Remote Case Manager

Humana Inc. invites you to join the Inclusa/Humana team as a Case Manager serving Wisconsin Family Care members. This remote role involves visiting members in Vernon County and coordinating with a Field Care Nurse to deliver comprehensive care plans aimed at safety and independence. You will conduct assessments, arrange services, document care, and support...

Oscar Health, Inc. is hiring a Case Manager to join our Care Delivery - Clinical team. This fully remote role serves US candidates (excluding certain states) and focuses on education, SDOH evaluation, and connecting members with community resources while contributing to program improvements. You will report to the Case Management supervisor and collaborate...

Planned Parenthood of the Pacific Southwest is seeking an experienced remote telephonic RN to coordinate comprehensive care plans and advocate for patients in a virtual setting. You will perform nursing assessments, educate patients, and manage referrals and authorizations while maintaining timely follow-up to ensure efficient care delivery. The role...

Independent Health is seeking a skilled Case Manager to coordinate patient care across the clinical team. You will develop and evaluate care plans, collaborate with payors and providers, and ensure compliance with privacy and regulatory standards. A strong focus on cost-effective, patient-centered outcomes is essential. Qualifications include an active RN...

Medpro Healthcare Staffing is seeking a dedicated Case Manager for a remote role. You will coordinate benefit verification, eligibility, enrollment, and affordability programs to ensure timely access to prescribed therapies, while maintaining exceptional customer service. Responsibilities include liaising with patients, providers, and pharmacies; researching...

Humana is seeking a Case Manager to serve Wisconsin Family Care members under the Inclusa/Humana team. This is primarily a work-from-home role with periodic visits to Vernon County for required member visits. You will assess needs, coordinate with a Field Care Nurse, arrange supportive services, and maintain MCP documentation, while ensuring cost-effective...

United Biosource Corporation is seeking a Case Manager, Reimbursement for evening shifts. This remote, home-based position supports reimbursement operations from 11:00 AM to 8:00 PM ET, Monday through Friday, with schedules determined by business needs. The role focuses on prior authorizations, reauthorizations, and appeals, ensuring timely documentation and...

UBC is seeking a Case Manager, Reimbursement for an all-virtual US-based role accepting remote candidates. The position focuses on day-to-day caseload oversight, prior authorizations, reauthorizations, and appeals, ensuring timely patient access. The candidate should have PBM experience, be able to travel occasionally, and communicate clearly with patients...

Blue Cross NC is seeking a Case Manager to join the Medicare Case Management team. You will coordinate care, resources, and services for selected member populations, collaborating with the healthcare team to promote quality outcomes. This Remote Flex role offers occasional in‑office visits, a supportive environment, and opportunities for professional...