Review case work and provide feedback regarding quality and completeness * Contact Field Investigators regarding cost and quality exceptions with their work. * Monitor pending cases to ensure ...
Review case work and provide feedback regarding quality and completeness * Contact Field Investigators regarding cost and quality exceptions with their work. * Monitor pending cases to ensure ...
Case Reviewer
VA · On-site +1
Review case work and provide feedback regarding quality and completeness * Contact Field Investigators regarding cost and quality exceptions with their work. * Monitor pending cases to ensure ...
Case Reviewer
VA · On-site +1
Review case work and provide feedback regarding quality and completeness * Contact Field Investigators regarding cost and quality exceptions with their work. * Monitor pending cases to ensure ...
Infectious Diseases, Infectious Disease Reviewer
Mclean, VA · Remote
$150/hr
Case types include Medical Necessity , Experimental/Investigational , and Emergency determinations ... Review medical documentation and apply evidence based clinical standards * Provide clear, unbiased ...
Infectious Diseases, Infectious Disease Reviewer
Mclean, VA · Remote
$150/hr
Case types include Medical Necessity , Experimental/Investigational , and Emergency determinations ... Review medical documentation and apply evidence based clinical standards * Provide clear, unbiased ...
Key Responsibilities Quality Assurance & Case Review • Conduct on-site case reviews for Benefit Programs staff to measure, evaluate, and ensure quality performance and compliance with state and ...
Key Responsibilities Quality Assurance & Case Review • Conduct on-site case reviews for Benefit Programs staff to measure, evaluate, and ensure quality performance and compliance with state and ...
Registered Nurse - Medical Review Specialist
Springfield, VA · On-site
$45 - $50/hr
Document findings, recommendations, and case activity within electronic record systems * Support fitness-for-duty evaluations and leave-related medical reviews as needed * Assist with medical ...
Registered Nurse - Medical Review Specialist
Springfield, VA · On-site
$45 - $50/hr
Document findings, recommendations, and case activity within electronic record systems * Support fitness-for-duty evaluations and leave-related medical reviews as needed * Assist with medical ...
Psychiatry, Clinical Reviewer Psychiatry
Mclean, VA · On-site
$205/wk
Conduct thorough review of medical records and evidence ... Develop a working understanding of case details and applicable disability criteria Interrogatories ...
Psychiatry, Clinical Reviewer Psychiatry
Mclean, VA · On-site
$205/wk
Conduct thorough review of medical records and evidence ... Develop a working understanding of case details and applicable disability criteria Interrogatories ...
Provides direct case management to clients; develops, implements, reviews, revises, and monitors individualized service/treatment plans, behavioral contracts, and transfer/discharge plans. Provides ...
Provides direct case management to clients; develops, implements, reviews, revises, and monitors individualized service/treatment plans, behavioral contracts, and transfer/discharge plans. Provides ...
Provides direct case management to clients; develops, implements, reviews, revises, and monitors individualized service/treatment plans, behavioral contracts, and transfer/discharge plans.Provides ...
Provides direct case management to clients; develops, implements, reviews, revises, and monitors individualized service/treatment plans, behavioral contracts, and transfer/discharge plans.Provides ...
RN Case Manager
Roanoke, VA · On-site
R151592 RN Case Manager (Open) How You'll Help Transform Healthcare: Full time : Monday - Friday ... Collaborates with Utilization Review Nurse. * Maintains regular contact with assigned Utilization ...
RN Case Manager
Roanoke, VA · On-site
R151592 RN Case Manager (Open) How You'll Help Transform Healthcare: Full time : Monday - Friday ... Collaborates with Utilization Review Nurse. * Maintains regular contact with assigned Utilization ...
R151592 RN Case Manager (Open) How You'll Help Transform Healthcare: Full time : Monday - Friday ... Collaborates with Utilization Review Nurse. * Maintains regular contact with assigned Utilization ...
R151592 RN Case Manager (Open) How You'll Help Transform Healthcare: Full time : Monday - Friday ... Collaborates with Utilization Review Nurse. * Maintains regular contact with assigned Utilization ...
trainee - Case Manager
Newport News, VA · On-site
$38K - $40K/yr
This position will be responsible for conducting intakes, assisting clients, scheduling intervention classes, case reviews, and appointments, requesting status updates from other ASAPs, preparing ...
Quick apply
trainee - Case Manager
Newport News, VA · On-site
$38K - $40K/yr
This position will be responsible for conducting intakes, assisting clients, scheduling intervention classes, case reviews, and appointments, requesting status updates from other ASAPs, preparing ...
