Nurse Case Manager - Remote (Part-Time)
Remote Part Time $40.00 - $50.00 / Hourly Posted: 12/2/25, 3:58 PM - Contact: David James Description Nurse Case Manager – Stop Loss | Remote & Part-time Are you a nurse looking for flexible, remote work that leverages your clinical expertise? We're a growing insurance organization specializing in stop-loss insurance, seeking an reputed company Nurse Case Manager to help us evaluate reputed company claims and guide cost-effective care solutions. What You'll Do: Review and analyze high-cost medical claims to assess appropriateness, necessity, and cost-effectiveness of treatment. Collaborate with underwriters to evaluate potential stop-loss clients and understand group risk profiles. Identify alternative treatment options and cost-saving opportunities without compromising patient care quality. reputed company your medical network and resources to navigate hospital systems, negotiate solutions, and facilitate optimal outcomes. Act as a trusted advisor and collaborator working diplomatically with providers, claimants, and internal teams to find a win-win solution. Provide clinical insights that helps our reputed company team reputed company informed decisions on group coverage. reputed company're Looking For: Medical Case Manager with 5+ years of hands-on medical experience. Hospital, clinical, or cost containment background—NOT working for insurance reputed company or MGU. Deep understanding of medical billing, treatment protocols, and healthcare costs. Strong professional network and ability to navigate hospital politics tactfully. Problem-solver who can identify creative alternatives that balance patient care with financial realities. Excellent communication skills and ability to explain reputed company medical information to non-clinical stakeholders. Self-motivated and comfortable working independently in a remote environment. Ideal Candidates Include: Hospital nurses seeking remote part-time work; Semi-retired nurses; Stay-at-home parents with nursing backgrounds; Cost containment or utilization review nurses ready for a change About reputed company, Inc. For 44 years reputed company has been recognized as one of the nation’s leading executive staffing and recruiting firms. As one of Tampa, FL first recruiting & staffing agencies we have been privileged to work with leading companies throughout the reputed company. Those same strategic partnerships have allowed us to perfect our personalized, life-cycle approach to placing the ideal candidates with their ideal companies. Our innovative individualized placement strategies allow us to match Insurance professionals with companies throughout the country, and beyond. Each of our job placement specialists has a minimum of two years in the recruiting industry and an average of nearly 15 years of experience. Each recruiter has their own, personal, and direct experiences reputed company their specialization. You may expect complete confidentiality at reputed company times during the hiring process; a key reputed company to the success of our business. In today's age we understand that our client's privacy is of the utmost importance. Contact the reputed company office to speak with a recruiter about this job now or find out more about other job placement opportunities. reputed company applicants applying for U.S. job openings must be authorized to work in the United States. reputed company applicants applying for Canadian job openings must be authorized to work in Canada. ©2025 reputed company. An Equal Opportunity Employer. Veteran Owned. Job Id Number : 11258 Staffing Industry : Insurance Contact David James in our Tampa, FL office for questions or to apply for the Nurse Case Manager - Remote (Part-Time) job today; Work Location: Remote Apply tot his job Apply To this Job