Minimum of five years of case management experience in one or more of the following: medical ... Work Environment You will be working in an approved remote environment within the states of:
Minimum of five years of case management experience in one or more of the following: medical ... Work Environment You will be working in an approved remote environment within the states of:
Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ... Proficient in electronic medical records and care management platforms. Preferred Qualifications
Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ... Proficient in electronic medical records and care management platforms. Preferred Qualifications
Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ... Proficient in electronic medical records and care management platforms. Preferred Qualifications
Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ... Proficient in electronic medical records and care management platforms. Preferred Qualifications
Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ... Proficient in electronic medical records and care management platforms. Preferred Qualifications
Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ... Proficient in electronic medical records and care management platforms. Preferred Qualifications
Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ... Proficient in electronic medical records and care management platforms. Preferred Qualifications
Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ... Proficient in electronic medical records and care management platforms. Preferred Qualifications
Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ... Proficient in electronic medical records and care management platforms. Preferred Qualifications
Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ... Proficient in electronic medical records and care management platforms. Preferred Qualifications
Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ... Proficient in electronic medical records and care management platforms. Preferred Qualifications
Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ... Proficient in electronic medical records and care management platforms. Preferred Qualifications
Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ... Proficient in electronic medical records and care management platforms. Preferred Qualifications
Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ... Proficient in electronic medical records and care management platforms. Preferred Qualifications
Case Manager Registered Nurse (LTSS) - Field MI (Wayne and Macomb County)
Sterling Heights, MI · Remote
Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ... Proficient in electronic medical records and care management platforms. Preferred Qualifications
Case Manager Registered Nurse (LTSS) - Field MI (Wayne and Macomb County)
Sterling Heights, MI · Remote
Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ... Proficient in electronic medical records and care management platforms. Preferred Qualifications
Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ... Proficient in electronic medical records and care management platforms. Preferred Qualifications
Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ... Proficient in electronic medical records and care management platforms. Preferred Qualifications
Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ... Proficient in electronic medical records and care management platforms. Preferred Qualifications
Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ... Proficient in electronic medical records and care management platforms. Preferred Qualifications
FUNCTIONAL EXPERIENCES Functional - Nursing/Case Management/1-3 Years Functional - Nursing/Home Health Care/4-6 Years Functional - Nursing/Occupational/1-3 Years Functional - Nursing/Medical-Surgical ...
FUNCTIONAL EXPERIENCES Functional - Nursing/Case Management/1-3 Years Functional - Nursing/Home Health Care/4-6 Years Functional - Nursing/Occupational/1-3 Years Functional - Nursing/Medical-Surgical ...
RN Field Case Manager
Grand Rapids, MI · On-site +1
$74K - $95K/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 ...
RN Field Case Manager
Grand Rapids, MI · On-site +1
$74K - $95K/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 ...
RN Field Case Manager
Grand Rapids, MI · On-site +1
$74K - $95K/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 ...
RN Field Case Manager
Grand Rapids, MI · On-site +1
$74K - $95K/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 ...
Senior IBM Case Manager/BAW Developer
Detroit, MI · On-site +1
$70K - $140K/yr
Experience in IBM FileNet Content Management (CPE, workflows, integrations, IBM Case Manager or IBM ... Remote roles will also have the opportunity to come together in our offices for moments that matter.
Senior IBM Case Manager/BAW Developer
Detroit, MI · On-site +1
$70K - $140K/yr
Experience in IBM FileNet Content Management (CPE, workflows, integrations, IBM Case Manager or IBM ... Remote roles will also have the opportunity to come together in our offices for moments that matter.
Senior IBM Case Manager/BAW Developer
Detroit, MI · On-site +1
$70K - $140K/yr
Experience in IBM FileNet Content Management (CPE, workflows, integrations, IBM Case Manager or IBM ... Remote roles will also have the opportunity to come together in our offices for moments that matter.
Senior IBM Case Manager/BAW Developer
Detroit, MI · On-site +1
$70K - $140K/yr
Experience in IBM FileNet Content Management (CPE, workflows, integrations, IBM Case Manager or IBM ... Remote roles will also have the opportunity to come together in our offices for moments that matter.
Senior Claims Specialist, Remote - CA Workers Compensation
Wyoming, MI · Remote
$110K - $120K/yr
Working closely with defense attorneys and other vendors including medical case management, surveillance, etc. Physical Requirements * Sedentary - requires prolonged sitting, continuous use of ...
Senior Claims Specialist, Remote - CA Workers Compensation
Wyoming, MI · Remote
$110K - $120K/yr
Working closely with defense attorneys and other vendors including medical case management, surveillance, etc. Physical Requirements * Sedentary - requires prolonged sitting, continuous use of ...
Coordinator, Medical Affairs
Three Rivers, MI · On-site +1
... and will be hybrid or remote. The office is located at One Century Plaza, Nashville, TN ... Required Work Experience : 5 years clinical experience in medical insurance, managed care, case ...
Coordinator, Medical Affairs
Three Rivers, MI · On-site +1
... and will be hybrid or remote. The office is located at One Century Plaza, Nashville, TN ... Required Work Experience : 5 years clinical experience in medical insurance, managed care, case ...
Coordinator, Medical Affairs
Wyoming, MI · On-site +1
... and will be hybrid or remote. The office is located at One Century Plaza, Nashville, TN ... Required Work Experience : 5 years clinical experience in medical insurance, managed care, case ...
Coordinator, Medical Affairs
Wyoming, MI · On-site +1
... and will be hybrid or remote. The office is located at One Century Plaza, Nashville, TN ... Required Work Experience : 5 years clinical experience in medical insurance, managed care, case ...
... and will be hybrid or remote. The office is located at One Century Plaza, Nashville, TN ... Required Work Experience : 5 years clinical experience in medical insurance, managed care, case ...
