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Case Management Associate Jobs in Springfield, VA

CareMetx

Reimbursement Case Manager

Bethesda, MD · On-site

... management. The Reimbursement Case Manager will work interactively with patients, healthcare ... Coordinate with inter-departmental associates as necessary * Work on problems of moderate scope ...

Reston Hospital Center

RN Case Manager

Reston, VA

Associate Degree * Monday - Friday position * Prefer a RN with at least 1 year of Case Manager experience in a hospital Benefits Reston Hospital Center, offers a total rewards package that supports ...

Mission Hospital

RN Case Manager

Reston, VA

Associate Degree * Monday - Friday position * Prefer a RN with at least 1 year of Case Manager experience in a hospital Benefits Reston Hospital Center, offers a total rewards package that supports ...

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Case Management Associate information

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How much do case management associate jobs pay per hour?

As of May 31, 2026, the average hourly pay for case management associate in Springfield, VA is $20.63, according to ZipRecruiter salary data. Most workers in this role earn between $15.58 and $22.84 per hour, depending on experience, location, and employer.

What Is the Job of a Case Management Associate?

The responsibilities of a case management associate involve managing cases for patients in a health care, mental health care, or social services setting. Your duties in this career often involve working on documentation for clients or patients. You may complete admission and discharge paperwork and communicate with patients or clients during the process so that they understand each step. Some case management aides may interact extensively with patients to get initial information that the caseworker or manager can use to make an assessment.

What are the key skills and qualifications needed to thrive as a Case Management Associate, and why are they important?

To thrive as a Case Management Associate, you generally need foundational knowledge in healthcare or social services, often supported by an associate's or bachelor's degree in a related field. Familiarity with case management software, electronic health records (EHR), and documentation systems is typically required. Outstanding organizational skills, empathy, and effective communication help you excel in coordinating care and supporting clients. These competencies are essential for ensuring efficient case resolution, client satisfaction, and seamless collaboration with interdisciplinary teams.

What are some common challenges faced by Case Management Associates, and how can they be addressed?

Case Management Associates often navigate challenges such as balancing high caseloads, managing complex client needs, and coordinating communication among various service providers. Time management and organizational skills are crucial in prioritizing tasks and ensuring timely follow-up. Building strong relationships with clients and maintaining clear, consistent communication with interdisciplinary teams can help address these challenges and lead to more effective outcomes.

What is a Case Management Associate?

A Case Management Associate is a professional who supports case managers in coordinating and managing patient care or social services. Their duties often include gathering patient information, assisting with documentation, scheduling appointments, and facilitating communication between clients, healthcare providers, and insurance companies. They help ensure that clients receive appropriate and timely services while maintaining accurate records. Case Management Associates typically work in hospitals, clinics, insurance companies, or social service agencies and play a key role in streamlining the case management process.

What is the difference between Case Management Associate vs Social Worker?

AspectCase Management AssociateSocial Worker
Required CredentialsHigh school diploma or bachelor's degree; certifications varyBachelor's or master's degree in social work; licensure often required
Work EnvironmentHealthcare facilities, community organizations, insurance companiesHospitals, clinics, social service agencies
Employer & Industry UsageHealthcare, insurance, community servicesHealthcare, social services, government agencies
Common Search & ComparisonYesYes

While both roles involve supporting clients and coordinating services, Case Management Associates typically have less advanced credentials and focus on administrative and coordination tasks. Social Workers often hold advanced degrees and provide more in-depth counseling and advocacy. Understanding these differences helps in choosing the right career path or job search focus.

More about Case Management Associate jobs
What are the most commonly searched types of Case Management jobs in Springfield, VA? The most popular types of Case Management jobs in Springfield, VA are:
What cities near Springfield, VA are hiring for Case Management Associate jobs? Cities near Springfield, VA with the most Case Management Associate job openings:
Case Management Associate jobs near you
RN In Hospital Transition of Care Case Manager

