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Remote Aetna Case Management Jobs in Reston, VA (NOW HIRING)

Maximus

Behavioral Health Clinician (Remote)

VA · On-site +1

$62K - $85K/yr

General information Job Posting Title Behavioral Health Clinician (Remote) Date Thursday, August 13 ... case management, and clinical support services for Special Operations Forces (SOF) personnel and ...

Maximus

Behavioral Health Technician (Remote)

VA · On-site +1

$16.25 - $20/hr

General information Job Posting Title Behavioral Health Technician (Remote) Date Thursday, August ... case management, and clinical support services for Special Operations Forces (SOF) personnel and ...

Augmentation

Be Seen First

Adjudicator - Remote

Washington, DC · Remote

$48 - $53/hr

Bethesda, MD Pay: $45.00 - $52.00/hour Remote (Local candidates only; MD, VA, PA, WV) Job ... Track action status within the DPSAC case management system of personnel suitability/security case ...

Bigbear.ai

Applications Architect

Mclean, VA · Remote

$175K - $220K/yr

This position is remote but will require travel in the DMV area. Responsibilities * Own and evolve the end-to-end application architecture for the case management and adjudication experience, built ...

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All JobsAetna Case Management JobsRemote Aetna Case Management JobsRemote Aetna Case Management Jobs in Reston, VA

Remote Aetna Case Management information

See Reston, VA salary details

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How much do remote aetna case management jobs pay per hour?

As of Aug 20, 2026, the average hourly pay for remote aetna case management in Reston, VA is $25.76, according to ZipRecruiter salary data. Most workers in this role earn between $20.00 and $28.03 per hour, depending on experience, location, and employer.

What is remote Aetna case management?

Remote Aetna case management involves healthcare professionals, such as nurses or case managers, working from a remote location to help Aetna members manage their health conditions. These professionals assess patients' needs, coordinate care, and connect members with resources or services to improve their health outcomes. Remote case managers use phone calls, emails, and digital tools to communicate with members, providers, and care teams. This role aims to ensure members receive personalized support while reducing hospitalizations and improving overall well-being.

What are the key skills and qualifications needed to thrive as a remote Aetna case manager?

To thrive as a Remote Aetna Case Manager, you need a background in nursing or social work (often requiring an RN license or relevant degree), strong case management experience, and knowledge of healthcare regulations. Familiarity with case management software, electronic health records (EHRs), and telehealth platforms is typically required. Excellent communication, problem-solving, and organizational skills help build rapport with patients and coordinate interdisciplinary care remotely. These skills ensure effective patient advocacy, streamlined care coordination, and compliance with Aetna's quality standards in a virtual environment.

What are some common challenges faced by remote Aetna case managers, and how can they be addressed?

Remote Aetna case managers often face challenges such as coordinating care across multiple providers virtually, managing a high caseload, and ensuring clear communication with both patients and healthcare teams. To address these challenges, it is important to utilize digital collaboration tools, maintain organized case notes, and establish regular check-ins with team members. Building strong relationships with patients and providers through proactive communication can also help streamline the care management process and improve outcomes.

What is the difference between Remote Aetna Case Management vs Remote UnitedHealthcare Case Management?

AspectRemote Aetna Case ManagementRemote UnitedHealthcare Case Management
Required CredentialsRN or licensed healthcare professional, case management certificationRN or licensed healthcare professional, case management certification
Work EnvironmentRemote, healthcare insurance industryRemote, healthcare insurance industry
Employer & Industry UsageAetna, health insurance providersUnitedHealthcare, health insurance providers

Both Remote Aetna Case Management and Remote UnitedHealthcare Case Management roles require similar credentials, including RN licensure and case management certification. They operate in a remote work environment within the health insurance industry and are employed by leading insurance providers. The primary difference lies in the employer, with each role supporting their respective company's members and healthcare plans. Overall, they share many similarities but serve different corporate clients.

What are popular job titles related to Remote Aetna Case Management jobs in Reston, VA?

For Remote Aetna Case Management jobs in Reston, VA, the most frequently searched job titles are:

What job categories do people searching Remote Aetna Case Management jobs in Reston, VA look for?

The top searched job categories for Remote Aetna Case Management jobs in Reston, VA are:

What cities near Reston, VA are hiring for Remote Aetna Case Management jobs?

