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Case Reviewer Jobs in Virginia (NOW HIRING)

RN Case Manager

Roanoke, VA · On-site

$76.69 - $115.04/hr

Provide case management for assigned patient populations, utilizing clinical expertise ... Maintain regular contact with assigned Utilization Review Nurse throughout the day; use InterQual ...

New

Review/analyze case management reports, including Key Care Indicators, and plan appropriate actions. * Understand commercial contract levels, exclusions, payor requirements, and recertification needs.

Case Manager

Fredericksburg, VA

$19.75 - $25.25/hr

Review/analyze case management reports, including Key Care Indicators, and plan appropriate actions. * Understand commercial contract levels, exclusions, payor requirements, and recertification needs.

Review/analyze case management reports, including Key Care Indicators, and plan appropriate actions. * Understand commercial contract levels, exclusions, payor requirements, and recertification needs.

Case Manager

Bristol, VA

$19.50 - $25/hr

Review/analyze case management reports, including Key Care Indicators, and plan appropriate actions. * Understand commercial contract levels, exclusions, payor requirements, and recertification needs.

Case Manager

Fredericksburg, VA · On-site

$19.75 - $25.25/hr

Review/analyze case management reports, including Key Care Indicators, and plan appropriate actions. * Understand commercial contract levels, exclusions, payor requirements, and recertification needs.

Case Manager

Fredericksburg, VA · On-site

$19.75 - $25.50/hr

Review/analyze case management reports, including Key Care Indicators, and plan appropriate actions. * Understand commercial contract levels, exclusions, payor requirements, and recertification needs.

Utilization Review experience required * Recent experience with discharge planning in an adult acute care hospital setting required * Proficiency in Epic required * Rated 4/5 or 5/5 across all Case ...

Showing results 41-60

Case Reviewer information

See Virginia salary details

$19

$47

$79

How much do case reviewer jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for case reviewer in Virginia is $47.13, according to ZipRecruiter salary data. Most workers in this role earn between $35.05 and $56.97 per hour, depending on experience, location, and employer.

What is a case reviewer?

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.

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 are the most commonly searched types of Case Reviewer jobs in Virginia?

The most popular types of Case Reviewer jobs in Virginia are:

What cities in Virginia are hiring for Case Reviewer jobs?

Cities in Virginia with the most Case Reviewer job openings:

What are popular job titles related to Case Reviewer jobs in VA?

For Case Reviewer jobs in VA, the most frequently searched job titles are:

Infographic showing various Case Reviewer job openings in Virginia as of August 2026, with employment types broken down into 58% Full Time, 26% Part Time, and 16% Contract. Highlights an 68% In-person, and 32% Remote job distribution, with an average salary of $98,021 per year, or $47.1 per hour.

Case Manager (Forensic Services)

