the ...
Case Manager Nurse Advocate- Raleigh area
Raleigh, NC ยท On-site +1
SYNERGY HEALTHCARE: Case Manager Nurse Advocate- Greater Raleigh Area Job Summary: We are seeking ... This opportunity allows for remote work so can be flexible on location. Minimal travel within the ...
EHR Epic Analyst
Cary, NC ยท Remote
Remote (Based in Raleigh, NC) Position Type: Contract We are seeking an experienced EHR Epic ... Provide expertise in Epic tools , including Clinical Case Management, Rover, MyChart Bedside ...
Quick apply
EHR Epic Analyst
Cary, NC ยท Remote
Remote (Based in Raleigh, NC) Position Type: Contract We are seeking an experienced EHR Epic ... Provide expertise in Epic tools , including Clinical Case Management, Rover, MyChart Bedside ...
Experience participating in IEP meetings, acting as case manager, and completing comprehensive case ... Flexible, remote scheduling * No-cost continuing education courses and clinical workshops tailored ...
Quick apply
Experience participating in IEP meetings, acting as case manager, and completing comprehensive case ... Flexible, remote scheduling * No-cost continuing education courses and clinical workshops tailored ...
Lead end-to-end workflow automation across support case management. * Define and track ... Familiarity with remote support tools and knowledge management systems. * Understanding of ...
Lead end-to-end workflow automation across support case management. * Define and track ... Familiarity with remote support tools and knowledge management systems. * Understanding of ...
A - 5/12 - 746899 - Project Manager w/ Child Welfare Exp - Remote & Raleigh, NC
Raleigh, NC ยท Remote
This position is for 12+ months, with option of extension, and will be worked remote. Candidate may ... case management systems Required/Desired Skills: Program Management experience managing multiple ...
Quick apply
A - 5/12 - 746899 - Project Manager w/ Child Welfare Exp - Remote & Raleigh, NC
Raleigh, NC ยท Remote
This position is for 12+ months, with option of extension, and will be worked remote. Candidate may ... case management systems Required/Desired Skills: Program Management experience managing multiple ...
TASC Care Manager- (Wake County)
Garner, NC ยท Remote
$42K - $45K/yr
... case management and service coordination within the TASC (Treatment Accountability for Safer ... Proficiency in using electronic health record systems and remote collaboration tools (i.e., Teams ...
TASC Care Manager- (Wake County)
Garner, NC ยท Remote
$42K - $45K/yr
... case management and service coordination within the TASC (Treatment Accountability for Safer ... Proficiency in using electronic health record systems and remote collaboration tools (i.e., Teams ...
TASC Care Manager- (Wake County)
Garner, NC ยท Remote
$42K - $45K/yr
... case management and service coordination within the TASC (Treatment Accountability for Safer ... Proficiency in using electronic health record systems and remote collaboration tools (i.e., Teams ...
Quick apply
TASC Care Manager- (Wake County)
Garner, NC ยท Remote
$42K - $45K/yr
... case management and service coordination within the TASC (Treatment Accountability for Safer ... Proficiency in using electronic health record systems and remote collaboration tools (i.e., Teams ...
Senior Pega Developer
Raleigh, NC ยท Remote
$130K - $139K/yr
Remote Citizenship: Must be a US Citizen or Permanent Resident Security Clearance: USDA Public ... Hands-on experience with Pega Platform case management, workflows, UI configuration, data pages ...
Senior Pega Developer
Raleigh, NC ยท Remote
$130K - $139K/yr
Remote Citizenship: Must be a US Citizen or Permanent Resident Security Clearance: USDA Public ... Hands-on experience with Pega Platform case management, workflows, UI configuration, data pages ...
Workflow Manager, Pharmacovigilance Operations (Specialist II, PSS) Remote based (US or Canada)
Durham, NC ยท Remote
... systems, and case managementtools * Strong organizational and project management skills ... Work Environment: * Work is performed in a remote based office environment with exposure to ...
Workflow Manager, Pharmacovigilance Operations (Specialist II, PSS) Remote based (US or Canada)
Durham, NC ยท Remote
... systems, and case managementtools * Strong organizational and project management skills ... Work Environment: * Work is performed in a remote based office environment with exposure to ...
Senior Data Analyst, Clinical Programs
Chapel Hill, NC ยท On-site +1
This is a Remote role. Primary Responsibilities * Monitor Utilization Management and Case Management activities through the development of KPIs and benchmarks (i.e. member engagement rates ...
Senior Data Analyst, Clinical Programs
Chapel Hill, NC ยท On-site +1
This is a Remote role. Primary Responsibilities * Monitor Utilization Management and Case Management activities through the development of KPIs and benchmarks (i.e. member engagement rates ...
