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Remote Medical Case Management Jobs in Springfield, OH

CareSource

Medical Director

Dayton, OH · On-site +1

$195.20K - $341.60K/yr

Participates in quality improvement initiatives, case management activities and member safety activities (i.e. incident management * Provide cross-coverage for other Medical Directors and/or markets ...

CareSource

Medical Director

Dayton, OH · On-site +1

$195.20K - $341.60K/yr

Participates in quality improvement initiatives, case management activities and member safety activities (i.e. incident management * Provide cross-coverage for other Medical Directors and/or markets ...

CareSource

Behavioral Health Medical Director

Dayton, OH · On-site +1

$195.20K - $341.60K/yr

Assume key role in quality improvement initiatives, case management activities and member safety ... Completion of an accredited Medical Degree program as a medical doctor (MD) or Doctor of ...

CareSource

Clinical Psychologist

Dayton, OH · On-site +1

$94.10K - $164.80K/yr

Assume key role in quality improvement initiatives, case management activities and member safety ... Provide cross-coverage for Behavioral Health Medical Directors and/or markets, as needed * Support ...

Premier Health

SUPERVISOR: MEDICAL BILLING-REMOTE

Moraine, OH · On-site +1

$46.80K - $61.60K/yr

Works with the CBO A/R Manager to manage projects and develop process improvements, while providing ... Qualifications 1. Three to five years in medical billing or coding required. 2. Minimum of one year ...

CareSource

Clinical Psychologist

Dayton, OH · On-site +1

$94.10K - $164.80K/yr

Assume key role in quality improvement initiatives, case management activities and member safety ... Provide cross-coverage for Behavioral Health Medical Directors and/or markets, as needed * Support ...

Premier Health

SUPERVISOR: MEDICAL BILLING-REMOTE

Moraine, OH · Remote

$46.80K - $61.60K/yr

Works with the CBO A/R Manager to manage projects and develop process improvements, while providing the daily guidance and assistance needed to maintain optimal performance and productivity within ...

Pacs

Remote Biller

Spring Valley, OH · Remote

$35 - $36/hr

Key Responsibilities Manage Medicare, Medi-Cal/Medicaid, HMO, and private pay billing processes Submit claims accurately and timely in accordance with payer guidelines Follow up on outstanding ...

Veterans Health Administration

Management Analyst

Dayton, OH · On-site +1

$64.02K - $83.23K/yr

Summary The Management Analyst serves within Surgical Services at the Dayton VA Medical Center and ... Evaluates scheduling accuracy by comparing planned versus actual case progression to identify ...

Reid Agency

Remote Sales Professional

Springfield, OH · Remote

This is a remote position, so the ability to work independently and effectively manage your time is ... Benefits Life Insurance Medical, Dental & Vision Group plans available High earning potential ...

Reid Agency

Remote Sales Professional

Springfield, OH · Remote

$500 - $30K/wk

This is a remote position, so the ability to work independently and effectively manage your time is ... Benefits Life Insurance Medical, Dental & Vision Group plans available High earning potential ...

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Remote Medical Case Management information

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$14

$25

$45

How much do remote medical case management jobs pay per hour?

As of May 28, 2026, the average hourly pay for remote medical case management in Springfield, OH is $25.12, according to ZipRecruiter salary data. Most workers in this role earn between $19.04 and $28.12 per hour, depending on experience, location, and employer.

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 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 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 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 Springfield, OH? For Remote Medical Case Management jobs in Springfield, OH, the most frequently searched job titles are:
What job categories do people searching Remote Medical Case Management jobs in Springfield, OH look for? The top searched job categories for Remote Medical Case Management jobs in Springfield, OH are:
What cities near Springfield, OH are hiring for Remote Medical Case Management jobs? Cities near Springfield, OH 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 Springfield, OH as of May 2026, with employment types broken down into 64% Full Time, 18% Part Time, and 18% Contract. Highlights an 100% Remote job distribution, with an average salary of $52,246 per year, or $25.1 per hour.
Medical Director (REMOTE Appeals Medical Director - Pacific Standard Time, Managed Care Experienc...

Medical Director (REMOTE Appeals Medical Director - Pacific Standard Time, Managed Care Experienc...

CareSource

Dayton, OH • On-site, Remote

$195.20K - $341.60K/yr

Full-time

Posted 27 days ago

CareSource rating

7.7

Company rating: 7.7 out of 10

Based on 27 frontline employees who took The Breakroom Quiz

174th of 258 rated insurance

Job description

Job Summary:
The Medical Director is responsible for supporting staff by providing training, clinical consultation, and clinical case review for members.
Essential Functions:
  • Provide prior authorization medical reviews, consultation and clinical review services
  • Participate in peer-to-peer discussions
  • Provide provider education, training, data sharing, performance evaluations and orientation to the plan
  • Conduct clinical reviews for designated CareSource members as requested
  • Provide physician review for clinical appeals cases
  • Participate in the evaluation and investigations of cases suspected of fraud, abuse, and quality of care concerns
  • Participate in development of policies and procedures
  • Participates in quality improvement initiatives, case management activities and member safety activities (i.e. incident management
  • Provide cross-coverage for other Medical Directors and/or markets, as needed
  • Oversight and quality improvement activities associated with case management activities
  • Assist in the review of utilization data to identify variances in patterns, and provide feedback and education to MCP staff and providers as appropriate
  • Participate in the development, implementation and revision of the clinical care standards and practice guidelines ensuring compliance with nationally accepted quality standards
  • Participate in the development, implementation and revision of the Quality Improvement Plan and corporate level quality initiatives
  • Collaborate with market/product leaders to help define market strategy
  • Community collaborative participation
  • Support of regulatory and accreditation functions (eg. CMS, State, NCQA and URAC) and compliance for all programs
  • Perform any other job related instructions, as requested

Education and Experience:
  • Completion of an accredited Medical Degree program as a medical doctor (MD) or Doctor of Osteopathic (DO) medicine is required
  • Successful completion of a residency training program, preferably in primary care is required
  • Minimum of five (5) years of clinical practice experience is required
  • Managed care medical review/medical director experience is preferred
  • Bachelor's or Master's degree in Business Administration, Operational Excellence, Healthcare Administration or Medical Management is preferred

Competencies, Knowledge and Skills:
  • Basic Microsoft Word skills
  • Excellent communication skills, both written and oral
  • Ability to work well independently and within a team environment
  • Ability to create strong relationships with Providers and Members
  • High ethical standards
  • Attention to detail
  • Critical listening and systematic thinking skills
  • Ability to maintain confidentiality and act in the company's best interest
  • Ability to act with diplomacy and sensitivity to cultural diversity
  • Decision making/problem solving skills
  • Conflict resolution skills
  • Strong sense of mission and commitment of time, effort and resources to the betterment of the communities served

Licensure and Certification:
  • Current, unrestricted license to practice medicine in state of practice as necessary to meet regulatory requirements is required
  • Board Certification, preferably in primary care specialty is required
  • Re-certification, as required by specialty board, must be maintained (exceptions may be granted by Chief Medical Officer)
  • MCG Certification is required or must be obtained within six (6) months of hire

Working Conditions:
  • General office environment; may be required to sit or stand for extended periods of time
  • May be required to work evenings/weekends
  • May be required to travel to fulfill duties of position

Compensation Range:
$195,200.00 - $341,600.00
CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type (hourly/salary):
Salary
Organization Level Competencies
  • Fostering a Collaborative Workplace Culture
  • Cultivate Partnerships
  • Develop Self and Others
  • Drive Execution
  • Influence Others
  • Pursue Personal Excellence
  • Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.
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