Remote -- client site in Baltimore, MD (21224) Type: Contract (3 months to start; expected ... non-clinical administrative work tied to pre-service authorization, utilization review support ...
Quick apply
Remote -- client site in Baltimore, MD (21224) Type: Contract (3 months to start; expected ... non-clinical administrative work tied to pre-service authorization, utilization review support ...
Quick apply
Remote -- client site in Baltimore, MD (21224) Type: Contract (3 months to start; expected ... non-clinical administrative work tied to pre-service authorization, utilization review support ...
Remote -- client site in Baltimore, MD (21224) Type: Contract (3 months to start; expected ... non-clinical administrative work tied to pre-service authorization, utilization review support ...
Quick apply
Remote -- client site in Baltimore, MD (21224) Type: Contract (3 months to start; expected ... non-clinical administrative work tied to pre-service authorization, utilization review support ...
This is a remote position that involves travel up to 1-2 times per month The Clinical Manager is ... Experience in business line preferred (i.e., commercial acute and non-acute) * Experience in ...
This is a remote position that involves travel up to 1-2 times per month The Clinical Manager is ... Experience in business line preferred (i.e., commercial acute and non-acute) * Experience in ...
Columbia, MD ยท On-site +1
$40K - $70K/yr
As a Remote Clinical Support Specialist, you will receive real-time data through remote patient ... Experience in care coordination or case management roles. * Experience with HEDIS and/or NCQA ...
Columbia, MD ยท On-site +1
$40K - $70K/yr
As a Remote Clinical Support Specialist, you will receive real-time data through remote patient ... Experience in care coordination or case management roles. * Experience with HEDIS and/or NCQA ...
Washington, DC ยท Remote
$10/hr
... non-compact state where the applicable practice is located ... A minimum of two (2) years of clinical experience in a clinic setting, Med/Surg, Case Management ...
Washington, DC ยท Remote
$10/hr
... non-compact state where the applicable practice is located ... A minimum of two (2) years of clinical experience in a clinic setting, Med/Surg, Case Management ...
Rockville, MD ยท On-site +1
The Scientific Affairs Manager plays a critical role in communicating and amplifying USP's science ... This is a remote Non- Supervisory position residing in one of the following states: New Hampshire ...
Rockville, MD ยท On-site +1
The Scientific Affairs Manager plays a critical role in communicating and amplifying USP's science ... This is a remote Non- Supervisory position residing in one of the following states: New Hampshire ...
Fully remote position - Work from the comfort of your own home in cozy clothes without a commute ... Manage patient census with a resolution-driven approach to close gaps in clinical and non-clinical ...
Fully remote position - Work from the comfort of your own home in cozy clothes without a commute ... Manage patient census with a resolution-driven approach to close gaps in clinical and non-clinical ...
Experience: 3 years acute clinical experience, previous case management, discharge planning or utilization review experience. Preferred Qualifications: * Bachelor's degree in Nursing. Knowledge ...
Experience: 3 years acute clinical experience, previous case management, discharge planning or utilization review experience. Preferred Qualifications: * Bachelor's degree in Nursing. Knowledge ...
Salisbury, MD ยท Remote
$120 - $140/hr
This is a flexible, fully remote telehealth position ideal for clinicians who are passionate about ... Participate in interdisciplinary case consultations as needed. * Adhere to all ethical, legal, and ...
Quick apply
Salisbury, MD ยท Remote
$120 - $140/hr
This is a flexible, fully remote telehealth position ideal for clinicians who are passionate about ... Participate in interdisciplinary case consultations as needed. * Adhere to all ethical, legal, and ...
Mclean, VA ยท Remote
$150/hr
Active, non restricted U.S. medical license * Recent or current clinical experience in infectious ... to manage case reviews independently Position Details * 1099 Independent Contractor * 100% remote ...
Mclean, VA ยท Remote
$150/hr
Active, non restricted U.S. medical license * Recent or current clinical experience in infectious ... to manage case reviews independently Position Details * 1099 Independent Contractor * 100% remote ...
