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Remote Case Reviewer Jobs Near Me

Fully remote (never coming onsite) Position Summary The Case Manager utilizes a collaborative ... Duties Through the use of clinical tools and information/data review, conducts comprehensive ...

Case Manager

Columbus, OH · Hybrid

$19 - $24.50/hr

... review progress and provide guidance. * Connect participants with community resources related to ... Hybrid work schedule with a combination of remote and in-office work. * Retirement savings plan ...

Provide real-time QA oversight (documentation verification, record checks, case review, and process ... Remote * Schedule: Full-time * May require additional availability or flexibility for audits or ...

Remote micro1 is engaging Computational Biology Experts to contribute their advanced scientific ... Develop and review problem sets, case studies, or scenarios based on real-world medicinal chemistry ...

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They upload this evidence to a case management system for use in legal proceedings and formal reports. Review and Analyze Evidence Coordinating with the client, the investigator will review and ...

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Be Seen First

They upload this evidence to a case management system for use in legal proceedings and formal reports. Review and Analyze Evidence Coordinating with the client, the investigator will review and ...

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How much do remote case reviewer jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for remote case reviewer in the United States is $47.53, according to ZipRecruiter salary data. Most workers in this role earn between $35.34 and $57.45 per hour, depending on experience, location, and employer.

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A map of the United States highlighting the number of Remote Case Reviewer job openings by state according to ZipRecruiter. The image is accompanied by a detailed chart listing the number of Remote Case Reviewer job openings in each state, with California having the most at 2 and Alaska the least at 0.

Nurse Case Manager

VIVA USA INC

Columbus, OH • On-site, Remote

Contractor

Posted 5 days ago


Job description

Fully remote (never coming onsite)
Position Summary
The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes.
Requires an RN with unrestricted active license in the state of OH or compact license.
Duties
Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services
Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member's needs to ensure appropriate administration of benefits
Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures
Experience
3 years Clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care required.
Healthcare and/or managed care industry experience.
Case Management experience preferred-- Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding
Effective communication skills, both verbal and written.
Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
Sedentary work involving periods of sitting, talking, listening. Work requires sitting for extended periods, talking on the telephone and typing on the computer.
Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor.
Typical office working environment with productivity and quality expectations?
Education
RN with current unrestricted state licensure for state of OH
Case Management Certification CCM preferred
Notes:
This role is a WFH telephonic position.
No travel will be required.
Candidates must work EST hours. 8am-5pm EST.
Candidates must have a quite place to work with no distractions due to HIPPAA Compliance.
VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status