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Remote Medical Case Management Jobs in Wisconsin

Great American Insurance Group

$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 ...

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 ...

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 ...

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 ...

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 ...

Presence

Wisconsin (remote) - School psychologist

Ripon, WI · On-site +1

$46 - $49/hr

Experience participating in IEP meetings, acting as case manager, and completing comprehensive case ... Benefits eligible, to include medical plans, sick leave per applicable state law,and 401K options ...

Quartz

RN Complex Care Specialist

Madison, WI · Remote

$72K - $90K/yr

Proficiency using Epic systems and remote monitoring programs. * Cultural competence and sensitivity to work with individuals from varied backgrounds. * Case Management (CCM) certification preferred ...

Harris

$10/hr

Remote Care Manager Location: Remote The Care Manager will be assigned a patient panel based on ... A minimum of two (2) years of clinical experience in a clinic setting, Med/Surg, Case Management ...

Harris

$10/hr

Remote Care Manager Location: Remote The Care Manager will be assigned a patient panel based on ... A minimum of two (2) years of clinical experience in a clinic setting, Med/Surg, Case Management ...

Harris

$10/hr

Remote Care Manager Location: Remote The Care Manager will be assigned a patient panel based on ... A minimum of two (2) years of clinical experience in a clinic setting, Med/Surg, Case Management ...

Harris

$10/hr

Remote Care Manager Location: Remote The Care Manager will be assigned a patient panel based on ... A minimum of two (2) years of clinical experience in a clinic setting, Med/Surg, Case Management ...

Network Health

RN Care Manager

Menasha, WI · Remote

Screen candidates for case management and when appropriate completes assessments, care plans with ... Review results from medical or behavioral tests and procedures and updates care plan to reflect ...

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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 Wisconsin? For Remote Medical Case Management jobs in Wisconsin, the most frequently searched job titles are:
What job categories do people searching Remote Medical Case Management jobs in Wisconsin look for? The top searched job categories for Remote Medical Case Management jobs in Wisconsin are:
What cities in Wisconsin are hiring for Remote Medical Case Management jobs? Cities in Wisconsin with the most Remote Medical Case Management job openings:
Remote Medical Case Management jobs near you

Fully Remote Medical Overpayment Closer - WI ONLY

ClaimReturn LLC

Stevens Point, WI • On-site, Remote

$26 - $30/hr

Full-time

Medical, Dental, Vision, PTO

Posted 4 days ago

Job description

Fully Remote Medical Case Closers!
This is a CLOSER role-not a task-taker, not a processor, not a "wait for direction" position. We're hiring Closers who know how to overcome obstacles and drive calls all the way to dollars-in-the-door.
If you're the type who owns outcomes, thrives under pressure, and wants your effort tied directly to your income, this is built for you.
Base Pay: $30/hour but the real earning power comes from our Monthly Incentive Bonus Plan.
This is a performance-driven structure where top closers consistently earn incentive. Every month is a new opportunity to outperform-and get paid for it.
What Closers Do Here
You will own recovery cases:
  • Drive case inventory medical overpayment recoveries with urgency and precision
  • Manage provider communications with confidence and authority
  • Navigate RCM workflows at providers to close cases quickly
  • Strategically follow up on healthcare refunds until dollars are returned
  • Hit-and exceed-monthly recovery and revenue targets
  • Maintain a disciplined pipeline using our case management system and Microsoft Office 365 (Excel, Outlook, Teams)
  • Prioritize workload to maximize recovered dollars across inventory

This role is for someone who treats recoveries like a sales pipeline-not a checklist.
Who Succeeds in This Role
Closers who:
  • Are motivated by numbers, goals, and earnings
  • Thrive in a performance-based environment (metric environment)
  • Take initiative instead of waiting for direction
  • Communicate with confidence and clarity
  • Work with urgency and personal accountability (stay focused)
  • Understand that recoveries require persistence, strategy, and follow-through

Requirements
  • Associate's degree required; bachelor's degree preferred
  • Strong Microsoft Office 365 skills
  • Excellent communication, negotiation, and follow-up skills
  • Comfortable in a performance-driven recoveries environment
  • Ability to manage case inventory with ownership and urgency
  • Healthcare experience

Helpful (Not Required)
  • Revenue Cycle Management (RCM)
  • Healthcare Collections
  • Overpayment Recovery or Insurance Follow-Up experience
  • Experience closing cases in any industry

Schedule & Location
  • Fully remote in WI only
  • Monday-Friday | 8:00 AM - 4:30 PM
  • Designated home office that is distraction-free eight hours per day required
  • No evenings, weekends, or holidays

Why ClaimReturn LLC?
If you want a role where:
  • You own your results
  • You control your earnings
  • You're rewarded for production
  • You're surrounded by high performers

...then ClaimReturn LLC is the right environment for you.
Benefits
  • Discount dental insurance
  • Virtual health insurance
  • Paid time off
  • Discount vision insurance
  • Work Location: Virtual in WI

Apply