Case management work involves the management and oversight of patient cases in medical and mental health facilities, community agencies, government departments, and nonprofit groups.
However, the responsibilities held by case management specialists encompass initial assessments, and addressing mental, and medical needs. Also, they coordinate services for patients, acting as advocates, collaborating with different service providers, and more. Nevertheless, companies hiring for case management jobs often offer remote, work-from-home, or hybrid work.
However, in this article, we are going to discuss the duties and common case management job titles which include case manager, triage consultant, and case analyst. Note, that entry-level case management jobs are available, as well as manager and director-level roles for more experienced professionals. Therefore, there are also opportunities for freelance, full-time, part-time, and flexible schedules.
Note, whether you are looking for work from anywhere case management jobs or remote “case management jobs near me,” FlexJobs can help your search.
What Does a Remote Case Manager Do?
As a remote case manager, also known as a telephonic case manager, you work from home to coordinate files and patient care. Also, you can find case manager positions in both the medical field and the social work industry. Meanwhile, in a role as a nurse case manager, you act as an advocate for patients.
Your responsibilities are to recommend treatment options, establish a care plan, communicate with families and support groups, and coordinate inpatient and outpatient care. Note, if you work as a social work case manager, you support disadvantaged individuals and families of all ages. However, your duties include assessing the needs of clients and planning meal delivery, transportation, counseling, and at-home care.
How to Become a Remote Case Manager
The qualifications for a remote case manager vary depending on the industry. Nevertheless, to work as a nurse case manager, you must earn a postsecondary degree in nursing and obtain a state license to become a registered nurse. You may also pursue voluntary certifications, such as the American Case Management credential or the Care Coordination.
Also, Transition Management designation, to demonstrate your skills and experience in the field. Note, to become a social work case manager, you typically need at least a bachelor’s degree in social work or a related field, a state-issued license, and a Certified Social Work Case Manager credential from the National Association of Social Workers. However, both positions require a reliable internet connection and relevant technology equipment to communicate effectively, along with excellent interpersonal, organizational, and critical thinking skills.
Responsibilities of remote Case Manager
For you to be qualified to work as a case manager, you must be highly equip with the experience. Hence, the following are the responsibilities of a remote case manager.
1. Ensure forms are filed appropriately and kept confidential.
2. Phone queue claim intake and status support.
3. Authentication of claimants and external parties to ensure adherence to privacy guidelines.
4. Creates claim intakes on adjudication system, and other report systems as required.
5. Coordinates with Group Administration to enroll members in their benefits.
6. Contacts and follow up as required with employers, plan members, beneficiaries, and physicians to obtain required information.
7. Manage and upload all incoming correspondences, forms, and relevant documentation for claims adjudication or maintenance. However, this includes all channels of submission, including but not limited to mail, paper, email, fax, and online claim submission.
8. Validate member information, census, salary, and eligibility information.
9. Setup required tasking on the claim for support of claim intake and maintenance.
10. Prepares confidential correspondence for employers, members, physicians, treatment providers, lawyers, and other stakeholders.
11. Updates claim, throughout its lifecycle in claims adjudication system, including but limited to Access and FINEOS.
12. Gather relevant documentation for case file assembly as it relates to referrals, litigation, or subrogation requests.
13. Work collaboratively with Case Managers, Adjudicators, and Payment Specialists with CCPD recoveries.
14. Communicate with internal departments including Medical Underwriting, Group Underwriting, Sales, Group Administration, and Payment team to provide and exchange information regarding claims activities, eligibility, and financial transactions.
Qualifications for Remote Case Manager Jobs.
1. Related post-secondary education.
2. Must possess excellent knowledge and experience with Microsoft Word, Access, Excel, and PowerPoint.
3. Keen attention to detail.
4. Strong analytical skills.
5. You must possess excellent verbal and written communication skills.
6. Must demonstrate strong organizational skills.
7. You must be able to work well under pressure and be able to assess priorities confidently.
8. Must be flexible, innovative, and independent.
9. You must work effectively with fellow employees and staff from other departments in a team-focused atmosphere.
10. Must demonstrate excellent interpersonal skills.
11. Experience with database management is an advantage.
In conclusion,
Remote case manager is involve in coordinating patients through telephone from their respective home. They help to recommend treatment to patients via phone calls. However, their duties include assessing the needs of clients and planning meal delivery, transportation, counseling, and at-home care.