... and will be hybrid or remote. The office is located at One Century Plaza, Nashville, TN ... Required Work Experience : 5 years clinical experience in medical insurance, managed care, case ...
Remote Medical Case Management information
What are the key skills and qualifications needed to thrive as a remote medical case manager, and why are they important?
To thrive as a Remote Medical Case Manager, you need a background in nursing or social work, strong clinical assessment abilities, and relevant licensure such as RN or LCSW. Familiarity with case management software, telehealth platforms, and electronic health records is commonly required. Outstanding communication, organization, and problem-solving skills help you coordinate care and support patients remotely. These competencies ensure effective patient advocacy, streamlined care coordination, and optimal health outcomes in a virtual environment.
What is the difference between Remote Medical Case Management vs Remote Medical Billing Specialist?
| Aspect | Remote Medical Case Management | Remote Medical Billing Specialist |
|---|---|---|
| Credentials | RN, LPN, or relevant healthcare certifications | Medical billing certifications (e.g., CPC, CBCS) |
| Work Environment | Healthcare settings, insurance companies, or case management firms | Medical offices, billing companies, or healthcare providers |
| Industry Usage | Used for coordinating patient care and treatment plans | Used for processing insurance claims and billing |
| Search Intent | Comparing roles related to patient care coordination | Looking for billing and coding roles in healthcare |
Remote Medical Case Management involves coordinating patient care, requiring healthcare credentials and focusing on treatment plans. In contrast, Remote Medical Billing Specialists handle insurance claims and billing processes, often with billing certifications. Both roles are remote and industry-specific but serve different functions within healthcare organizations.
What is remote medical case management?
Remote medical case management is a process where healthcare professionals, such as nurses or case managers, coordinate and manage patients' care from a distance, often using phone calls, video conferencing, and electronic health records. This service helps patients navigate complex medical conditions, ensures they follow treatment plans, and connects them to necessary resources, all without needing in-person visits. Remote case managers collaborate with patients, families, and healthcare providers to improve health outcomes and reduce hospital readmissions. This approach is especially valuable for patients with chronic illnesses, disabilities, or those living in rural or underserved areas.
What are some common challenges faced by professionals in remote medical case management roles?
Professionals in remote medical case management often encounter challenges such as maintaining effective communication with patients, healthcare providers, and insurance companies without in-person interaction. Coordinating care plans, accessing up-to-date patient information, and ensuring compliance with privacy regulations can also be more complex in a virtual environment. To succeed, case managers must be highly organized, technologically proficient, and proactive in building trust and rapport through digital channels. Regular training and collaboration with interdisciplinary teams are essential for overcoming these hurdles and delivering optimal patient outcomes.
What are popular job titles related to Remote Medical Case Management jobs in Michigan? For Remote Medical Case Management jobs in Michigan, the most frequently searched job titles are:
What job categories do people searching Remote Medical Case Management jobs in Michigan look for? The top searched job categories for Remote Medical Case Management jobs in Michigan are:
What cities in Michigan are hiring for Remote Medical Case Management jobs? Cities in Michigan with the most Remote Medical Case Management job openings:
Full-time
Posted 15 days ago
Job description
About the Role
We are looking for an experienced RN Clinical Case Manager to support a disability claim review program. In this role, you will guide members through a collaborative case management process built on assessment, planning, care coordination, and ongoing evaluation. Your work directly supports improvement in members' (patients) disabling and co-morbid conditions and helps maximize their employability. You will own your caseload from start to finish and be responsible for an efficient, timely, and complete case management process.
What You'll Do
Determine the appropriate case management track for each assigned case.
Conduct telephonic clinical assessments covering activities of daily living, psycho-social factors, recent hospitalizations, current clinical status, treatment plans and medications, treating physicians, special needs, and the appropriate outreach interval for each case.
Develop customized, member-specific clinical case management plans.
Perform ongoing periodic telephonic outreach at intervals set during the initial clinical assessment.
Request and track receipt of the records and documentation needed to identify ongoing case management needs.
Build and maintain a case management resource library to provide members with information relevant to their conditions.
Assess whether a review is needed for a member's return to their own occupation, and identify the appropriate physician specialty when it is.
Collaborate with vocational specialists during the case management process when needed.
Conduct thorough, ongoing quality review of all case documentation and ensure completeness and accuracy of case paperwork.
Communicate with members, physicians, employers, and clients as appropriate.
Enter case activities into the case management system accurately and within client-required timeframes.
Maintain compliance with applicable practice standards and guidelines, including strict confidentiality and HIPAA adherence.
What You'll Bring
Unrestricted RN licensure, without sanctions.
Current certification in case management or a related field, or the ability to qualify for certification testing within six months of hire.
Minimum of five years of clinical experience.
Minimum of five years of case management experience in one or more of the following: medical, workers' compensation, auto, or disability case management.
Working knowledge of diagnostic coding (ICD-10).
Strong critical thinking, decision-making, and organizational skills with close attention to detail.
Ability to meet deadlines and turnaround times consistently.
Ability to work independently as well as within a team.
Computer literacy, including solid working knowledge of Microsoft Word and Excel.
Strong written, verbal, and telephonic communication skills, with the ability to manage multiple priorities.
Bachelor's degree in nursing or a health-related field.
Working knowledge of the insurance industry, medical claims, and/or disability claims.
Experience with Lean production management.
Work Environment
You will be working in an approved remote environment within the states of: Michigan, Illinois, Florida, Texas, or Minnesota. Stressful conditions may arise when the workload becomes more demanding than usual.
About Managed Medical Review Organization
Sourced by ZipRecruiter
Industry
Public administration
Company size
51 - 200 Employees
Headquarters location
Novi, MI, US
Year founded
2007