Cities near Reston, VA with the most Remote Aetna Case Management job openings:

Remote Aetna Case Management jobs near you
Infographic showing various Remote Aetna Case Management job openings in Reston, VA as of June 2026, with employment types broken down into 3% As Needed, 60% Full Time, 34% Part Time, and 3% Contract. Highlights an 51% Physical, 3% Hybrid, and 46% Remote job distribution, with an average salary of $53,572 per year, or $25.8 per hour.

Compliance Analyst

National Resident Matching Program

Washington, DC • Remote

Full-time

Posted 22 days ago

Job description

ABOUT THE ORGANIZATION

The National Resident Matching Program® (NRMP®) is a private, not-for-profit organization established in 1952 to provide a uniform date of appointment to positions in graduate medical education (GME) in the United States.  The NRMP is not an application processing service; rather, it provides an impartial venue for matching applicants’ and programs’ preferences for each other consistently.  The NRMP conducts the annual Main Residency Match encompassing 40,000 applicants for more than 25,000 positions in core residencies as well as Matches for fellowship positions in 55 subspecialties through its Specialties Matching Service®.

POSITION SUMMARY

The NRMP Policy and Compliance team promotes and enforces the policies and procedures that protect the integrity of the Matching Program. The Compliance Analyst engages in effective oversight of case management activities to ensure consistent application and adherence by constituents to the rules and regulations outlined in the NRMP’s Match Participation Agreements and related policies. The Compliance Analyst also supports the maintenance of accurate case management records and assists with constituent outreach efforts, mainly on matters related to promoting broad-based understanding of Match compliance.

Security and Privacy responsibilities are identified in the Acceptable Use Policy (AUP), which applies to all users, roles, and NRMP resources.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Case Management

  • Process waiver reviews and violation investigations:
  • Manage and prioritize caseload, ensuring adherence with NRMP policy timelines
  • Correspond with all parties and collect all documentation for files; proactively identify/analyze gaps and follow up accordingly with parties to solicit additional information
    • Research/solicit feedback about policies of partner organizations when they contribute to understanding and processing of a case
    • Troubleshoot cases, as needed, with Director to ensure documentation is comprehensive and ready for executive leadership review
  • Prepare reports and documents and ensure accurate preparation of case files for panel review
  • Distribute reports to external parties. Maintain and/or update online systems to ensure accurate case log tracking

Records Management

  • Interface with the NRMP’s case management system and matching software system

          o  Process intake forms; enter case data and information into electronic case management system in accordance with policy

  •  Maintain accurate case log through prompt upload of transmittals, constituent statements, and support documentation as received

         o  Update records in the NRMP’s matching software system to accurately reflect case activity

Inter-Departmental and Constituent Support/Engagement

  • Serve as primary point of contact for staff, Match participants, stakeholders, and other interested parties in responding to questions related to policy interpretation and compliance protocols
  • Assist in reviewing annual updates to Match Participation Agreements, policies, and Codes of Conduct
  • Work with Sr Compliance Analyst(s) on ad hoc projects as assigned, namely initiatives that increase policy awareness and understanding among staff and Match constituents 

Miscellaneous

  • Support the Director in annual review, revision, and/or creation of department process documentation and maps
  • Support Operations team during peak periods and as directed

EDUCATION, QUALIFICATIONS, REQUIRED SKILLS

  • Bachelor’s degree required, preferably in a policy, social science, or health-related discipline or experience determined to be equivalent
  • Three to five years of experience working in a compliance role and/or interpreting policy and regulating policy compliance, preferably in a medical or medical education-based organization
  • Excellent oral and written communication skills; proven experience in report writing
  • Excellent interpersonal and time-management skills
  • Proven ability to safeguard sensitive, often confidential information
  • Detailed-oriented, organized, and thorough
  • Ability to problem-solve through logic and trial and error; ability and willingness to learn new software and applications
  • Microsoft Office Suite


PREFERRED SKILLS

  • Experience using FileVine or similar case management software (Clio, Zola, PracticePanther, etc.)
  • Experience using online form software (Google Forms, JotForm, TypeForm, )

INTERACTIONS

External:

  • Frequent contact with NRMP Match participants, including teaching hospital officials, residency program directors, medical school student affairs deans, and applicants
  • Infrequent contact with legal counsel

  Internal:

  • Serves as compliance liaison for staff in answering and/or interpreting broad-based policy questions.

ADA SPECIFICATIONS

This position is currently remote, but typically located in the Washington DC office, with occasional overnight travel. The role is primarily sedentary; may require some bending and lifting.

NRMP is an equal opportunity employer and values diversity. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, disability or other protected class status.


A list of benefits can be viewed: Careers | NRMP