Remote Clinical Case Manager Jobs
Remote clinical case manager jobs are actively hiring across the U.S., with remote-first firms, managed care organizations, and distributed behavioral health teams all posting openings. Employers hiring remotely right now include Cora, AWG, and CVS Health. Scan the live roles below and apply to whichever ones fit.
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Showing 5 of 6+ Remote Clinical Case Manager jobs
Screen reader users may encounter difficulty with this site. For assistance with applying, please contact hr-accessibleapplication@osu.edu . If you have questions while submitting an application, please review these frequently asked questions .
Current Employees and Students:
If you are currently employed or enrolled as a student at The Ohio State University, please l og in to Workday to use the internal application process.
Welcome to The Ohio State University's career site. We invite you to apply to positions of interest. In order to ensure your application is complete, you must complete the following:
Ensure you have all necessary documents available when starting the application process. You can review the additional job description section on postings for documents that may be required.
Prior to submitting your application, please review and update (if necessary) the information in your candidate profile as it will transfer to your application.
Job Title:
Clinical Financial Case Mgr - RNDepartment:
Health System Shared Services | Revenue Cycle Clinical SupportScope of Position
Revenue Cycle Clinical Support Office (RCCS) is an area within Access and Revenue Cycle Management Shared Services responsible for Clinical Pre-Certification, Case Reviews, Pre-billing edits, in-patient account validations, supporting Utilization Management, Peer to Peer processes, complex billing scenarios, audits (governmental, commercial, compliance, and internal), clinical appeals and denial management. RCCS is integral to the Revenue Cycle and supports cash collection through preventing and appealing denials.
Position Summary
The Clinical Financial Case Manager - RN (CFCM-RN) implements and supports the philosophy, mission, values, standards, policies, and procedures of The Ohio State University Wexner Medical Center. The CFCM-RN functions within the multidisciplinary team to secure complex pre-authorizations and prevent/appeal clinical denials. The job duties require the utilization of clinical knowledge to interpret and apply medical necessity guidelines to determine appropriateness for services provided. The CFCM-RN makes determinations on the appropriate level of care (Inpatient or Observation) based on the ability to read, understand, and interpret documented clinical
information. The role requires CFCM-RNs to become Subject Matter Experts (SME) for assigned payers as well as governmental payer requirements and audits such as RAC, MAC, QIO, etc. The CFCM-RN maintains an awareness of State and National Health care trends, JCAHO, CMS, and third-party payer Utilization Management guidelines.
The Financial aspect of the role involves acquiring knowledge of Managed Care, Scheduling, Financial Counseling, Pre-Certification, Admissions/Discharges/Transfers, Clinical workflows and documentation, Revenue Management, Charge Description Master, Coding (Diagnosis, HCPCS, Revenue Codes, Procedure Codes, Modifiers, etc.), Medical Information Management, Release of Information, Case Management, Utilization Management, Clinical Documentation Improvement, Compliance, Legal, Finance, Transplant workflows, Billing, Follow Up, Cash Posting, and any other areas that maybe needed to complete the tasks. The CFCM-RN must be able to read, understand and interpret a payer remit, denial/remark codes, and expected reimbursement to determine the cost effectiveness of completing an appeal.
The CFCM-RN must be versatile, flexible, and very adaptable to change because the payer rules change constantly. The CFCM-RN must be able to troubleshoot, problem solve, continuously learn, be highly independent, self-motivated and have an elevated level of interpretive skills and the ability to work closely with departments such as Legal, Medical Information Management, Physician groups and the Business Office.
Minimum Qualifications For Hire Required:
- Bachelor’s degree in nursing with current license required.
- Minimum of 2 years clinical care experience, caring for patients, anticipating their needs, and understanding the physician’s
plan of care.
- Experience collaborating with physicians and their designees.
- Strong, proven analytical skills. Ability to make educated decisions.
- Extensive knowledge of clinical operations and patient flow.
- Skilled at synthesizing large volumes of information and concisely communicating either verbally or in writing.
- Proficient in Microsoft Office Products such as: Word, Power Point, Excel, SharePoint, Teams, OneNote, etc.
- Proficient in Adobe Professional Proficient in using email, fax machines, copy machines, internet browsers.
- Proficient at typing
- Proficient in Technology, Computer, and Web applications. Must be able to multitask and move between applications quickly and frequently. Must be able to orientate self to new applications quickly. Must be able to manage complexities of having to work in multiple applications such as IHIS, MS Office products, 3M, and all payer websites/applications.
