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Remote Medical Case Management Jobs in Missouri (NOW HIRING)

Kelly Services

Case Manager

Kansas City, MO · Remote

$27 - $33/hr

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

Jobgether

$14/hr

You will also collaborate with legal professionals and leverage digital case-management and ... Strong time-management, prioritization, and follow-through skills in a remote and digitally ...

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Remote Medical Case Management information

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 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 are popular job titles related to Remote Medical Case Management jobs in Missouri?

For Remote Medical Case Management jobs in Missouri, the most frequently searched job titles are:

What job categories do people searching Remote Medical Case Management jobs in Missouri look for?

The top searched job categories for Remote Medical Case Management jobs in Missouri are:

What cities in Missouri are hiring for Remote Medical Case Management jobs?

Cities in Missouri with the most Remote Medical Case Management job openings:

Remote Medical Case Management jobs near you

Workers' Compensation Claims Representative III (Remote)

memployersmins

Columbia, MO • On-site, Remote

$62K - $81K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 24 days ago

Job description

Are you an experienced claims professional ready to take on complex cases and make a meaningful impact? MEM Insurance is seeking a seasoned Claims Representative to join our dynamic Claims team. In this role, you will manage a caseload of high-exposure workers’ compensation claims, oversee advanced medical case management, and develop tailored Return-to-Work plans. You’ll collaborate with vocational consultants, legal counsel, and internal teams to ensure compliance, negotiate settlements, and deliver exceptional service to our policyholders. This position offers the opportunity to work independently while providing leadership on complex claims and contributing to workflow improvements.
 
 Essential Duties and Responsibilities
  • Manage complex workers’ compensation claims involving high financial exposure, sensitive issues, or extended life cycles.
  • Investigate coverage and compensability, ensuring thorough documentation and compliance with state statutes.
  • Oversee advanced medical case management, including coordination with Nurse Case Managers and external vendors.
  • Develop and implement Return-to-Work plans for high-risk claims, collaborating with vocational consultants and legal counsel.
  • Identify and investigate potential fraud and subrogation opportunities, partnering with the Special Investigation Unit.
  • Establish and maintain accurate claim reserves within authority levels, ensuring timely responsiveness to changing circumstances.
  • Evaluate and negotiate settlements within approved authority levels, including structured settlements and Medicare compliance.
  • Collaborate with legal counsel to manage litigation and ensure adherence to MEM guidelines.
  • Maintain accurate system data and prepare reports for management on high-profile claims.
  • Foster cross-departmental collaboration with Underwriting, Premium Consultation, and Loss Prevention.
  • Provide mentorship and training to junior adjusters, supporting professional growth and team development.
 Qualifications
  • High school diploma or equivalent required; bachelor’s degree preferred.
  • Associate in Claims (AIC) designation preferred.
  • Valid driver’s license required; Texas-All Lines license preferred.
  • 3–5 years of claims handling experience, primarily in Workers’ Compensation. Missouri experience preferred.
 Company Culture and Values
At MEM Insurance, we are committed to our vision, mission, and values. We foster a culture of collaboration, integrity, and innovation. Our team is passionate about delivering exceptional service to our customers while supporting each other’s growth and success. We believe in accountability, continuous learning, and creating an environment where employees feel valued and empowered.
 
 Diversity Statement
MEM Insurance is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We believe that varied perspectives drive innovation and strengthen our ability to serve our customers and communities.
 
 Total Rewards Overview
  • Health Plans: Medical, Dental, and Vision
    Includes fertility benefits, fully paid preventative care, and adult orthodontia.
  • Employer-Paid Life and Disability Benefits:
    Life Insurance (3x base salary), AD&D, Short and Long-term Disability.
  • Wellness and Recognition Program: Employer-paid incentives for employees and spouses.
  • Flexible Spending Account and Dependent Care options
  • Health Savings Account: Generous employer contribution.
  • Time Away from Work:
    Generous PTO, 11 Holidays + 4 Early Releases, 16 Hours Volunteer Time Off, 20 Days Paid Parental Leave, Marriage, Bereavement, and Jury Duty leave.
  • Employee Assistance Programs
  • 401k Retirement Plan: Employer match and profit sharing.
  • Adoption Assistance and Tuition Assistance
 
Notice Regarding Use of Artificial Intelligence
MEM may use artificial intelligence (AI) tools to more efficiently facilitate and assist in decisions involving recruitment, hiring, promotion, renewal of employment, selection for training or apprenticeship, discharge, discipline, tenure, or the terms, privileges, or conditions of employment. Any such use of AI tools will comply with all applicable laws.

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