Baltimore, MD ยท On-site +1
$28/hr
Fully remote position - Work from the comfort of your own home in cozy clothes without a commute ... Manage patient census with a resolution-driven approach to close gaps in clinical and non-clinical ...
Baltimore, MD ยท On-site +1
$28/hr
Fully remote position - Work from the comfort of your own home in cozy clothes without a commute ... Manage patient census with a resolution-driven approach to close gaps in clinical and non-clinical ...
Fully remote position - Work from the comfort of your own home in cozy clothes without a commute ... Manage patient census with a resolution-driven approach to close gaps in clinical and non-clinical ...
Quick apply
Fully remote position - Work from the comfort of your own home in cozy clothes without a commute ... Manage patient census with a resolution-driven approach to close gaps in clinical and non-clinical ...
Fully remote position - Work from the comfort of your own home in cozy clothes without a commute ... Manage patient census with a resolution-driven approach to close gaps in clinical and non-clinical ...
Fully remote position - Work from the comfort of your own home in cozy clothes without a commute ... Manage patient census with a resolution-driven approach to close gaps in clinical and non-clinical ...
Baltimore, MD ยท Remote
Experience: 5 years clinically related experience working in Care Management, Discharge ... CCM/ACM or other RN Board Certified certification in case management. * Previous experience with ...
Baltimore, MD ยท Remote
Experience: 5 years clinically related experience working in Care Management, Discharge ... CCM/ACM or other RN Board Certified certification in case management. * Previous experience with ...
Mclean, VA ยท Remote
$250 - $400/wk
Active, non restricted U.S. medical license * Recent or current clinical experience in infectious ... to manage case reviews independently Position Details * 1099 Independent Contractor * 100% remote ...
Mclean, VA ยท Remote
$250 - $400/wk
Active, non restricted U.S. medical license * Recent or current clinical experience in infectious ... to manage case reviews independently Position Details * 1099 Independent Contractor * 100% remote ...
Washington, DC ยท Remote
$36.32 - $46/hr
Care coordination and case management * Clinical assessment and care planning * Discharge planning and care transitions * Knowledge of disease processes and standards of care * Community resource ...
Quick apply
Washington, DC ยท Remote
$36.32 - $46/hr
Care coordination and case management * Clinical assessment and care planning * Discharge planning and care transitions * Knowledge of disease processes and standards of care * Community resource ...
Act as the internal SME for CCE-specific workflows, including case management models, member ... Prior experience working with WTCHP Clinical Centers of Excellence. * Experience with WTCHP ...
Act as the internal SME for CCE-specific workflows, including case management models, member ... Prior experience working with WTCHP Clinical Centers of Excellence. * Experience with WTCHP ...
Millersville, MD ยท Remote
$40 - $48/hr
Complete comprehensive case reports * Exercise strong communication and relationship-building ... Flexible, remote scheduling * No-cost continuing education courses and clinical workshops tailored ...
Quick apply
Millersville, MD ยท Remote
$40 - $48/hr
Complete comprehensive case reports * Exercise strong communication and relationship-building ... Flexible, remote scheduling * No-cost continuing education courses and clinical workshops tailored ...
Washington, DC ยท On-site +1
$85K - $160K/yr
For non-sales roles , employees will be eligible for a discretionary annual bonus, the target ... Support ongoing account management sales process through clinical education and ongoing case ...
Washington, DC ยท On-site +1
$85K - $160K/yr
For non-sales roles , employees will be eligible for a discretionary annual bonus, the target ... Support ongoing account management sales process through clinical education and ongoing case ...
Arlington, VA ยท Remote
$95K - $115K/yr
The right candidate has run case-management or special-needs programs at scale, knows military ... Remote-first role with structured travel for program meetings and site needs. * Multi-year program ...
Quick apply
Arlington, VA ยท Remote
$95K - $115K/yr
The right candidate has run case-management or special-needs programs at scale, knows military ... Remote-first role with structured travel for program meetings and site needs. * Multi-year program ...