FUNCTION: Finance
SUB FUNCTION: Clinical Financial Case Management RN
CAREER BAND: Individual Contributor - Specialized
CAREER LEVEL: 2
Additional Information:
Location:
Remote LocationPosition Type:
RegularScheduled Hours:
40Shift:
First ShiftFinal candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post offer process.
Thank you for your interest in positions at The Ohio State University and Wexner Medical Center. Once you have applied, the most updated information on the status of your application can be found by visiting the Candidate Home section of this site. Please view your submitted applications by logging in and reviewing your status. For answers to additional questions please review the frequently asked questions .
The university is an equal opportunity employer, including veterans and disability.
Screen reader users may encounter difficulty with this site. For assistance with applying, please contact hr-accessibleapplication@osu.edu . If you have questions while submitting an application, please review these frequently asked questions .
Current Employees and Students:
If you are currently employed or enrolled as a student at The Ohio State University, please l og in to Workday to use the internal application process.
Welcome to The Ohio State University's career site. We invite you to apply to positions of interest. In order to ensure your application is complete, you must complete the following:
Ensure you have all necessary documents available when starting the application process. You can review the additional job description section on postings for documents that may be required.
Prior to submitting your application, please review and update (if necessary) the information in your candidate profile as it will transfer to your application.
Job Title:
Clinical Financial Case Mgr - RNDepartment:
Health System Shared Services | Revenue Cycle Clinical SupportScope of Position
Revenue Cycle Clinical Support Office (RCCS) is an area within Access and Revenue Cycle Management Shared Services responsible for Clinical Pre-Certification, Case Reviews, Pre-billing edits, in-patient account validations, supporting Utilization Management, Peer to Peer processes, complex billing scenarios, audits (governmental, commercial, compliance, and internal), clinical appeals and denial management. RCCS is integral to the Revenue Cycle and supports cash collection through preventing and appealing denials.
Position Summary
The Clinical Financial Case Manager - RN (CFCM-RN) implements and supports the philosophy, mission, values, standards, policies, and procedures of The Ohio State University Wexner Medical Center. The CFCM-RN functions within the multidisciplinary team to secure complex pre-authorizations and prevent/appeal clinical denials. The job duties require the utilization of clinical knowledge to interpret and apply medical necessity guidelines to determine appropriateness for services provided. The CFCM-RN makes determinations on the appropriate level of care (Inpatient or Observation) based on the ability to read, understand, and interpret documented clinical
information. The role requires CFCM-RNs to become Subject Matter Experts (SME) for assigned payers as well as governmental payer requirements and audits such as RAC, MAC, QIO, etc. The CFCM-RN maintains an awareness of State and National Health care trends, JCAHO, CMS, and third-party payer Utilization Management guidelines.
The Financial aspect of the role involves acquiring knowledge of Managed Care, Scheduling, Financial Counseling, Pre-Certification, Admissions/Discharges/Transfers, Clinical workflows and documentation, Revenue Management, Charge Description Master, Coding (Diagnosis, HCPCS, Revenue Codes, Procedure Codes, Modifiers, etc.), Medical Information Management, Release of Information, Case Management, Utilization Management, Clinical Documentation Improvement, Compliance, Legal, Finance, Transplant workflows, Billing, Follow Up, Cash Posting, and any other areas that maybe needed to complete the tasks. The CFCM-RN must be able to read, understand and interpret a payer remit, denial/remark codes, and expected reimbursement to determine the cost effectiveness of completing an appeal.
The CFCM-RN must be versatile, flexible, and very adaptable to change because the payer rules change constantly. The CFCM-RN must be able to troubleshoot, problem solve, continuously learn, be highly independent, self-motivated and have an elevated level of interpretive skills and the ability to work closely with departments such as Legal, Medical Information Management, Physician groups and the Business Office.
Minimum Qualifications For Hire Required:
- Bachelor’s degree in nursing with current license required.
- Minimum of 2 years clinical care experience, caring for patients, anticipating their needs, and understanding the physician’s
plan of care.
- Experience collaborating with physicians and their designees.
- Strong, proven analytical skills. Ability to make educated decisions.
- Extensive knowledge of clinical operations and patient flow.
- Skilled at synthesizing large volumes of information and concisely communicating either verbally or in writing.