City of Portsmouth, VA

Portsmouth, VA • On-site

$60K - $77K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 2 days ago

New


Job description

Salary: $60,479.03 - $77,859.33 Annually
Location : Portsmouth, VA
Job Type: Full-Time Regular
Job Number: FY2026-01494
Department: Behavioral Healthcare Services
Opening Date: 08/19/2026
Closing Date: 9/2/2026 11:59 PM Eastern
General Statement of the Job & Essential Functions
GENERAL STATEMENT OF JOB
Under general supervision, this position performs case management, service coordination, screening, assessments and discharge planning for consumers and clients. Reports to Program Administrator (Forensic Services).
ESSENTIAL JOB FUNCTIONS
Prepares forensic case management assessments; provides supportive counseling and intervention; provides consultation to consumers to assess their social, health and vocational needs; assists consumers in obtaining information regarding appropriate community services and resources in the Community Service Board (CSB) of residence; and coordinates goals by linking consumer to appropriate services with the case manager in are residence. Prepares discharge plans for consumers.
Prepares mental health statistical reports and monitors goals and outcomes following established criteria. Presents any trends to supervisor to assist in identifying project outcomes. Maintains accurate and complete clinical charts; prepares and updates consumers' progress records and treatment plans. Keeps required data as requested by the Fiscal Agent and supervisor.
Consults regularly with therapists, staff members, and doctors to discuss consumer progress. Updates consumers' progress records in case file; monitors mental status of consumers throughout programs stay; records observations; and evaluates and monitors progress through service delivery to prepare consumer for discharge planning.
Assists with consumer pre-screening and intake interviews as needed.
Plans and attends workshops, trainings, meetings related to the development of programs to meet consumer needs. Attends case reviews and staff cases and review and monitor recommended interventions and progress. Ensures program policies and procedures are followed.
Performs other related work as required. Individual assignments will be determined by supervisor based on current workload and department needs.
Knowledge, Skills & Abilities
PERFORMANCE INDICATORS
Knowledge of Job: Has considerable knowledge of the theory, principles, and methodologies of case management and discharge planning. Is able to plan, manage and coordinate discharges from hospitals including securing residential placements in the community. Able to evaluate community services to ensure compliance with treatment plans. Ability to manage resources to provide effective and responsive programs and services. Is able to understand and interpret oral and written instructions. Is able to establish and maintain effective working relationships as necessitated by work assignments.
Quality of Work: Maintains high standards of accuracy in exercising duties and responsibilities. Exercises immediate remedial action to correct any quality deficiencies that occur in areas of responsibility. Maintains high-quality communication and interacts with all departments, co-workers and the public.
Quantity of Work: Maintains effective and efficient output of all duties and responsibilities as described under "Essential Job Functions".
Dependability: Assumes responsibility for doing assigned work and for meeting deadlines. Completes assigned work on or before deadlines in accordance with directives, policies, standards and prescribed procedures. Accepts accountability for meeting assigned responsibilities in the technical, human and conceptual areas.
Attendance: Attends work regularly and adheres to policies and procedures regarding absences and tardiness. Provides adequate notice to higher management with respect to vacation time and time-off requests.
Initiative and Enthusiasm: Maintains an enthusiastic, self-reliant and self-starting approach to meet job responsibilities and accountabilities. Strives to anticipate work to be done and initiates proper and acceptable direction for the completion of work with a minimum of supervision and instruction.
Judgment: Exercises analytical judgment in areas of responsibility. Identifies problems or situations as they occur and specifies decision objectives. Identifies or assists in identifying alternative solutions to problems or situations. Implements decisions in accordance with prescribed and effective policies and procedures and with a minimum of errors. Seeks expert or experienced advice and researches problems, situations and alternatives before exercising judgment.
Cooperation: Accepts supervisory instruction and direction and strives to meet the goals and objectives of same. Questions such instruction and direction when clarification of results or consequences are justified i.e., poor communications, variance with policy or procedures, etc. Offers suggestions and recommendations to encourage and improve cooperation between all staff persons within the department.
Relationships with Others: Shares knowledge with supervisors and staff for mutual and departmental benefit. Contributes to maintaining high morale among all department employees. Develops and maintains cooperative and courteous relationships with department employees and managers in other departments, to project a good departmental image. Tactfully and effectively handles requests, suggestions and complaints from other departments and persons to maintain good will within the city. Emphasizes the importance of maintaining a positive image within the city. Interacts effectively with fellow employees, Service Administrator, professionals and the public.
Coordination of Work: Plans and organizes daily work routine. Establishes priorities for the completion of work in accordance with sound time-management methodology; avoids duplication of effort. Estimates expected time of completion of elements of work and establishes a personal schedule accordingly. Attends meetings, planning sessions and discussions of time. Implements work activity in accordance with priorities and estimated schedules. Maintains a calendar for meetings and deadlines.
Safety and Housekeeping: Adheres to all safety and housekeeping standards established by the city and various regulatory agencies. Sees that the standards are not violated. Maintains a clean and orderly workplace.
Planning: Plans, directs, and uses information effectively to enhance activities and productivity. Knows and understands the expectations of the city regarding the activities of the department and works to see that these expectations are met. Designs and formulates ways, means and timing to achieve the goals and objectives of the position. Within the constraints of city policy, formulates the appropriate strategy and tactics for achieving departmental objectives.