RN Case Manager - Weekdays
Roanoke, VA · On-site
R161366 RN Case Manager - Weekdays (Open) How You'll Help Transform Healthcare: Monday - Friday ... Collaborates with Utilization Review Nurse. * Maintains regular contact with assigned Utilization ...
RN Case Manager - Weekdays
Roanoke, VA · On-site
R161366 RN Case Manager - Weekdays (Open) How You'll Help Transform Healthcare: Monday - Friday ... Collaborates with Utilization Review Nurse. * Maintains regular contact with assigned Utilization ...
RN Case Manager - Weekends
Roanoke, VA · On-site
R152941 RN Case Manager - Weekends (Open) How You'll Help Transform Healthcare: The RN Case Manager ... Collaborates with Utilization Review Nurse. * Maintains regular contact with assigned Utilization ...
RN Case Manager - Weekends
Roanoke, VA · On-site
R152941 RN Case Manager - Weekends (Open) How You'll Help Transform Healthcare: The RN Case Manager ... Collaborates with Utilization Review Nurse. * Maintains regular contact with assigned Utilization ...
RN Case Manager - Weekends
Roanoke, VA · On-site
R161382 RN Case Manager - Weekends (Open) How You'll Help Transform Healthcare: Full time and ... Collaborates with Utilization Review Nurse. * Maintains regular contact with assigned Utilization ...
RN Case Manager - Weekends
Roanoke, VA · On-site
R161382 RN Case Manager - Weekends (Open) How You'll Help Transform Healthcare: Full time and ... Collaborates with Utilization Review Nurse. * Maintains regular contact with assigned Utilization ...
RN Case Manager - Weekends
Roanoke, VA · On-site
R161382 RN Case Manager - Weekends (Open) How You'll Help Transform Healthcare: Full time and ... Collaborates with Utilization Review Nurse. * Maintains regular contact with assigned Utilization ...
RN Case Manager - Weekends
Roanoke, VA · On-site
R161382 RN Case Manager - Weekends (Open) How You'll Help Transform Healthcare: Full time and ... Collaborates with Utilization Review Nurse. * Maintains regular contact with assigned Utilization ...
RN Case Manager - Weekends
Roanoke, VA · On-site
R152941 RN Case Manager - Weekends (Open) How You'll Help Transform Healthcare: The RN Case Manager ... Collaborates with Utilization Review Nurse. * Maintains regular contact with assigned Utilization ...
RN Case Manager - Weekends
Roanoke, VA · On-site
R152941 RN Case Manager - Weekends (Open) How You'll Help Transform Healthcare: The RN Case Manager ... Collaborates with Utilization Review Nurse. * Maintains regular contact with assigned Utilization ...
R161366 RN Case Manager - Weekdays (Open) How You'll Help Transform Healthcare: Monday - Friday ... Collaborates with Utilization Review Nurse. * Maintains regular contact with assigned Utilization ...
R161366 RN Case Manager - Weekdays (Open) How You'll Help Transform Healthcare: Monday - Friday ... Collaborates with Utilization Review Nurse. * Maintains regular contact with assigned Utilization ...
R151590 RN Case Manager - Inpatient - Weekdays (Open) How You'll Help Transform Healthcare: Prim ... Collaborates with Utilization Review Nurse. * Maintains regular contact with assigned Utilization ...
R151590 RN Case Manager - Inpatient - Weekdays (Open) How You'll Help Transform Healthcare: Prim ... Collaborates with Utilization Review Nurse. * Maintains regular contact with assigned Utilization ...
R151590 RN Case Manager - Inpatient - Weekdays (Open) How You'll Help Transform Healthcare: Prim ... Collaborates with Utilization Review Nurse. * Maintains regular contact with assigned Utilization ...
R151590 RN Case Manager - Inpatient - Weekdays (Open) How You'll Help Transform Healthcare: Prim ... Collaborates with Utilization Review Nurse. * Maintains regular contact with assigned Utilization ...
R161364 RN Case Manager - Medical Pod (Open) How You'll Help Transform Healthcare: Monday - Friday ... Collaborates with Utilization Review Nurse. * Maintains regular contact with assigned Utilization ...
R161364 RN Case Manager - Medical Pod (Open) How You'll Help Transform Healthcare: Monday - Friday ... Collaborates with Utilization Review Nurse. * Maintains regular contact with assigned Utilization ...
Case Reviewer information
See Virginia salary details
$19.07 - $24.55
3% of jobs
$24.55 - $30.03
6% of jobs
$35 is the 25th percentile. Wages below this are outliers.
$30.03 - $35.51
17% of jobs
$35.51 - $40.99
20% of jobs
The median wage is $42.09 / hr.
