This is a remote role. Candidates must reside in the state of Ohio. When you join the team as an Executive Case Manager, you'll have the opportunity to make a difference in the lives of our patients ...
This is a remote role. Candidates must reside in the state of Ohio. When you join the team as an Executive Case Manager, you'll have the opportunity to make a difference in the lives of our patients ...
Executive Case Manager (Remote)
Cincinnati, OH ยท On-site +1
This is a remote role. Candidates must reside in the state of Ohio. When you join the team as an Executive Case Manager, you'll have the opportunity to make a difference in the lives of our patients ...
Executive Case Manager (Remote)
Cincinnati, OH ยท On-site +1
This is a remote role. Candidates must reside in the state of Ohio. When you join the team as an Executive Case Manager, you'll have the opportunity to make a difference in the lives of our patients ...
Appeals Case Manager (Remote)
Cincinnati, OH ยท Remote
$51.41K - $92.04K/yr
Overview of Duties The Appeals Case Manager exercises responsibility for processing cases through ... On occasion, after-hours and weekend work may be requested to support the Court. Electronic Fund ...
Quick apply
Appeals Case Manager (Remote)
Cincinnati, OH ยท Remote
$51.41K - $92.04K/yr
Overview of Duties The Appeals Case Manager exercises responsibility for processing cases through ... On occasion, after-hours and weekend work may be requested to support the Court. Electronic Fund ...
Field Case Manager - Vocational
Cincinnati, OH ยท On-site +1
Sedgwick Field Case Managers work face to face with their injured workers and medical providers to ... remote work environment that allows face to face interaction with injured workers and medical ...
Field Case Manager - Vocational
Cincinnati, OH ยท On-site +1
Sedgwick Field Case Managers work face to face with their injured workers and medical providers to ... remote work environment that allows face to face interaction with injured workers and medical ...
Field Case Manager - Vocational
Cincinnati, OH ยท On-site +1
Sedgwick Field Case Managers work face to face with their injured workers and medical providers to ... remote work environment that allows face to face interaction with injured workers and medical ...
Field Case Manager - Vocational
Cincinnati, OH ยท On-site +1
Sedgwick Field Case Managers work face to face with their injured workers and medical providers to ... remote work environment that allows face to face interaction with injured workers and medical ...
Appeals Case Manager
Cincinnati, OH ยท On-site +1
$51.41K - $92.04K/yr
Overview of Duties The Appeals Case Manager exercises responsibility for processing cases through ... On occasion, after-hours and weekend work may be requested to support the Court. Electronic Fund ...
Appeals Case Manager
Cincinnati, OH ยท On-site +1
$51.41K - $92.04K/yr
Overview of Duties The Appeals Case Manager exercises responsibility for processing cases through ... On occasion, after-hours and weekend work may be requested to support the Court. Electronic Fund ...
Case Manager, Rare Endocrinology and Rare Tumors (EST)
Cincinnati, OH ยท Remote
$19.25 - $24.75/hr
Remote position supporting Easter Standard Time Zone (8:30am EST - 5pm EST) with occasional patient ... The Case Manager (CM) serves as the primary point of contact to patients and caregivers throughout ...
Case Manager, Rare Endocrinology and Rare Tumors (EST)
Cincinnati, OH ยท Remote
$19.25 - $24.75/hr
Remote position supporting Easter Standard Time Zone (8:30am EST - 5pm EST) with occasional patient ... The Case Manager (CM) serves as the primary point of contact to patients and caregivers throughout ...
Case Manager: Substance use disorder & Mental health (Full-time/Part-time - 1099)
Cincinnati, OH ยท On-site +1
$21 - $26/hr
The role is a remote, telehealth position Essential Duties and Responsibilities * Complete initial ... Provide recovery-oriented, person-centered case management services. * Complete timely, accurate ...
Case Manager: Substance use disorder & Mental health (Full-time/Part-time - 1099)
Cincinnati, OH ยท On-site +1
$21 - $26/hr
The role is a remote, telehealth position Essential Duties and Responsibilities * Complete initial ... Provide recovery-oriented, person-centered case management services. * Complete timely, accurate ...
Senior Services Intake Navigator (Remote)
Hamilton, OH ยท On-site +1
$16/hr
Ideal candidates will hold a degree in social work, nursing, or related fields and have experience in geriatrics or case management. The position starts at $16/hr, with remote work available after ...
Senior Services Intake Navigator (Remote)
Hamilton, OH ยท On-site +1
$16/hr
Ideal candidates will hold a degree in social work, nursing, or related fields and have experience in geriatrics or case management. The position starts at $16/hr, with remote work available after ...
