Remote Jobs RockRemote Jobs Rock

Case Manager

🕒 yesterday
Case ManagementPatient AdvocacyCare CoordinationMedical Necessity Review
Apply Now

📜 Description

  • Help patients make informed decisions about clinical status, medications, and treatment options.
  • Interview patients to assess their needs and determine appropriate services and assistance.
  • Document case histories, prepare reports, and keep case records accurate and current.
  • Coordinate clinical information with patients, physicians, insurers, facility staff, families, and essential services.
  • Apply care protocols and report quality-of-care concerns.

🛠️ Requirements

  • Valid USRN–NY nursing license.
  • Degree in Nursing or a similar field.
  • Minimum 2 years of clinical experience preferred.
  • Strong written and verbal English communication skills.
  • Experience supporting individuals who have difficulty expressing their needs.
  • Team-oriented, adaptable in a fast-paced environment, and a critical thinker with a customer-service focus.

✨ Benefits

  • Conduct concurrent and retrospective reviews of medical necessity, service appropriateness, and level of care.
Full job description

At Limitlessli we specialize in recruiting, hiring, and managing high-caliber remote staff for dynamic and growing healthcare facilities. Leveraging our extensive global network, we connect clients with highly qualified professionals, offering tailored services to meet our clients' unique business needs.

The Opportunity:

Are you a healthcare professional with a passion for making a real difference in patients' lives? We’re looking for a dynamic and compassionate Case Manager to join our team and collaborate with our US-based healthcare client. In this rewarding role, you'll be the guiding force helping patients navigate their healthcare journey, ensuring they receive top-notch care and support every step of the way. If you're excited about advocating for patients and coordinating their care in a meaningful way, we’d love to hear from you!

This position is remote and offers you the flexibility of working from home.

Key responsibilities include:

  • Assist patients in making informed decisions about their clinical status, medications, and treatment options
  • Conduct concurrent and retrospective reviews to assess medical necessity, appropriateness of service, and level of care
  • Interview clients or patients to evaluate their situational needs
  • Determine necessary services and assistance for patients
  • Document case history, prepare reports, and serve as a liaison between families and essential services
  • Use care protocols, standards, and guidelines to inform decision-making
  • Liaise with patients, physicians, insurance companies, and facility staff regarding clinical-related information and clarifications via phone, email, and other communication methods
  • Ensure case reports are accurate and up to date
  • Identify and report quality of care concerns appropriately
  • Undertake other ad-hoc duties as assigned

To succeed in this role you:

  • Must possess a valid USRN - NY nursing license
  • A graduate degree in BS Nursing or similar field
  • Minimum 2 years of clinical experience is preferred
  • Excellent English communication skills, both written and verbal
  • A background working with individuals who have difficulty expressing their needs
  • Outgoing and team-orientated
  • Capable of working in a fast-paced environment
  • Critical thinker with strong customer service focus

Qualifications:

Degree in Nursing

Service Fee:

Industry standards applicable to the state depending on work experience and level of expertise.

Hours:

US Eastern Standard Time (EST) - Monday to Friday - 9am to 6pm

Why Limitlessli?

We embrace the flexibility and convenience of a remote working environment, and you will collaborate with an international team while contributing to our growing business, all from the comfort of your home.

Essential requirements:

You will need to have some essential tools – a reliable computer and noise-canceling headset, a second monitor for enhanced productivity, and a stable internet connection. You’ll also be required to have a backup internet connection, ensuring that you’re well-equipped to complete your work seamlessly.

Don't miss out on this opportunity – apply now and become a valuable member of the Limitlessli team! If you're interested in what you have read, then we invite you to take the next step and submit your application.

JOIN OUR TEAM!!

Manage behavioral health insurance authorizations for PHP and IOP treatment, coordinating reviews, appeals, and payer requirements to support medical necessity and continuity of care.

📍 🇺🇸 Davie - Remote💰 $24 - $28 / hour💼 Full-Time🎹 Mid-level🏥 Clinical Operations Specialist📢 🇬🇧 English Required📢 🇪🇸 Spanish Required
Behavioral Health Utilization ReviewInsurance AuthorizationPHP/IOPASAM
Healthcare Australia

Support at Home Care Manager

🕒 7 days ago
Healthcare Australia👥 1001 - 5000 employees🏢 Staffing And Recruiting

Manage personalised home care for older clients by assessing their needs, developing care plans, coordinating services, and building trusted relationships with clients and their support networks.

Home CareAged CareCare CoordinationCase Management
WNS Global Services

Nurse - Clinical Review

🕒 yesterday
WNS Global Services👥 1 - 10 employees

Reviews prior authorization requests for medical necessity using evidence-based clinical guidelines, documents determinations, and refers cases that do not meet criteria to physician reviewers.

Utilization ReviewPrior AuthorizationMedical Necessity DeterminationsClinical Documentation
Adolescent Wellness Academy

Licensed Clinical Intake Specialist

🕒 yesterday
Adolescent Wellness Academy👥 11 - 50 employees🏢 Mental Health Care

Conduct brief clinical intake consultations with adolescents and caregivers, assess safety and treatment needs, guide families toward appropriate PHP or IOP care, and coordinate next steps with clinical teams.

📍 🇺🇸 United States - Remote💰 $35 / hour⚖️ Part-Time🎹 Mid-level🏥 Clinical Operations Specialist📢 🇬🇧 English Required📢 🇪🇸 Spanish Required
Clinical IntakeAdolescent CareCALOCUS ScreeningCrisis Assessment
FVI School Of Nursing And Technology

Clinical Coordinator

🕒 2 days ago
FVI School Of Nursing And Technology🏢 Education

Coordinates nursing students’ clinical placements, documentation, schedules, and compliance tracking while working with students, faculty, clinical partners, and nursing leadership to support timely, effective learning experiences.

Clinical Placement CoordinationStudent SchedulingClinical Compliance TrackingData Entry

Trusted by Remote Workers