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Insurance Case Manager Remote Jobs in Washington

Ullico

Case Manager

Bethesda, MD · On-site +1

$76K - $115K/yr

Union Labor Life Insurance Company is actively recruiting a Case Manager for our Silver Spring, MD office. Job Duties: * Analyze "trigger reports" and high dollar claim referrals to identify ...

Ullico

Case Manager

Bethesda, MD · Remote

$76K - $115K/yr

Union Labor Life Insurance Company is actively recruiting a Case Manager for our Silver Spring, MD office. Job Duties: * Analyze "trigger reports" and high dollar claim referrals to identify ...

York Risk Services

RN Field Case Manager

Washington, DC · Remote

$88K - $112K/yr

... Insurance RN Field Case Manager This Field Case Manager will cover our Northern Virginia region ... remote work environment that allows face to face interaction with injured workers and medical ...

Sedgwick

RN Field Case Manager

Washington, DC · Remote

$88K - $112K/yr

... Insurance RN Field Case Manager This Field Case Manager will cover our Northern Virginia region ... remote work environment that allows face to face interaction with injured workers and medical ...

Sedgwick

RN Field Case Manager

Fairfax, VA · Remote

$79K - $101K/yr

... Insurance RN Field Case Manager This Field Case Manager will cover our Northern Virginia region ... remote work environment that allows face to face interaction with injured workers and medical ...

York Risk Services

RN Field Case Manager

Fairfax, VA · Remote

$79K - $101K/yr

... Insurance RN Field Case Manager This Field Case Manager will cover our Northern Virginia region ... remote work environment that allows face to face interaction with injured workers and medical ...

Maximus

Quality Control Manager (Remote)

VA · On-site +1

General information Job Posting Title Quality Control Manager (Remote) Date Tuesday, July 7, 2026 ... Additionally, Maximus provides a variety of benefits to employees, including health insurance ...

ICF

Contracts Manager (Remote)

Reston, VA · Remote

$92K - $123K/yr

This position is 100% Remote in the 48 contiguous United States. Responsibilities : * Provide ... insurance, and liquidated damages. * Review and negotiate non-disclosure agreements, teaming ...

ICF International, Inc.

Contracts Manager (Remote)

Reston, VA · On-site +1

$92K - $123K/yr

This position is 100% Remote in the 48 contiguous United States. Responsibilities : * Provide ... insurance, and liquidated damages. * Review and negotiate non-disclosure agreements, teaming ...

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Insurance Case Manager Remote information

What does an Insurance Case Manager do when working remotely?

An Insurance Case Manager working remotely is responsible for assessing insurance claims, coordinating care, and helping clients navigate their insurance benefits, all from a remote location. They communicate with clients, healthcare providers, and insurance companies to ensure claims are processed accurately and efficiently. Remote Insurance Case Managers use secure digital platforms to review case files, document interactions, and provide guidance on coverage and next steps. Their role is vital in ensuring clients receive the care and benefits they are entitled to while maintaining compliance with regulations.

How does an Insurance Case Manager collaborate with other departments in a remote work setting?

As a remote Insurance Case Manager, you'll regularly coordinate with underwriters, claims specialists, and external healthcare providers through virtual meetings and secure communication platforms. This collaboration ensures that case files are complete, accurate, and processed efficiently. You may also participate in cross-functional team discussions to resolve complex cases and update workflow standards, all while maintaining compliance with privacy regulations. Strong communication and organization skills are essential for managing these interactions remotely.

What are the key skills and qualifications needed to thrive as a Remote Insurance Case Manager, and why are they important?

To thrive as a Remote Insurance Case Manager, you need a strong background in insurance policies, case management, and claims processing, typically supported by relevant insurance certifications or a degree in a related field. Familiarity with case management software, CRM systems, and electronic document management tools is often required. Exceptional organizational skills, attention to detail, and effective communication are crucial for coordinating with clients and internal teams. These competencies ensure accurate case handling, client satisfaction, and efficient workflow in a remote environment.

What is the difference between Insurance Case Manager Remote vs Insurance Claims Adjuster?

AspectInsurance Case Manager RemoteInsurance Claims Adjuster
CredentialsLicenses, certifications in case management or health insuranceAdjuster licenses, certifications in claims handling
Work EnvironmentRemote, healthcare or insurance companiesRemote or in-office, insurance companies or third-party administrators
Industry UsageHealthcare, insurance, social servicesProperty, auto, health insurance claims

Both roles often require similar certifications and can be performed remotely. Insurance Case Managers focus on coordinating care and benefits for clients, while Insurance Claims Adjusters evaluate and settle insurance claims. Understanding these differences helps job seekers find the right position aligned with their skills and interests.

What are popular job titles related to Insurance Case Manager Remote jobs in Washington? For Insurance Case Manager Remote jobs in Washington, the most frequently searched job titles are:
What job categories do people searching Insurance Case Manager Remote jobs in Washington look for? The top searched job categories for Insurance Case Manager Remote jobs in Washington are:
What cities in Washington are hiring for Insurance Case Manager Remote jobs? Cities in Washington with the most Insurance Case Manager Remote job openings:
Insurance Case Manager Remote jobs near you
Infographic showing various Insurance Case Manager Remote job openings in Washington as of July 2026, with employment types broken down into 2% As Needed, 76% Full Time, 20% Part Time, and 2% Contract. Highlights an 85% Physical, 5% Hybrid, and 10% Remote job distribution.
Integrated Case Manager- Registered Nurse

Integrated Case Manager- Registered Nurse

Sentara Healthcare

Woodbridge, VA • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 28 days ago

Sentara Health rating

6.9

Company rating: 6.9 out of 10

Based on 392 frontline employees who took The Breakroom Quiz

449th of 886 rated healthcare providers

Job description

City/State
Fairfax, VA
Work Shift
First (Days)
Overview:
Sentara Health in Woodbridge, VA is looking to hire an Integrated Case Manager, RN.
This is a remote position; however, candidates must reside in Woodbridge and surrounding areas as travel is required.
The Integrated Case Manager is responsible for case management services within the scope of licensure; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum. Performs telephonic or face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical and behavioral health, social services and long-term services.
Identifies members for high-risk complications and coordinates care in conjunction with the member and health care team. Manages chronic illnesses, co-morbidities, and/or disabilities ensuring cost effective and efficient utilization of health benefits; conducts gap in care management for quality programs. Assists with the implementation of member care plans by facilitating authorizations/referrals within benefits structure or extra-contractual arrangements, as permissible. Interfaces with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on care management treatment plans. Presents cases at case conferences for multidisciplinary focus. Ensure compliance with regulatory, accrediting and company policies and procedures. May assist in problem solving with provider, claims or service issues.
Demonstrates the minimum knowledge, skills and abilities to care for the individualized needs of the patient to include physical, psychological, socio-cultural, spiritual and cognitive needs as well as functional abilities including the need for diversified use of such practices. Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills
Education:
  • Associates
  • Bachelors preferred

Certification:
  • Registered Nurse required

Experience:
  • 3 years of nursing experience required
  • Managed care preferred
  • Discharge planning experience preferred

Keywords: Talroo- Health, Case Management, Managed Care, Discharge Planning
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to 10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - 5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - 10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission "to improve health every day," this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

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