Care Manager- Behavioral Health Licensed (Kentucky based)
Covington, KY ยท Remote
$25.08 - $51.49/hr
This is primarily a remote position with rare to limited field travel. Essential Job Duties ... care coordination/case management based on clinical judgment, changes in member health or ...
Care Manager- Behavioral Health Licensed (Kentucky based)
Covington, KY ยท Remote
$25.08 - $51.49/hr
This is primarily a remote position with rare to limited field travel. Essential Job Duties ... care coordination/case management based on clinical judgment, changes in member health or ...
This position is 15 hours per week and is fully remote. Services may be completed from your home or ... Coordinate care with the Case Manager and other service providers to ensure effective and ...
This position is 15 hours per week and is fully remote. Services may be completed from your home or ... Coordinate care with the Case Manager and other service providers to ensure effective and ...
Children's Services Worker (Kinnect to Family Worker) (4259-12)
Cincinnati, OH ยท On-site +1
$24.40/hr
... Remote Work Schedule) NOTE: Applicants for positions with Hamilton County Job and Family Services ... Collaborate with the case manager and court officials with meeting the Fostering Connections to ...
Children's Services Worker (Kinnect to Family Worker) (4259-12)
Cincinnati, OH ยท On-site +1
$24.40/hr
... Remote Work Schedule) NOTE: Applicants for positions with Hamilton County Job and Family Services ... Collaborate with the case manager and court officials with meeting the Fostering Connections to ...
Be Seen First
Oncologist (MD or DO) - Remote Second Opinion Service
Cincinnati, OH ยท Remote
$1K - $5K/wk
What You Get Competitive Pay: Earn the equivalent of average $100-$400/hr (paid per case ... Review cases on your schedule -- whether that's nights, weekends, or whenever works best. Work fro ...
Quick apply
Be Seen First
Oncologist (MD or DO) - Remote Second Opinion Service
Cincinnati, OH ยท Remote
$1K - $5K/wk
What You Get Competitive Pay: Earn the equivalent of average $100-$400/hr (paid per case ... Review cases on your schedule -- whether that's nights, weekends, or whenever works best. Work fro ...
Associate Staff Attorney
Cincinnati, OH ยท On-site +1
$93K - $159K/yr
Utilize e-discovery and case management technologies to streamline legal processes, improve efficiency, and reduce operational costs. Demonstrate effective coordination with remote team members and ...
Associate Staff Attorney
Cincinnati, OH ยท On-site +1
$93K - $159K/yr
Utilize e-discovery and case management technologies to streamline legal processes, improve efficiency, and reduce operational costs. Demonstrate effective coordination with remote team members and ...
Associate Staff Attorney
Cincinnati, OH ยท On-site +1
Utilize e-discovery and case management technologies to streamline legal processes, improve efficiency, and reduce operational costs. Demonstrate effective coordination with remote team members and ...
Associate Staff Attorney
Cincinnati, OH ยท On-site +1
Utilize e-discovery and case management technologies to streamline legal processes, improve efficiency, and reduce operational costs. Demonstrate effective coordination with remote team members and ...
Associate Staff Attorney
Cincinnati, OH ยท On-site +1
Utilize e-discovery and case management technologies to streamline legal processes, improve efficiency, and reduce operational costs. Demonstrate effective coordination with remote team members and ...
Associate Staff Attorney
Cincinnati, OH ยท On-site +1
Utilize e-discovery and case management technologies to streamline legal processes, improve efficiency, and reduce operational costs. Demonstrate effective coordination with remote team members and ...
Phone-Based Closing Specialist Remote High-Ticket Sales (Evening & Weekend Shift)
Cincinnati, OH ยท Remote
... Remote Work from home no commute, no office Schedule: Evenings & Weekends (detailed rotation below ... What you need to bring: * 2+ years closing high-ticket B2C deals over the phone * CRM skills ...
Quick apply
Phone-Based Closing Specialist Remote High-Ticket Sales (Evening & Weekend Shift)
Cincinnati, OH ยท Remote
... Remote Work from home no commute, no office Schedule: Evenings & Weekends (detailed rotation below ... What you need to bring: * 2+ years closing high-ticket B2C deals over the phone * CRM skills ...
Warren, Clermont, and Butler County, Ohio (and surrounding areas) Job Type: Full-Time | Remote with Field Visits Industry: Healthcare / Social Services / Case Management About the Opportunity at ...
Warren, Clermont, and Butler County, Ohio (and surrounding areas) Job Type: Full-Time | Remote with Field Visits Industry: Healthcare / Social Services / Case Management About the Opportunity at ...
Pre-Litigation Associate - Of Counsel (Remote)
Cincinnati, OH ยท Remote
$120K - $216K/yr
This fully remote position is for an Associate - Of Counsel (Remote) is available nationwide in any ... Manager and/or Case Staffer. Qualifications: * Must be admitted to the CA state bar and comply with ...