RN In Hospital Transition of Care Case Manager

MedStar Health

Washington, DC • On-site

Full-time

Posted 15 days ago

Medstar Health rating

7.7

Company rating: 7.7 out of 10

Based on 237 frontline employees who took The Breakroom Quiz

158th of 864 rated healthcare providers

Job description

About the Job
General Summary of Position
An exciting new role has been added to the team, offering a unique opportunity to make a direct impact on patient outcomes at a critical point in care. The In-Hospital Transition of Care RN Case Manager partners closely with hospital discharge planners to coordinate patient care at discharge, ensuring seamless continuity across care settings and reducing avoidable readmissions through proactive coordination, patient education, and timely follow-up.
This position is based at either Washington Hospital Center or The Psychiatric Institute of Washington (PIW) and offers the opportunity to work across diverse patient populations, with flexibility to provide coverage at both locations.
In this highly collaborative and autonomous role, the RN Case Manager manages a complex caseload and takes ownership of case management program(s), driving high-quality, cost-effective outcomes while enhancing the patient experience. The role includes coordinating and managing care for members/enrollees, completing pre-authorization reviews to ensure medical necessity and timely access to services, and conducting pharmacy reviews aligned with the population served. Working alongside an interdisciplinary team, you will play a key role in discharge planning, connecting patients to the right resources, and ensuring smooth transitions across the continuum of care.
This is an excellent opportunity for a nurse who thrives in a fast-paced environment, values critical thinking and autonomy, and is passionate about improving care transitions and patient outcomes. We are committed to fostering a supportive, inclusive environment where associates from diverse backgrounds can grow, advance, and make a meaningful difference.
Primary Duties and Responsibilities
  • Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations.
  • Actively develops and manages complex case management cases and develops individualized plans of care according to NCQA standards/ guidelines and the District of Columbia Contract.
  • Acts as a liaison to MedStar Family Choice contracted vendors to facilitate care. Identifies gaps in contracted services and develops a plan to access care.
  • Acts as an advocate while assisting members/enrollees to coordinate and gain access to medical psychiatric psychosocial and other essential services to meet their healthcare needs. Authorizes and monitors covered services according to policy.
  • Assists hospital case management staff with discharge planning if applicable. Makes recommendation to alternate tier of Case Management programs or level of care as acuity necessitate.
  • Attends and participates in MFC staff meetings Clinical Operations department meetings Special Needs Forums work groups District/ community agencies meetings etc. as assigned. Provides input completes assignments and shares new findings with other staff. Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations.
  • Provides face to face case management in the community as the member/enrollee's health necessitate.
  • Demonstrates behavior consistent with MedStar Health mission vision goals objectives and patient care philosophy.
  • Demonstrates skill and flexibility in providing coverage for other staff.
  • For assigned Case Management program(s) develops strategies assessment(s) and evaluation/goal tools according to NCQA standards/ guidelines and District of Columbia Contract for the population served. Utilizes standards/ guidelines to manage and document interactions for the program (s). Responsible for verifying that assigned program utilizes up-to-date standards in the medical and behavioral health community for the population served. Keeps informed about disease processes treatment modalities and resources.
  • Identifies and reports potential coordination of benefits subrogation third party liability worker's compensation cases etc. Identifies quality risk or utilization issues to appropriate MedStar personnel.
  • Identifies inpatients requiring additional services and initiates care with appropriate practitioners.
  • Maintains current knowledge of MFC benefits and enrollment issues in order to accurately coordinate services.
  • Maintains timely and accurate documentation in the clinical software system per Clinical Operation department's policy.
  • Monitors utilization of all services for fraud waste and abuse.
  • Performs telephonic ACD line coverage for Clinical Operations' needs.
  • Enters authorization as appropriate to the program and sends the reviews to Medical Director as appropriate. Coordinates review decisions and notifications per policy NCQA standards/ guidelines and District of Columbia Contract for timely decision making.
  • Participates in meetings and on committees and represents the department and hospital in community outreach efforts.
  • Participates in multi-disciplinary quality and service improvement teams.

Minimal Qualifications
Education
  • Graduate of an accredited School of Nursing required and
  • Bachelor's degree preferred

Experience
  • 1-2 years Case management experience required and
  • 1-2 years UM or related experience required and
  • 3-4 years Diverse clinical experience required

Licenses and Certifications
  • RN - Registered Nurse - State Licensure and/or Compact State Licensure Valid RN license in the District of Columbia and/or the State of Maryland based on work location(s) Upon Hire required and
  • CCM - Certified Case Manager Upon Hire preferred

Knowledge Skills and Abilities
  • Verbal and written communication skills. Ability to use computer to enter and retrieve data. Ability to create edit and analyze Microsoft office (Word Excel and PowerPoint) preferred.

This position has a hiring range of
USD $89,065.00 - USD $162,801.00 /Yr.

What Medstar Health employees say

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About Medstar Health

Sourced by ZipRecruiter

MedStar Health is dedicated to providing the highest quality care for people in Maryland and the Washington, D.C., region, while advancing the practice of medicine through education, innovation, and research. Our team of 32,000 includes physicians, nurses, residents, fellows, and many other clinical and non-clinical associates working in a variety of settings across our health system, including 10 hospitals and more than 300 community-based locations, the largest home health provider in the region, and highly respected institutes dedicated to research and innovation. As the medical education and clinical partner of Georgetown University for more than 20 years, MedStar Health is dedicated not only to teaching the next generation of doctors, but also to the continuing education, professional development, and personal fulfillment of our whole team. Together, we use the best of our minds and the best of our hearts to serve our patients, those who care for them, and our communities. It's how we treat people.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Columbia, MD, US

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