34 remote case manager jobs at 23 companies in Wharton, PA
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Case Manager
United States or Yardley
$38k-$70k/yrRemoteFull Time
Inizio: Strategic commercialization and engagement services for the healthcare industry.
Bachelor's preferred; experience in patient access/HUB/reimbursement preferred. Knowledge of benefits investigation, prior authorization, appeals, patient assistance; CRM and Microsoft Office proficiency; strong communication and case management skills.
Prestige Healthcare Group: Manages administrative and clinical operations for skilled nursing facilities.
Licensed LPN in Pennsylvania with case management or admissions experience in long-term care; ability to coordinate with payers, manage utilization review, and document in EHR.
Seniority Healthcare: Provides mobile primary and palliative care to geriatric populations.
4+ YOELPN or RN required; 4+ years geriatric case management; proficient in EHR; phlebotomy; strong communication; team and remote work; healthcare terminology preferred.
Case Manager, Rare Endocrinology & Rare Tumor (RERT) Team (Pacific Time Zone)
Wilmington, Delaware, United States
RemoteFull Time
AstraZenecaLondon Stock Exchange: AZN: Global biopharmaceutical developing and manufacturing prescription medicines.
3+ YOEAssociate degree required; 3–5 years of case management or equivalent experience. Requires insurance and reimbursement knowledge, regulatory familiarity, communication, problem-solving, and computer literacy.
Case Manager, Rare Endocrinology & Rare Tumor (RERT) Team (Pacific Time Zone)
Wilmington, Delaware, United States
RemoteFull Time
AstraZenecaLondon Stock Exchange: AZN: Researches, develops, and manufactures prescription medicines for major diseases.
3+ YOEAssociate degree required; 3–5 years of case management or equivalent experience. Requires insurance reimbursement knowledge, regulatory familiarity, communication, problem-solving, computer literacy, and patient support experience.
Opus Medical: Physician-led medical case management for work-injury recovery.
2+ YOERegistered nurse with state license, 2 years field case management experience preferred; CCM/CRC/CLNC/CRRN certifications preferred; ability to travel locally.
CaseAnyplace, LMS, Voc Rehab, IME coordination tools
AmerisafeNASDAQ: AMSF: Provides workers' compensation insurance for hazardous industries.
Workers' compensation claims experience preferred; bachelor's degree or related business experience; state claims license if required; valid driver's license, vehicle, communication, software, and self-direction skills.
Pennsylvania or New Jersey or Delaware or Philadelphia
RemoteFull Time
Independence Blue Cross: Provides health insurance plans and managed care services.
3+ YOEActive PA RN, LCSW, LSW, or LPC required; 3–5 years post-licensure healthcare experience, behavioral health knowledge, motivational interviewing, assessment, critical thinking, and Microsoft Office Suite skills.
Microsoft Office Suite, Microsoft Authenticator, Android, iOS
PRS Case Management Supervisor - Bilingual Juntos (3984)
Philadelphia or Camden
$65k/yrRemoteFull Time
Center for Family Services: Provides comprehensive social services and mental health support.
3+ YOE3+ MgmtMSW or equivalent (or BA+5yrs), ~3 years progressive case management/supervisory experience, bilingual Spanish/English, experience conducting home studies, knowledge of community resources, pass medical and background checks.
Case Mgr Behavioral Health - Remote (PA/NJ/DE) in Philadelphia, Pennsylvania
Pennsylvania or New Jersey or Delaware or Philadelphia
RemoteFull Time
Independence Health Group: Provides health insurance and healthcare administration services.
3+ YOEActive Pennsylvania RN license or LCSW, LSW, or LPC required; 3–5 years post-licensure healthcare experience, behavioral health knowledge, motivational interviewing, assessment, computer, and communication skills.
Affinity Hospice: Provides hospice and palliative care for terminally ill patients.
1+ YOEActive RN license; 1 year of professional nursing in last 3 years or BSN with 2 years in public health, home care, or hospice; valid driver’s license; CPR; strong communication and nursing skills.
Manager, IDD Care Management - Remote in New Jersey
Florence, New Jersey, United States
RemoteFull Time
The Columbus Organization: Provider of case management, staffing, and quality improvement services.
5+ YOE2+ MgmtBachelor's in Human Services (or Associate +2 years experience); 5+ years case management with 2+ years supervisory; experience with IDD populations; strong planning, communication, and policy interpretation skills.
Goldfein & Associates: Nationwide law firm specializing in automotive asset legal services.
Active Pennsylvania bar admission, ability to manage high-volume caseloads, strong negotiation and litigation skills, proficiency with Microsoft Word/Outlook/Excel/Teams and case management software.
Microsoft Word, Microsoft Outlook, Microsoft Excel, Microsoft Teams, case management software, internet browsers
Hopewell or New Jersey or New York or Pennsylvania or Connecticut or Delaware
$71k-$94k/yrRemoteFull Time
Horizon Blue Cross Blue Shield of New Jersey: Provides health insurance and managed care products in New Jersey.
3+ YOERequires RN license or bachelor’s in social work/health/behavioral science, 3+ years serving special needs members, strong case management and managed care knowledge, MS Office proficiency, valid NJ driver's license for some roles.
Microsoft Excel, Microsoft Access, Microsoft Word, Microsoft Office
Virtua Health: Academic health system providing hospital and outpatient medical services.
3+ YOENJ RN licensure required, case management certification within one year, 3+ years clinical nursing experience (preferred) with 1 year UR/CM/QM experience, knowledge of Medicare/Medicaid/managed care, discharge planning/home health background, strong communication and critical thinking.
Utilization Management Medical Director - Medical Oncology - Remote anywhere in US
Houston or Chicago or Atlanta or Phoenix or Los Angeles or Saint Louis or San Diego or Dallas or Philadelphia or Seattle
$249k-$373k/yrRemoteFull Time
UnitedHealth GroupNYSE: UNH: Provides health insurance and technology-enabled health care services.
5+ YOEMD or DO with current medical license; Board Certification in Oncology; 5+ years clinical experience in oncology; NCCN guideline experience; able to support utilization review and case/disease management.
New York City or Research Triangle Park or Houston or Denver or Boston or Atlanta or Chicago or Philadelphia
$173k-$232k/yrRemoteFull Time
CiscoNASDAQ: CSCO: Develops and sells networking hardware and cybersecurity software.
5+ YOEBachelor’s degree and 5+ years’ experience in client-facing business advisory, preferably B2B technology or telecommunications; requires complex program leadership, executive influence, market analysis, business cases, and Microsoft Office proficiency.
Clinical Appeals Nurse - Full Time Remote - Jefferson Health
Philadelphia, Pennsylvania, United States
RemoteFull Time
Jefferson: Providing healthcare services and academic programs in Pennsylvania.
10+ YOEActive PA RN license, bachelor’s in nursing or specialized diploma, 10 years clinical or case management/utilization review, knowledge of Interqual/medical policy, coding, and payor rules, Epic and Excel experience, RCE training.
Austin or San Antonio or California or Los Angeles or Philadelphia or San Francisco
$93k-$159k/yrRemoteFull Time
Liberty Mutual: Provides diversified property, casualty, and commercial insurance products.
Juris Doctor or LLB, admission to the required state bar in good standing, insurance law knowledge, litigation experience, legal research and writing, negotiation, and case management skills.
Kroll: Provides global risk and financial advisory solutions.
2+ YOECollege degree or comparable experience, minimum 2 years direct client/customer contact, strong verbal/written communication, critical thinking, project management, MS Office (Excel) proficiency, ability to meet deadlines and manage cases.