Pre-Litigation Associate - Of Counsel (Remote)
Cincinnati, OH ยท Remote
$120K - $216K/yr
This fully remote position is for an Associate - Of Counsel (Remote) is available nationwide in any ... Manager and/or Case Staffer. Qualifications: * Must be admitted to the CA state bar and comply with ...
Law and Motion Associate - Of Counsel (Remote)
Cincinnati, OH ยท Remote
$120K - $216K/yr
This fully remote position is for an Associate - Of Counsel (Remote) and is available nationwide in ... Manager and/or Case Staffer. Qualifications: * Must be admitted to the CA state bar and comply with ...
Law and Motion Associate - Of Counsel (Remote)
Cincinnati, OH ยท Remote
$120K - $216K/yr
This fully remote position is for an Associate - Of Counsel (Remote) and is available nationwide in ... Manager and/or Case Staffer. Qualifications: * Must be admitted to the CA state bar and comply with ...
Weekend Remote Case Manager information
See Cincinnati, OH salary details
$13.84 - $16.29
6% of jobs
$18.58 is the 25th percentile. Wages below this are outliers.
$16.29 - $18.74
20% of jobs
The median wage is $21.04 / hr.
$18.74 - $21.20
25% of jobs
$21.20 - $23.65
21% of jobs
$24.26 is the 75th percentile. Wages above this are outliers.
$23.65 - $26.10
9% of jobs
$26.10 - $28.56
5% of jobs
$28.56 - $31.01
4% of jobs
$31.01 - $33.46
3% of jobs
$33.46 - $35.92
2% of jobs
$35.92 - $38.37
2% of jobs
$38.37 - $40.82
1% of jobs
$13
$23
$40
How much do weekend remote case manager jobs pay per hour?
What is the difference between Weekend Remote Case Manager vs Weekend Remote Social Worker?
| Aspect | Weekend Remote Case Manager | Weekend Remote Social Worker |
|---|---|---|
| Required Credentials | Case management certification, relevant licensure | Social work license (LCSW, LMSW), certification |
| Work Environment | Remote, healthcare or insurance settings | Remote, healthcare, mental health, or community services |
| Employer & Industry | Healthcare providers, insurance companies | Hospitals, clinics, social service agencies |
| Common Search & Comparison | Yes | Yes |
Weekend Remote Case Managers focus on coordinating patient care, managing treatment plans, and ensuring healthcare compliance, often working with insurance companies or healthcare providers. Weekend Remote Social Workers provide emotional support, counseling, and connect clients to community resources, typically in social service settings. While both roles require relevant certifications and often work remotely on weekends, their primary responsibilities and industry focus differ.
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 24 days ago
Job description
A typical day in this role will include ownership of your patient journey from initiation to closure by using your critical thinking skills and your knowledge of the program and industry rules and standards. This includes completing benefit investigations, tracking prior authorizations / denial appeals, and assisting patients or other callers/stakeholders through resolution (via email, inbound/outbound calls and using our patented technology, Lynk). This role requires a strong understanding of pharmacy and medical billing and coding, excellent communication skills, and the ability to navigate complex reimbursement processes.
The Executive Case Manager provides expertise on insurance coverage and common access and reimbursement challenges affecting patients, healthcare providers and clients. The Executive Case Manager responsibilities include education on the access and reimbursement support tools available from PharmaCord and participating program, advising HCPs and/or patients and caregivers on the benefits and program eligibility for a specific patient, and educating HCP offices on Payor processes and procedures.
- Relationship Management
- Builds trusted relationships with patients, prescribers, and appropriate client stakeholders regarding reimbursement inquiries and challenges through proactive communication, timely and accurate execution of deliverables and demonstrated relentless passion for helping patients.
- Manages all relationships in a manner that adheres to all relevant laws, regulations, program-specific operating procedures and industry standards related to access and affordability, including HIPAA and insurance guidelines.
- Managed through call/contact center structure, this role supports inbound and outbound calls to patients, caregivers, specialty pharmacies and healthcare professionals.
- Performs post Benefits Investigation calls to patients and/or physicians explaining coverage options and next steps in the access journey.
- Manages all client inquiries as appropriate, such as case specific statuses.
- Manages HCP inquiries, as applicable, pursuant to business rules.
- All communications with the clientโs field teams will remain compliant and adhere to ways of working protocols outlined between PharmaCord and the client teams. Inbound Call Management
- Manages inbound calls as directed by the program-approved FAQs
- Triage patients to internal or external resources as appropriate.
