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Insurance Case Manager Jobs in Virginia (NOW HIRING)

ACTS

Housing Case Manager

Dumfries, VA · On-site

$56K/yr

Full health insurance options with generous employer contribution for medical and 403(b) matching ... Sustainable Housing Case Manager; Housing Services Pay: $56,160.04 per year ($1000 additional per ...

Carilion Clinic

RN Case Manager

Roanoke, VA

R151592 RN Case Manager (Open) How You'll Help Transform Healthcare: Full time : Monday - Friday ... Aids in the delivery of regulatory letters and patient notices related to insurance coverage/non ...

Enlyte

Vocational Case Manager

Richmond, VA

$61K - $85K/yr

Serve as representative of the Company in communications with attorneys, insurance carriers ... Must meet all vocational case management eligibility requirements of the state/jurisdiction of hire.

Carilion Clinic

RN Case Manager

Roanoke, VA · On-site

R151592 RN Case Manager (Open) How You'll Help Transform Healthcare: Full time : Monday - Friday ... Aids in the delivery of regulatory letters and patient notices related to insurance coverage/non ...

Enlyte

Vocational Case Manager

Richmond, VA · On-site

$61K - $85K/yr

Serve as representative of the Company in communications with attorneys, insurance carriers ... Must meet all vocational case management eligibility requirements of the state/jurisdiction of hire.

Good Samaritan Hospice

RN Case Manager

Lynchburg, VA · On-site

$75K/yr

As a Hospice RN Case Manager, you're not just managing care, you're walking alongside patients and ... Reliable transportation with valid driver's license and insurance * Compassionate, mission-driven ...

VHS Hospice

RN Case Manager

Newport News, VA · On-site

$70K - $95K/yr

Join our team at VHS Hospice as an RN Case Manager Proudly supported by Marquis Health * Full-time, ... Shift differentials * Company-sponsored life insurance * Employee assistance program (EAP ...

Sentara Healthcare

Inpatient Case Manager-MSW

Suffolk, VA · On-site

$20.75 - $27/hr

Inpatient Case Manager MSW - Complex Cases Sentara Obici Hospital - Suffolk, VA ~Full Time & Day ... Insurance • 401k/403B with Employer Match • Tuition Assistance - 5,250/year and discounted ...

VHS Hospice

RN Case Manager

Newport News, VA

$70K - $95K/yr

Join our team at VHS Hospice as an RN Case Manager Proudly supported by Marquis Health * Full-time, ... Shift differentials * Company-sponsored life insurance * Employee assistance program (EAP ...

Sovah Health - Danville

RN Case Manager

Danville, VA · On-site

As RN Case Manager joining our team, you are embracing a vital mission dedicated to making ... Ensures clinical updates are provided to all insurance payers when due and all payer communications ...

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All JobsInsurance Case JobsInsurance Case Manager JobsInsurance Case Manager Jobs in Virginia

Insurance Case Manager information

See Virginia salary details

$32.2K

$50.4K

$73.4K

How much do insurance case manager jobs pay per year?

As of Jul 17, 2026, the average yearly pay for insurance case manager in Virginia is $50,405.00, according to ZipRecruiter salary data. Most workers in this role earn between $38,700.00 and $58,500.00 per year, depending on experience, location, and employer.

What does an Insurance Case Manager do?

An Insurance Case Manager coordinates and manages insurance claims on behalf of clients, ensuring that cases are processed efficiently and accurately. They review claims, gather necessary documentation, communicate with policyholders, healthcare providers, and insurance companies, and advocate for the best possible outcomes. Their role often involves assessing coverage, resolving issues, and helping clients understand their insurance benefits and options. By serving as a liaison, they streamline the claims process and support clients throughout their case.

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

To thrive as an Insurance Case Manager, you need a solid understanding of insurance policies, case management practices, and regulatory compliance, often supported by a bachelor’s degree in a related field and relevant certifications such as Certified Case Manager (CCM). Familiarity with claims management software, customer relationship management (CRM) systems, and medical terminology is typically required. Strong communication, organizational, and problem-solving skills help you effectively coordinate between clients, providers, and insurers. These competencies are crucial for ensuring accurate case evaluations, timely claims processing, and high-quality client service.

