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Remote Rn Field Case Manager Jobs in Florence, KY

CTI

Clinical Trial Manager

Covington, KY · On-site +1

May conduct on-site or remote monitoring activities as needed, including, but not limited to, Pre ... field such as nursing, pharmacy, or health / natural science, or RN with Associate's Degree, or 3 ...

CTI

Clinical Trial Manager

Covington, KY · Remote

May conduct on-site or remote monitoring activities as needed, including, but not limited to, Pre ... field such as nursing, pharmacy, or health / natural science, or RN with Associate's Degree, or 3 ...

BillionToOne

Oncology Account Executive

Cincinnati, OH · Remote

$241K - $311K/yr

The Oncology Account Executive is a field based position and reports to a Regional Manager ... Physicians Assistant (PA), Nurse Practitioner (NP) or Registered Nurse (RN) with experience ...

The Christ Hospital

Virtual Nurse

Cincinnati, OH · On-site +1

The RN utilizes knowledge derived from the principles of biological, physical, behavioral, social ... Submits required tests and paperwork in a timely manner without management interventions.

The Christ Hospital

Virtual Nurse

Cincinnati, OH · On-site +1

The RN utilizes knowledge derived from the principles of biological, physical, behavioral, social ... Submits required tests and paperwork in a timely manner without management interventions.

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All JobsRn Field Case JobsRemote Rn Field Case Manager JobsRemote Rn Field Case Manager Jobs in Florence, KY

Remote Rn Field Case Manager information

See Florence, KY salary details

$63K

$85.4K

$104.2K

How much do remote rn field case manager jobs pay per year?

As of Aug 9, 2026, the average yearly pay for remote rn field case manager in Florence, KY is $85,378.00, according to ZipRecruiter salary data. Most workers in this role earn between $76,900.00 and $94,300.00 per year, depending on experience, location, and employer.

What is the difference between Remote Rn Field Case Manager vs Remote Rn Utilization Review Nurse?

AspectRemote Rn Field Case ManagerRemote Rn Utilization Review Nurse
CertificationsRN license, case management certification often preferredRN license, certification in utilization review or case management beneficial
Work EnvironmentField-based, visiting patients and providers remotelyOffice-based, reviewing cases and medical records remotely
Employer & Industry UsageInsurance companies, workers' comp, healthcare providersInsurance companies, managed care organizations, healthcare payers
Common Search & ComparisonRemote Rn Field Case Manager vs Remote Rn Utilization Review Nurse

The Remote Rn Field Case Manager primarily conducts patient visits and manages cases in the field, while the Remote Rn Utilization Review Nurse focuses on reviewing medical necessity and appropriateness of care remotely. Both roles require RN licensure and related certifications, but differ in work environment and daily responsibilities.

What are popular job titles related to Remote Rn Field Case Manager jobs in Florence, KY? For Remote Rn Field Case Manager jobs in Florence, KY, the most frequently searched job titles are:
What job categories do people searching Remote Rn Field Case Manager jobs in Florence, KY look for? The top searched job categories for Remote Rn Field Case Manager jobs in Florence, KY are:
What cities near Florence, KY are hiring for Remote Rn Field Case Manager jobs? Cities near Florence, KY with the most Remote Rn Field Case Manager job openings:
Remote Rn Field Case Manager jobs near you

Claims Specialist with FineOS - Remote

Northern Base

Cincinnati, OH • Remote

Full-time

PTO

Re-posted 2 days ago

Job description

Claims Specialist with FineOS
Remote
Fulltime

Responsibilities:
To provide Absence case management and claim adjudications, based on medical documentation and the applicable Disability/FMLA/Paid Family Leave interpretation, including determining benefits due and making timely payments and adjustments.
Review and analyze the claim nuances, eligibility review, and type of claims (intermittent or continuous)
Review and analyze medical information (i.e. attending physician reports, medical records such as diagnostic tests, office notes, operative reports, etc.) to determine if the claimant is disabled as defined.
Approval or denial on FMLA claims as per Insurance carrier, and employer’s guidelines
Analyzes, approves and authorizes assigned claims and determines benefits due pursuant to US paid family law regulations.
Review claims for Not in good order cases, and work on securing missing documentations including employee, physician, or employer outreach.
Communicates clearly with the claimants and clients to set expectations on all aspects of claims process either by phone and/or written correspondence.
Reviews client critical deliverables, manages the overall workload, and second-level process escalation.
Determines benefits due, makes timely claims payments/approvals and adjustments for Workers Compensation, State Short Term Disability, and other disability offsets.
Refers cases as appropriate to team lead and clinical case management
Responsible for managing the day-to-day workload and first-level process escalation, and reviews processes for accuracy and timeliness where applicable in case of peer reviews.
Provide ideas to management on continuous improvement and service level management
Performs other duties or participates in special projects as assigned

Requirements:
1+ year of Disability/FMLA/PFL claims or insurance claims experience
Experience working with FINEOS
Working knowledge of medical terminology and documents, including APS, Diagnostic Tests, Imaging Tests reports
Knowledge of disability insurance claims, benefits administration, offsets and deductions, disability duration and medical management practices mandatory
Excellent oral and written communication, including presentation skills
Strong Analytical, decision making, problem solving, and people management skills
Computer experience with keyboarding skills and proficiency in using software applications and packages including MS Office (Excel, Word, PPT)
Willingness to embrace change in a fast paced work environment
A strong desire to continuously learn and improve
Identify escalated cases and work with Team Leader to develop a plan to address key issues.