- Personalized Case Management
- Provides personalized case management to patients and HCPs including outbound communication to HCPs, specialty pharmacies and patients to communicate benefit coverage and/or appropriately help drive next steps in obtaining coverage and/or access to prescribed medicine. All communications for case management will follow the guidelines set forth for the program and only provide information publicly available and/or outlined in the patient insert.
- Leverages electronic tools to identify benefits and payer coverage; completes manual benefit investigation as needed.
- Identifies and communicates patientโs plan benefit coverage including the need for prior authorization, appeal, tier exception, and/or formulary exclusions.
- Serves as a subject matter expert to internal team as required and appropriate.
- Uses electronic resources to obtain benefit coverage outcome and if needed, outbound call to payers and HCPs to follow up on proper submission and/or outcome.
- Coordinates nurse teach with nurse educators, as applicable to program.
- Supports adherence services as applicable to program.
- Identifies peer support resources for patients.
- Proactively communicates needs for reverification of prior authorization or re-enrollment.
- Identifies and reports adverse events, product complaints, special situation reports and/or medical inquiries received in accordance with program operating procedures and the Business Rules.
- Documents all activities within the PharmaCord Lynk system, maintaining detailed records of reimbursement activities, including claims status, payments, and appeals.
- Generate reports and analysis as needed to identify trends and opportunities for improvement.in accordance with business requirements.
- Utilize Valerisโ values as the driving force behind the teamโs success
- On time adherence to training deadlines for all corporate policies and procedures
- Ensure all SOPs are followed with consistency
- Perform additional tasks or projects as assigned
- Completion of Bachelor's degree (or higher) required
- A degree in healthcare administration, social science or similar related fields is strongly preferred.
- Minimum two years of experience in healthcare access delivery or management is strongly preferred.
- 5-10 years of experience in insurance reimbursement, patient access, direct patient care, and/or patient education experience will be considered in lieu of degree.
- Will consider other certifications and five or more consecutive years of experience in relevant field. Certification examples include PACS (Prior Authorization Certified Specialist), CHES (Certified Health Education Specialist) or CCM in healthcare or social science (Certified Case Manager).
- Strong understanding of medical terminology, coding systems (ICD-10, CPT, HCPCS), and insurance processes.
- Demonstrated examples of executing within guardrails recognizing urgency and consistently delivering patient centric results.
- Excellent attention to detail and organizational skills.
- Ability to prioritize tasks and work efficiently in a fast-paced environment.
- Effective written and verbal communication and interpersonal skills, with the ability to interact professionally with diverse stakeholders.
- Demonstrates the ability to think critically and issue resolution.
- Knowledge of healthcare compliance regulations, including HIPAA and Medicare/Medicaid guidelines.
- Bi-lingual skills are a plus.
- Remote work eligibility is subject to all work from home criteria met and based on business need
- While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to sit for long periods of time, use hands to type, handle or feel; and reach with hands and arms. Prefer candidates who can type at least 35 words per minute with 97% accuracy.
- Although very minimal, flexibility to travel as needed is preferred.
- This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, etc.
- Medical, dental, and vision plans, including HSA- and FSA-eligible options, with Valeris contributing toward premium costs
- Additional health support, including telehealth and Employee Assistance Program (EAP) services
- Company match on Health Savings Account contributions
- Free Basic Life and AD amp;D coverage equal to your annual earnings, with a minimum of $50,000 and a maximum of $300,000
- Company-paid Short-Term Disability coverage, with the option to purchase Long-Term Disability
- 401(k) Retirement Savings Plan with 100% match on the first 5% you contribute, with immediate vesting
- Paid Time Off (PTO) and Sick Leave to support work-life balance
- Team members receive nine paid holidays plus two floating holidays
- Opportunities for advancement in a company that supports personal and professional growth
- A challenging, stimulating work environment that encourages new ideas
- Work for a company that values diversity and makes deliberate efforts to create an inclusive workplace
- A mission-driven, inclusive culture where your work makes a meaningful impact
Due to an increase in hiring scams, please be aware that if you are selected to move forward in our hiring process, a member of our Talent Acquisition team will contact you directly using an official @pharmacord.com and/or @valeris.com, @echo.newtonsoftware.com email address regarding next steps in our interview process.
Please Note:- PharmaCord will never use Microsoft Teams to reach out to candidates for interview scheduling. However, video interviews are typically conducted via Microsoft Teams. Official meeting links will always be sent from an @valeris.com, @pharmacord.com or @echo.newtonsoftware.com email address, or through our scheduling platform, Calendly.
- We will never request your bank account information at any stage of the hiring process.
- We will never send a check (electronic or physical) to purchase home office equipment.
If you receive any suspicious communication regarding employment with PharmaCord, please report it to our Talent Acquisition team immediately at careers@pharmacord.com