$16.90 - $19.16
3% of jobs
$19.16 - $21.42
11% of jobs
$23.44 is the 25th percentile. Wages below this are outliers.
$21.42 - $23.68
13% of jobs
$23.68 - $25.93
8% of jobs
$25.93 - $28.19
15% of jobs
The median wage is $28.26 / hr.
$28.19 - $30.45
19% of jobs
$32.47 is the 75th percentile. Wages above this are outliers.
$30.45 - $32.71
7% of jobs
$32.71 - $34.97
6% of jobs
$34.97 - $37.23
7% of jobs
$37.23 - $39.49
6% of jobs
$39.49 - $41.75
4% of jobs
$16
$29
$41
| Aspect | Remote Non Clinical Case Manager | Remote Clinical Case Manager |
|---|---|---|
| Credentials | Typically requires a background in social work, counseling, or healthcare, with certifications like CCM or similar | Requires clinical licenses such as RN, LPN, or other healthcare provider credentials, along with case management certifications |
| Work Environment | Primarily remote, focusing on patient support, resource coordination, and non-clinical assessments | Primarily remote, involving clinical assessments, care planning, and direct patient interaction |
| Employer & Industry Usage | Used by insurance companies, healthcare providers, and social service agencies | Used mainly by healthcare organizations, hospitals, and insurance companies with clinical oversight |
Remote Non Clinical Case Managers focus on coordinating resources and providing support without direct clinical care, while Remote Clinical Case Managers handle clinical assessments and care planning requiring healthcare licenses. Both roles are remote and vital in healthcare, but differ mainly in required credentials and scope of practice.
For Remote Non Clinical Case Manager jobs in Silver Spring, MD, the most frequently searched job titles are:
The top searched job categories for Remote Non Clinical Case Manager jobs in Silver Spring, MD are:
Cities near Silver Spring, MD with the most Remote Non Clinical Case Manager job openings:

Contractor
Medical, Dental, Vision, Life, Retirement
Re-posted 8 days ago
UTILIZATION MANAGEMENT COORDINATOR
Location: Remote — client site in Baltimore, MD (21224) Type: Contract (3 months to start; expected extension possible) Schedule: 40 hours/week — must include a weekend day Pay (W2): USD 24.70/H
JOB OVERVIEW
In this role, you’ll support Utilization Management (UM) clinical teams by handling non-clinical administrative work tied to pre-service authorization, utilization review support, care coordination workflows, and quality-of-care processes. You’ll help manage authorization intake, documentation, and provider/member support—while working in a fast-paced environment where schedule flexibility (including weekends) is required.
WHAT YOU’LL DO
Provide member/provider administrative support such as benefit verification, authorization creation/management, claims inquiries, and case documentation.
Review incoming authorization requests for initial determination and/or triage items for clinical review and resolution.
Support day-to-day coordination for the department, including answering/responding to phone calls, taking messages, and responding to basic inquiries.
Research information and assist with issue resolution and operational problem-solving.
Assist with reporting, data tracking, and organizing/disseminating information (including Continuity of Care processes and tracking Peer-to-Peer reviews).
REQUIRED QUALIFICATIONS
High School Diploma (or equivalent)
3+ years of experience in healthcare claims/service areas and/or healthcare office/administrative support
Ability to work effectively within a multidisciplinary team (internal and external partners)
Strong communication, organization, and customer service skills
Strong attention to detail with sound judgment and decision-making
Comfortable with web-based tools and Microsoft Office (Word, Excel, PowerPoint)
NICE TO HAVE
Knowledge of CPT and ICD-10 coding / medical terminology used in managed care
Experience in a managed care environment (health plan / UM support)
Phone-heavy/customer support experience
Experience with Medicaid/Medicare (government programs)
Exposure to tools such as Facets, Guiding Care, and/or NICE CXone
System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.
System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.
#M-M2 #LI-
Ref: #851-Rockville-S1