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

AspectInsurance Case ManagerClaims Adjuster
CredentialsCertifications like CPCU or ARM often preferredAdjuster licenses required by state
Work EnvironmentOffice-based, client interaction, case managementField or office-based, claims investigation
Employer & IndustryInsurance companies, healthcare providersInsurance companies, third-party administrators
Search & Comparison IntentManaging claims, coordinating benefitsEvaluating and settling claims

While both roles work within the insurance industry, Insurance Case Managers focus on coordinating benefits and managing ongoing cases, often requiring certifications like CPCU. Claims Adjusters primarily investigate and settle claims, often working in the field. Understanding these differences helps job seekers identify the right career path based on their skills and interests.

What Is an Insurance Case Manager?

An insurance case manager’s duties are to ensure the delivery of health care benefits or other forms of insurance and related services to their clients and to oversee their clients’ cases. As an insurance case manager, you can work in a variety of settings but usually for insurance carriers and HMOs. Your responsibilities differ depending on who your employer is and the type of insurance you work with. For example, if you work for a life insurance company, your duties involve assessing risk, processing new application paperwork, and other tasks similar to that of an underwriter.

How does an Insurance Case Manager typically collaborate with other departments to ensure smooth claim processing?

Insurance Case Managers frequently work with underwriters, claims adjusters, customer service representatives, and sometimes medical professionals to gather necessary information and resolve complex cases. They act as a central point of communication, ensuring all parties are aligned and that documentation is complete and accurate. This collaboration helps streamline claim evaluations, address any discrepancies swiftly, and deliver timely resolutions for clients. Strong teamwork and clear communication are essential for success in this role.
More about Insurance Case Manager jobs
What are popular job titles related to Insurance Case Manager jobs in Virginia? For Insurance Case Manager jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Insurance Case Manager jobs in Virginia look for? The top searched job categories for Insurance Case Manager jobs in Virginia are:
What cities in Virginia are hiring for Insurance Case Manager jobs? Cities in Virginia with the most Insurance Case Manager job openings:
Insurance Case Manager jobs near you
Infographic showing various Insurance Case Manager job openings in Virginia as of July 2026, with employment types broken down into 88% Full Time, and 12% Part Time. Highlights an 91% In-person, and 9% Remote job distribution, with an average salary of $50,405 per year, or $24.2 per hour.
Housing Case Manager

Housing Case Manager

ACTS

Dumfries, VA • On-site

$56K/yr

Full-time

Medical, Retirement, PTO

Posted 25 days ago

Job description

Action in Community Through Service
At ACTS, our highly-trained staff and volunteers are committed to providing the best possible services to our clients every day.
ACTS fosters hope, provides relief, and promotes self-sufficiency for our Prince William area neighbors in crisis. We are committed to
creating a community where no one goes without or suffers alone. Check out the programs and crisis services we offer, our volunteer
opportunities, and ways you or your company can partner with us to continue our positive impact!
Together we can make a difference in serving our neighbors.
The Sustainable Housing Case Manager - HUD provides case management services to clients currently receiving ACTS Housing Services and community participants who have been provided housing services through ACTS.
Benefits and Rewards:
  • Full health insurance options with generous employer contribution for medical and 403(b) matching.
  • Paid vacation and sick leave, personal time, paid lunch, comp time and Birthday time off!
  • Additional time off from December 25 - January 1.
  • Grow your skills with free, award-winning training.
  • Use your talents in a successful organization with over 50 years of significant impact in the community.
  • Earn First Aid, and Narcan certifications, as well as other human service trainings.