Organizing: Organizes work and that of subordinate staff. Ensures staff members are aware of expectations and that they are regularly and appropriately informed of all city and department matters affecting them and/or concern to them.
Decision Making: Uses discretion and judgment in developing and implementing courses of action affecting the department. When a policy, procedure or strategy does not appear to be achieving the desired result, moves decisively and definitively to develop and implement alternatives.
Creativity: Regularly seeks new and improved methodologies, policies and procedures for enhancing the effectiveness of the department and city. Employs imagination and creativity in the application of duties and responsibilities. Is not averse to change.
Human Relations: Strives to develop and maintain good rapport with all staff members. Listens to and considers suggestions and complaints and responds appropriately. Maintains the respect and loyalty of colleagues.
Policy Implementation: Has a clear and comprehensive understanding of city policies regarding the department and city function. Adheres to those policies in the discharge of duties and responsibilities.
Education, Experience & Special Requirements
EDUCATION & EXPERIENCE
Bachelor's degree in Social Work, Psychology, Education or a related human services field and requires 1-3 years related experience working with mental health consumers; or any equivalent combination of training and experience which provides the education and experience. A master's degree is preferred.
SPECIAL REQUIREMENTS
Requires a professional certification in the State of Virginia as a Qualified Mental Health Professional (QMHP) Adult or Child or QMHP eligible.
Must possess Red Cross Cardiopulmonary Resuscitation (CPR) and First Aid certifications or have the ability to obtain certifications within 90 days from date of hire and maintain them as a condition of continued employment.
An acceptable general background check to include a local, state, and federal criminal history check and sex offender registry check.
A valid driver's license with an acceptable driving record.
In the event of a declared emergency in the city of Portsmouth, individuals in this position are required to work shelter duty and may be called on to perform duties as required to provide for the safety and care of the citizens of the community.
Physical Demands
MINIMUM QUALIFICATIONS OR STANDARDS REQUIRED TO PERFORM ESSENTIAL JOB FUNCTIONS
Physical Requirements: Requires the ability to exert up to 25 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. Physical demand requirements are those for Sedentary Work.
Data Conception: Requires the ability to compare and/or judge the readily observable, functional, structural, or compositional characteristics (whether similar to or divergent from obvious standards) of data, people or things.
Interpersonal Communications: Requires the ability of speaking and/or signaling people to convey or exchange information. Includes giving instructions, assignments and directions to co-workers or assistants, as well as receiving information and assignments from supervisor.
Language Ability: Requires the ability to read and write program and policy manuals, human services journals, financial and budget documents and statements, regulatory documents, regulations and other administrative references. Must be able to prepare correspondence, annual reports, diagrams, and budget and administrative documentation using prescribed formats and conforming to all rules of punctuation, grammar, diction and style. Requires the ability to speak to people with poise, voice control and confidence.
Intelligence: Requires the ability to apply principles of logical or scientific thinking to define problems, collect data, establish facts and draw valid conclusions; to interpret an extensive variety of technical instructions in mathematical or diagrammatic form; deal with several abstract and concrete variables.
Verbal Aptitude: Requires the ability to record and deliver information, to explain procedures, to follow oral and written instructions. Must be able to communicate effectively and efficiently using Standard English and using administrative, behavioral, and mental health and other human service terminology.
Numerical Aptitude: Requires the ability to utilize mathematical formulas. Must be able to add, subtract, multiply, and divide; to determine percentages; to calculate interest, profit and loss, proportions, etc.
Form/Spatial Aptitude:Requires the ability to inspect items for proper length, width and shape.
Motor Coordination: Requires the ability to coordinate hands and eyes rapidly and accurately in using a variety of office equipment.
Manual Dexterity: Requires the ability to handle a variety of items, such as office equipment. Must have minimal levels of eye/hand/foot coordination.
Color Discrimination:Requires the ability to differentiate between colors and shades of color.
Interpersonal Temperament: Requires the ability to deal with people beyond giving and receiving instructions. Must be adaptable to performing under varying levels of stress and when confronted with persons acting under stress (emergency situations).
Physical Communication: Requires the ability to talk and/or hear: (talking - expressing or exchanging ideas by means of spoken words; hearing - perceiving nature of sounds by ear). Must be able to communicate via telephone.
AMERICANS WITH DISABILITIES ACT (ADA) REQUIREMENTS
The City of Portsmouth is an Equal Opportunity Employer. ADA requires the City to provide reasonable accommodations to qualified individuals with disabilities. Prospective and current employees are invited to discuss accommodations.
This is a class description and not an individual position description. A class specification defines the general character and scope of duties and responsibilities of all positions in a job classification, but is not intended to describe and does not necessarily list the essential job functions for a given position in a classification.
The city of Portsmouth offers a complete and comprehensive benefit package to full-time employees including: medical, dental, vision, legal, Flexible Spending Accounts, basic and optional life insurance, short-term disability insurance, Virginia Retirement System (includes a mandatory 5% employee contribution), holidays, vacation, sick leave, deferred compensation plan, and Chartway Credit Union. To learn more details, visit
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Please select the highest level of education completed.
  • Less than High School
  • High School Diploma or GED
  • Some College
  • Associates/Vocational/Technical
  • Bachelor's Degree or Higher

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Do you have Bachelor's degree in Social Work, Psychology