This is a Remote role. Primary Responsibilities * Monitor Utilization Management and Case Management activities through the development of KPIs and benchmarks (i.e. member engagement rates ...
Quick apply
This is a Remote role. Primary Responsibilities * Monitor Utilization Management and Case Management activities through the development of KPIs and benchmarks (i.e. member engagement rates ...
This position is for 12+ months, with option of extension, and will be worked remote. Candidate may ... Knowledge of social services and medicaid programs or similarly complex case management systems.
Quick apply
This position is for 12+ months, with option of extension, and will be worked remote. Candidate may ... Knowledge of social services and medicaid programs or similarly complex case management systems.
Southeast (SE) Cohort Project Manager - Distressed Borrowers Assistance Network (DBAN)
Pittsboro, NC ยท On-site +1
$60K/yr
Experience with case management systems, data tracking, or compliance reporting Compensation ... Remote (applicants based in NC, SC, VA, MS preferred) Applicants must be within one time zone of ...
Southeast (SE) Cohort Project Manager - Distressed Borrowers Assistance Network (DBAN)
Pittsboro, NC ยท On-site +1
$60K/yr
Experience with case management systems, data tracking, or compliance reporting Compensation ... Remote (applicants based in NC, SC, VA, MS preferred) Applicants must be within one time zone of ...
DSO Engineer (Remote)
Raleigh, NC ยท Remote
... in managing complex engineering projects, and the ability to drive continuous improvement ... Coordinate with the stakeholders implementing the use case pipeline the technical scope, the need ...
DSO Engineer (Remote)
Raleigh, NC ยท Remote
... in managing complex engineering projects, and the ability to drive continuous improvement ... Coordinate with the stakeholders implementing the use case pipeline the technical scope, the need ...
This position is essential to delivering the digital quality measure (dQM) use case and meeting the ... Organized & Adaptable Manages multiple priorities and adjusts to evolving community and technical ...
Quick apply
This position is essential to delivering the digital quality measure (dQM) use case and meeting the ... Organized & Adaptable Manages multiple priorities and adjusts to evolving community and technical ...
Research and Writing Attorney
Raleigh, NC ยท On-site +1
Research & Writing Attorney ALBUQUERQUE, NM No relocation required - Albuquerque-area and remote ... Experienced investigators (retired police officers), dedicated case managers, and paralegals.
Research and Writing Attorney
Raleigh, NC ยท On-site +1
Research & Writing Attorney ALBUQUERQUE, NM No relocation required - Albuquerque-area and remote ... Experienced investigators (retired police officers), dedicated case managers, and paralegals.
Remote Maternity Case Management information
See Raleigh, NC salary details
$13.79 - $15.44
2% of jobs
$15.44 - $17.10
6% of jobs
$17.10 - $18.76
15% of jobs
$18.90 is the 25th percentile. Wages below this are outliers.
$18.76 - $20.41
19% of jobs
The median wage is $21.06 / hr.
$20.41 - $22.07
19% of jobs
$23.37 is the 75th percentile. Wages above this are outliers.
$22.07 - $23.73
17% of jobs
$23.73 - $25.39
9% of jobs
$25.39 - $27.04
5% of jobs
$27.04 - $28.70
3% of jobs
$28.70 - $30.36
2% of jobs
$30.36 - $32.01
2% of jobs
$13
$22
$32
How much do remote maternity case management jobs pay per hour?
What is remote maternity case management?
What are the key skills and qualifications needed to thrive as a remote maternity case manager?
How do remote maternity case managers typically coordinate care with healthcare providers and patients from a distance?
What is the difference between Remote Maternity Case Management vs Remote Prenatal Care Coordinator?
| Aspect | Remote Maternity Case Management | Remote Prenatal Care Coordinator |
|---|---|---|
| Certifications | Case management certification, nursing or health-related credentials | Obstetric or prenatal care certifications, nursing background |
| Work Environment | Remote, healthcare settings, patient advocacy | Remote, healthcare settings, patient education and support |
| Industry Usage | Used by insurance companies, healthcare providers, case management agencies | Used 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 Raleigh, NC?
The most popular types of Maternity Case Management jobs in Raleigh, NC are:
What are popular job titles related to Remote Maternity Case Management jobs in Raleigh, NC?
For Remote Maternity Case Management jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Remote Maternity Case Management jobs in Raleigh, NC look for?
The top searched job categories for Remote Maternity Case Management jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Remote Maternity Case Management jobs?
Cities near Raleigh, NC with the most Remote Maternity Case Management job openings:

Full-time
Medical, Dental, Vision, Retirement, PTO
Re-posted 23 days ago
Job description
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.
- 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 clientโs 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 patientโs 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 Valerisโ values as the driving force behind the teamโs 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
- 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
- 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.
- 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
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