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Remote Medical Case Management Jobs in Washington

UnitedHealth Group

Senior Medical Coder

Washington, DC · Remote

$24 - $43/hr

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

Ullico

Case Manager

Bethesda, MD · On-site +1

$76K - $115K/yr

Review the medical necessity and appropriateness of hospital claims, physician charges, specialty ... Prepare monthly report on all large case management. Communicate daily regarding large cases to the ...

Ullico

Case Manager

Bethesda, MD · Remote

$76K - $115K/yr

Review the medical necessity and appropriateness of hospital claims, physician charges, specialty ... Prepare monthly report on all large case management. Communicate daily regarding large cases to the ...

Euola

Nurse Practitioner (NP)

Alexandria, VA · Remote

Remote (U.S.) - Must reside in or be eligible for licensure in Virginia Schedule: Monday-Friday ... Medical Review * Case Management * Disability Evaluation * Clinical Decision Making * Excellent ...

York Risk Services

RN Field Case Manager

Washington, DC · Remote

$88K - $112K/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 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 Washington? For Remote Medical Case Management jobs in Washington, the most frequently searched job titles are:
What job categories do people searching Remote Medical Case Management jobs in Washington look for? The top searched job categories for Remote Medical Case Management jobs in Washington are:
What cities in Washington are hiring for Remote Medical Case Management jobs? Cities in Washington with the most Remote Medical Case Management job openings:
Remote Medical Case Management jobs near you
Infographic showing various Remote Medical Case Management job openings in Washington as of August 2026, with employment types broken down into 85% Full Time, 8% Part Time, and 7% Contract. Highlights an 100% Remote job distribution.

Workers Compensation - Telephonic Nurse Case Manager (Remote)

Berkley

Manassas, VA • On-site, Remote

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 8 days ago

Job description

Company Details
Berkley Medical Management Solutions (BMMS) provides a different kind of managed-care service for W.R. Berkley Corporation. We believe focusing on an injured worker's successful and speedy return to work is good for people and good for Berkley's insurance operating units. BMMS was first started in 2014 by reimagining the relationship between medical need and technology to deliver the best outcome for injured workers and Berkley's operating units. Our goal was clear: combine solid clinical practices, proven return-to-work strategies and robust software into one system for seamless management of workers' compensation cases.
To get it right, we started with a flexible technology platform that allowed for impressive customization without sacrificing the ability for expansion and continued innovation. We deploy integrated systems to give W.R. Berkley Companies recommendations and professional services for managing each individual case in an efficient and appropriate manner. The power of our technology takes medical bill-review services and clinical advisory services to a new level. Our unique marriage of technology, software platforms, data analytics and professional services ensures we provide Berkley's operating units with reliable results, and reduced time and expenses associated with case management.
Responsibilities
As a Telephonic Nurse Case Manager, you will assess, plan, coordinate, monitor, evaluate and implement options and services to facilitate timely medical care and return to work outcomes of injured workers.
  • Coordinate and implement medical case management to facilitate case closure
  • Timely and comprehensive communication with with employers, adjusters and the injured workers.
  • Assess appropriate utilization of medical treatment and services available through contact with physicians and other specialist to ensure cost effective quality care
  • Review and analyze medical records and assess data to ensure appropriate case management process occurs while providing recommendations to achieve case progress and movement to closure
  • Responsible for assigned caseloads, which may vary in numbers, territory and/or by state jurisdiction
  • Acquire and maintain nursing licensure for all jurisdictions as business needs require
  • Coordinate services to include home services, durable medical equipment, IMEs, admissions, discharges, and vocational services when appropriate and evaluate cost effectiveness and quality of services
  • Document activities and case progress using appropriate methods and tools following best practices for quality improvement
  • Reviewing job analysis/job description with all providers to coordinate and implement disability case management. This includes coordinating job analysis with employer to facilitate return to work.
  • Engage and participate in special projects as assigned by case management leadership team
  • Occasionally attend on site meetings and professional programs
  • Foster a teamwork environment
  • Maintaining and updating evidence based medical guidelines (such as Official Disability Guidelines, MD Guidelines and all required state regulated guidelines) in reference to the injured worker treatment plan and work status.
  • Obtain and maintain applicable state certifications and/or licensures in the state where job duties are performed.
  • Obtain case management professional certification (CCM) within 2 years of hire date
  • Earn Continuing Education Units to maintain certifications and licensures

Qualifications
  • Minimum 2 years of experience in workers compensation insurance and medical case management preferred
  • Minimum of 4 years medical/surgical clinical experience required
  • Exhibit strong communication skills, professionalism, flexibility and adaptability
  • Possess working knowledge of medical and vocational resources available to the Workers' Compensation industry
  • Demonstrate evidence of self-motivation and the ability to perform case management duties independently
  • Demonstrate evidence of computer and technology skills
  • Oral and written fluency in both Spanish and English a plus

Education
  • Graduate of an accredited school of nursing and possess a current RN license.
  • *RN compact license preferred, CCM preferred, Bachelor of Nursing preferred*

Additional Company Details
*The above job description is not intended to be an "all-inclusive" list of the duties and responsibilities of the job described, nor is it intended to be such a listing of the skills and abilities required to do the job. Rather, it is intended only to describe the general nature of the job.
The Company is an equal employment opportunity employer.
We do not accept any unsolicited resumes from external recruiting agencies or firms.
The company offers a competitive compensation plan and robust benefits package for full time regular employees
• Benefits: Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans.
- Base Salary Range: 75k-88k
The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.
Additional Requirements
Domestic U.S. travel required (up to 10% of time)
Sponsorship Details
Sponsorship not Offered for this Role

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