- Proficient in Microsoft Office Products such as: Word, Power Point, Excel, SharePoint, Teams, OneNote, etc.
- Proficient in Adobe Professional Proficient in using email, fax machines, copy machines, internet browsers.
- Proficient at typing
- Proficient in Technology, Computer, and Web applications. Must be able to multitask and move between applications quickly and frequently. Must be able to orientate self to new applications quickly. Must be able to manage complexities of having to work in multiple applications such as IHIS, MS Office products, 3M, and all payer websites/applications.
FUNCTION: Finance
SUB FUNCTION: Clinical Financial Case Management RN
CAREER BAND: Individual Contributor - Specialized
CAREER LEVEL: 2
Additional Information:
Location:
Remote LocationPosition Type:
RegularScheduled Hours:
40Shift:
First ShiftFinal candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post offer process.
Thank you for your interest in positions at The Ohio State University and Wexner Medical Center. Once you have applied, the most updated information on the status of your application can be found by visiting the Candidate Home section of this site. Please view your submitted applications by logging in and reviewing your status. For answers to additional questions please review the frequently asked questions .
The university is an equal opportunity employer, including veterans and disability.
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Find JobsRemote Clinical Case Manager Job Market
Who's Hiring
What Employers Look For
The qualifications that appear most often in remote clinical case manager jobs.
- Active RN, LCSW, LPC, or equivalent clinical licensure in the state of practice
- Minimum two years of clinical experience in a relevant care setting
- Proficiency with electronic health record systems such as Epic or Cerner
- Knowledge of care coordination, utilization management, or discharge planning processes
- Case management certification such as CCM or ACM preferred
- Strong documentation skills and familiarity with payer authorization requirements
Tips for Your Remote Clinical Case Manager Job Search
Apply early to remote roles that fit
Migrate Mate lists remote clinical case manager openings from across the U.S. in one place, so you can find roles that match your licensure and experience level and apply directly without sorting through unrelated postings.
Show your async documentation skills upfront
Remote clinical case managers communicate progress, escalate concerns, and coordinate care almost entirely through written records. Mention specific electronic health record platforms you've used and give concrete examples of documentation accuracy or turnaround time in your resume and cover letter.
Highlight caseload self-management in your resume
Remote employers want proof you can prioritize a full caseload without daily in-person check-ins. Quantify the number of cases you've managed simultaneously and describe how you tracked timelines, follow-ups, and outcomes independently using care management software or similar tools.
Prepare for competency-based remote interviews
Remote hiring panels for clinical case managers typically use behavioral questions to assess independent judgment and communication under pressure. Practice answers that show how you've resolved care coordination issues, managed urgent escalations, and kept care plans on track without direct supervisor involvement.
Remote Clinical Case Manager Jobs: Frequently Asked Questions
How do I get a remote clinical case manager job?
Target companies that have built distributed clinical teams, including managed care organizations, telehealth platforms, and insurance carriers that operate nationally. Remote employers screen hard for self-direction, clear written documentation, and experience using electronic health records asynchronously. Demonstrating that you can manage a full caseload without in-person supervision, and showing strong asynchronous communication in your cover letter, gives you a real edge over candidates who only have on-site experience.
Which companies hire remote clinical case managers?
Companies hiring remote clinical case managers right now include Cora, AWG, and CVS Health, based on current remote listings on Migrate Mate as of November 2026. Remote hiring for this role is concentrated at managed care organizations, national health insurers, and telehealth companies that coordinate care for geographically dispersed patient populations.
Can you get a remote clinical case manager job with no experience?
Yes, but remote entry-level roles are harder to land because employers expect you to manage a caseload and make clinical decisions independently from day one. Telehealth startups and managed care companies occasionally post junior remote positions. You can strengthen your candidacy by completing case management coursework, earning a certification like CCM or ACM, and showing concrete examples of documentation accuracy and self-managed workflows from internships or volunteer work.
Do you need a degree for remote clinical case manager jobs?
Usually, yes. Most remote clinical case manager roles require at least a bachelor's degree in social work, nursing, or a related health field, and many require licensure such as an RN, LCSW, or LPC. Remote employers also weigh active certifications, demonstrated caseload management, and proficiency with electronic health record systems alongside formal credentials when evaluating candidates.
See All 6 Remote Clinical Case Manager Jobs
Find roles that match your experience and apply in just a few clicks.
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