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Remote Medical Case Management Jobs in Minnesota

UnitedHealth Group

Senior Medical Coder

Eden Prairie, MN · Remote

$24 - $43/hr

Remote Nationwide You will enjoy the flexibility to telecommute* from anywhere within the U.S. as ... Manage multiple work demands simultaneously to maintain relevant productivity and turnaround time ...

Adecco

Corporate Security Analyst

Minneapolis, MN · Remote

$33/hr

... case management platforms, validation tools, business productivity tools, and reporting resources ... remote work environment. · Intermediate proficiency with Microsoft 365 products, including Excel ...

Ourhrconnect

... 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 ...

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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?

AspectRemote Medical Case ManagementRemote Medical Billing Specialist
CredentialsRN, LPN, or relevant healthcare certificationsMedical billing certifications (e.g., CPC, CBCS)
Work EnvironmentHealthcare settings, insurance companies, or case management firmsMedical offices, billing companies, or healthcare providers
Industry UsageUsed for coordinating patient care and treatment plansUsed for processing insurance claims and billing
Search IntentComparing roles related to patient care coordinationLooking 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 Minnesota? For Remote Medical Case Management jobs in Minnesota, the most frequently searched job titles are:
What job categories do people searching Remote Medical Case Management jobs in Minnesota look for? The top searched job categories for Remote Medical Case Management jobs in Minnesota are:
What cities in Minnesota are hiring for Remote Medical Case Management jobs? Cities in Minnesota with the most Remote Medical Case Management job openings:
Remote Medical Case Management jobs near you

Case Management Health Support Coordinator

Blue Cross and Blue Shield of Minnesota

Eagan, MN • On-site, Remote

$21.64 - $27.05/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 15 days ago

Blue Cross Blue Shield Of Minnesota rating

6.0

Company rating: 6.0 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

280th of 301 rated insurance

Job description

About Blue Cross and Blue Shield of Minnesota

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate, you are joining a culture that is built on values of succeeding together, finding a better way, and doing the right thing. If you are ready to make a difference, join us.


The Impact You'll Have Supports clinical case managers by preparing non-clinical case information for review. Responsibilities include entering member information, identifying high-cost cases, creating program cases in the system, and assigning them to the clinical queue. What You'll Do
  • Perform clerical tasks to prepare cases for clinicalreview,securing clinicians can focus on member care.
  • Conduct phone numbersearchesusing internal systems and provider outreach.
  • Creates and assigns cases for clinical review,confirmingaccurate routing to the appropriate clinical queue.
  • Handle limited inbound calls, including transfers from MEA, and coordinate program setup or team communication via chat.
  • Verify and update member demographic information in the system, ensuring accuracy andidentifyinghigh-cost cases.
How You'll Do It
  • Recognizing workflow improvements and collaborating with leadership to implement the changes.
  • Receiving, researching, and prioritizing referrals through mailbox and work queues.
  • Performs additional responsibilities consistent with the scope and level of the role, as assigned.
Required Skills & Experience
  • 4+ years of experience in related role or 2+ years internal experience.
  • High school diploma (or equivalent)
Preferred Skills & Experience
  • Ability to communicate detailed information to diverse audiences, actively listen to understand varied perspectives, and facilitate alignment on operational priorities.
  • Ability to analyze complex operational issues, evaluate tradeoffs, and collaborate with stakeholders to reach effective, sustainable solutions.
  • Ability to organize work across multiple assignments, balance shifting priorities, and manage time to meet commitments while supporting team coordination.
  • Healthcare experience and/or knowledge of the managed care and health care/insurance industry.
  • Experience with healthcare regulations including Mental Health Parity (MHPAEAA) Federal Regulatory requirements and applicable state laws.
  • Medicaid and commercial insurance experience.
  • Understanding of population health management trends, clinical program design, and healthcare market dynamics.
  • Experience developing and implementing strategy and strategic initiatives.
  • Process improvement and ability to implement tools or systems that improve team efficiency and accuracy.
  • Understanding of medical claims and coding.
Role Designation Teleworker

Role designation definition:

  • Teleworking is working full time remote.
  • Hybrid is a minimum of 2 days onsite.
  • Onsite is full-time onsite.
Compensation and Benefits $21.64 - $27.05 - $32.46 Hourly

Pay is based on several factors which vary based on position, including skills, ability, and knowledge the selected individual is bringing to the specific job.

We offer a comprehensive benefits package which may include:

  • Medical, dental, and vision insurance

  • Life insurance

  • 401k

  • Paid Time Off (PTO)

  • Volunteer Paid Time Off (VPTO)

  • And more

To discover more about what we have to offer, please review our benefits page.

Equal Employment Opportunity Statement

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. Blue Cross of Minnesota is an Equal Opportunity Employer and maintains an Affirmative Action plan, as required by Minnesota law applicable to state contractors. All qualified applications will receive consideration for employment without regard to, and will not be discriminated against based on any legally protected characteristic.


Individuals with a disability who need a reasonable accommodation in order to apply, please contact us at: talent.acquisition@bluecrossmn.com.


Blue Cross and Blue Shield of Minnesota and Blue Plus are nonprofit independent licensees of the Blue Cross and Blue Shield Association.


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