$40.99 - $46.47
16% of jobs
$46.47 - $51.95
11% of jobs
$53.13 is the 75th percentile. Wages above this are outliers.
$51.95 - $57.44
7% of jobs
$57.44 - $62.92
6% of jobs
$62.92 - $68.40
5% of jobs
$68.40 - $73.88
4% of jobs
$73.88 - $79.36
3% of jobs
$19
$47
$79
How much do case reviewer jobs pay per hour?
What are the key skills and qualifications needed to thrive in the Case Reviewer position, and why are they important?
To thrive as a Case Reviewer, you need strong analytical abilities, attention to detail, and a background in the relevant industry, often supported by a degree in law, healthcare, or a specialized field. Familiarity with case management software, electronic records systems, or regulatory databases is usually important, and certifications may be required for specialized roles. Excellent written communication, impartiality, and time management are soft skills that set top performers apart. Mastery of these skills ensures accurate, timely case evaluations and effective collaboration with stakeholders for informed decision-making.
What is a Case Reviewer job?
A Case Reviewer is responsible for evaluating case files, documents, and related information to ensure accuracy, compliance, and completeness. They analyze evidence, verify facts, and provide detailed assessments based on established guidelines or legal standards. Case Reviewers often work in legal, medical, insurance, or government sectors and must have strong attention to detail and analytical skills. Their role helps ensure fair and accurate decision-making in various professional settings.
What are the typical daily responsibilities of a Case Reviewer?
As a Case Reviewer, your day-to-day work commonly involves reviewing case files, supporting documents, and related evidence to assess compliance with relevant guidelines or policies. You may be required to write detailed reports, summarize findings, and make recommendations based on established criteria. Collaboration is frequent, as you often interact with other reviewers, supervisors, and subject matter experts to discuss complex cases or clarify information. This role demands a high level of organization and consistency, as accuracy and fairness are critical when determining outcomes that impact clients, patients, or other stakeholders.

Constellis rating
7.2
Based on 45 frontline employees who took The Breakroom Quiz
37th of 116 rated security
Job description
POSITION SUMMARY
The Case Manager scrutinizes reports of investigations submitted by the Field Investigators to ensure accuracy, completeness, and timely submission to customer.
HOURLY RATE
Actual compensation will be determined based on factors including relevant experience, education, and contract requirements.
RESPONSIBILITIES
- Provide advice and guidance to investigators on investigative and formatting requirements.
- Review case work and provide feedback regarding quality and completeness
- Contact Field Investigators regarding cost and quality exceptions with their work.
- Monitor pending cases to ensure compliance with delivery due dates and track submission of investigative leads. Prioritize cases where noteworthy or derogatory information is developed.
- Monitor pending cases, review and revise reports of investigation. Check for quality and take necessary actions to complete case. Annotate Investigator Quality Performance remarks.
- Schedule additional leads as discovered in investigation.
- Assist CQC Manager process Customer complaints, assign Investigator to determine validity of complaint and prepare response for customers and Project Managers
- Interview Sources as part of the QA process
- Provide daily support and assistance to PMs, managers/Investigative Supervisors and Contract Investigators regarding quality issues
- Prepare statistical reports for customer reporting/Project Managers
- Other duties as assigned.
- Business work hours are Monday-Friday from 8:00 am to 5:00 pm, however some extended hours may be required.
QUALIFICATIONS
- Must be a U.S. Citizen and at least 18 years of age;
- Bachelor's Degree from four-year college or university; minimum five (5) years experience in background investigations and knowledge of the background investigation process; or equivalent combination of education and experience.
- High reasoning skills, including ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in oral, written, diagram, or schedule form.
- Intermediate math skills, including ability to calculate figures and amounts
- High language skills, including ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to present information in an effective manner to senior management.
- High computer skills and ability to work in a MS Windows based operating environment, including proficiency with Microsoft Office (Word, Excel, PowerPoint), Internet and E-mail.
- Must be U.S. citizen and able to successfully undergo background investigation to obtain U.S. Government security clearance.
- Active or ability to obtain and maintain a federal security clearance as required by the contract.
- May be required to lift and carry awkward items weighing up to 25 lbs. Requires intermittent standing, walking, sitting, squatting, stretching and bending throughout the workday.
BENEFITS
Constellis offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflect its commitment to creating a diverse and supportive workplace.
What Constellis employees say
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About Constellis
Sourced by ZipRecruiter
Industry
Investigation and physical security services
Company size
10,000+ Employees
Headquarters location
Moyock, NC, US
Year founded
2010