Position Title and Department: Sustainable Housing Case Manager; Housing Services
Pay: $56,160.04 per year ($1000 additional per year for bilingual capability in English and Spanish, French or Arabic and $1000 additional per year for additional degree of value to ACTS.) This position is contingent on grant funding, with continuation based on performance, organizational needs, and funding availability.
Reports to: Sustainable Housing Supervisor
Hours per week and Schedule: 40 hours Monday - Friday 8:00 a.m. to 4:00 p.m. Flexibility for client needs or events require
FLSA Classification: Exempt
Essential: No; Client Contact Position: Yes
Driving required: Yes; Personal vehicle required: Yes
Location: Dumfries, VA
Effective Date: 4/23/2026
Supervisory Responsibilities: None
Essential Functions:
Reasonable accommodation may be made to enable individuals with disabilities to perform these essential functions.
Assessment/Intake
  1. Conducts comprehensive initial screening process to determine eligibility for program services, providing assessment, intake and enrollment where appropriate.
  2. Assist client in developing Individual Service Plan (ISP), assess progress and problem-solving barriers to self- sufficiency regularly.
  3. Monitors client's compliance with Program Agreement.

Case Management Service Delivery
  1. Serves as an advocate and liaison for assigned caseload clients receiving ACTS Housing Services.
  2. Provides education and information in building client self-sufficiency around family systems, housing, budgeting, employment, educational training, health and other human services with an emphasis on long-term housing and economic stability.
  3. Makes referrals to other services as needed and works with other community partners to provide collaborative services to clients.
  4. Executes their assigned program funding within the approved budget and in compliance with funding source requirements.

Evaluation
  1. Enters and updates information into the Homeless Management Information System (HMIS), SharePoint and other client databases as required.
  2. Maintains client files in accordance with ACTS guidelines and other accrediting agencies for program and grant requirements.

Training/Supervision
  1. Participates in regular supervision with Program Supervisor by providing regular updates and preparing case presentations.
  2. Completes required 40 hours of training annually including CPR, First Aid and NARCAN certification and other human service trainings.

Outreach
  1. Promotes community awareness about homelessness and human services.
  2. Attends staff meetings, community meetings, training and other agency related activities as required.
  3. Conducts ongoing outreach to establish/foster a network of community resources and services.
  4. Performs other duties as required.

Required Knowledge, Skills and Abilities:
  • Excellent verbal and written communication skills.
  • Excellent interpersonal and customer service skills.
  • Excellent organizational skills and attention to detail.
  • Excellent time management skills with a proven ability to meet deadlines.
  • Strong analytical and problem-solving skills.
  • Strong supervisory and leadership skills.
  • Ability to prioritize tasks and to delegate them when appropriate.
  • Working knowledge of MS Word, Excel, Outlook, and Internet navigation
  • Ability to function well in a high-paced and at times stressful environment.
  • Have a valid driver's license, acceptable driving record, current auto insurance, and daily access to a personal vehicle

Preferred Knowledge, Skills and Abilities:
  • Excellent customer service skills.
  • Preferred - CPR and First AID Certification
  • Proficient with Microsoft Office Suite
  • Bilingual capability (English and Spanish, French or Arabic)

Education and Experience:
Meets one of the following three criteria, required:
  • A bachelor's degree in human services, behavioral sciences or allied field (including criminal justice, education and psychology)
  • AA degree in human services, behavior sciences or allied field (including criminal justice, education and psychology) with 4 years of documented related experience
  • No college degree in human services, behavioral sciences or allied field (including criminal justice, education and psychology) with 5 years of documented related experience.
  • A bachelor's in human services or behavioral sciences, preferred

Physical Requirements:
  • Prolonged periods of sitting at a desk and working on a computer.
  • Must be able to lift up to 15 pounds at times.

Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Equal Employment Opportunity Policy
ACTS provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Drug-Free Workplace Policy
The unlawful or unauthorized use, abuse, solicitation, theft, possession, transfer, purchase, sale or distribution of controlled substances (including medical marijuana), drug paraphernalia or alcohol by an individual anywhere on Organization premises, while on Organization business (whether or not on Organization premises) or while representing the Organization, is strictly prohibited. Violation of this policy will result in disciplinary action, up to and including discharge.

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