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

Proficiency with Westlaw required; experience with case management platforms (e.g., FileVine) a ... Fully remote flexibility * Opportunity to contribute to meaningful, high-profile legal and advocacy ...

Proficiency with Westlaw required; experience with case management platforms (e.g., FileVine) a ... Fully remote flexibility * Opportunity to contribute to meaningful, high-profile legal and advocacy ...

This is a remote opportunity. The Consultant will review WCMSA case submissions in support of the ... by management. Minimum Requirements - Bachelor's degree with 3-5 years of experience consulting ...

Workers' Compensation Attorney

Fairfax, VA ยท Remote

$120K - $170K/yr

Fully Remote! Based in Virginia, we are a multidisciplinary law firm known for its client-focused ... Manage an assigned caseload while collaborating with colleagues and support staff on case ...

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Remote Aetna Case Management information

See Reston, VA salary details

$15

$25

$44

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

As of Aug 19, 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:

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.

Registered Nurse - Medical Case Reviewer - Rockville, MD

Prime Physicians

Rockville, MD โ€ข Remote

Contractor

Re-posted 22 days ago


Job description

Prime Physicians is a physician-led, The Joint Commission (TJC) Accredited, ISO 9001 certified and CMMI Level 3 appraised organization. Our commitment extends beyond traditional consulting and management services, offering comprehensive solutions to hospitals, health systems, and federal government agencies. At the heart of our operations is the ultimate goal to deliver high-quality patient care. Driven by a mission to catalyze healthcare transformation and innovation, we offer an array of services designed to redefine the healthcare landscape. From program and project management to strategic planning, we enhance operational efficiency and streamline business processes. With Prime Physicians, the future of patient care is in skilled and dedicated hands, leading the way towards a more efficient, effective, and compassionate healthcare system.

Job Title: Registered Nurse — Medical Case Reviewer
Specialty: General Nursing (acute care, pediatrics, or related preferred)
Place of Work: Remote (U.S. only)
Duration: 6 months contract with a possibility of 6 months extension
License/Certifications: Active, unrestricted U.S. RN license
Education: Nursing degree from accredited U.S. institution
Minimum Qualification/Experience: At least 5 years RN clinical experience
Responsibilities:

  • Perform detailed medical record abstraction and timeline development for HRSA program cases.
  • Review and organize patient records to identify significant diagnoses, treatments, and outcomes.
  • Draft clear, concise reports that support physicians and advanced practitioners in case evaluation.
  • Detect and document missing or inconsistent records requiring follow-up.
  • Maintain accuracy, clarity, and compliance with established standards and deadlines.
  • Protect patient confidentiality and ensure strict adherence to HIPAA and internal quality processes.

Prime Physicians is a physician-led, The Joint Commission (TJC) Accredited, ISO 9001 certified and CMMI Level 3 appraised organization. Our commitment extends beyond traditional consulting and management services, offering comprehensive solutions to hospitals, health systems, and federal government agencies. At the heart of our operations is the ultimate goal to deliver high-quality patient care. Driven by a mission to catalyze healthcare transformation and innovation, we offer an array of services designed to redefine the healthcare landscape. From program and project management to strategic planning, we enhance operational efficiency and streamline business processes. With Prime Physicians, the future of patient care is in skilled and dedicated hands, leading the way towards a more efficient, effective, and compassionate healthcare system.