2

Remote Case Reviewer Jobs in Virginia (NOW HIRING)

Case Reviewer (Experienced)

Reston, VA · On-site +1

$54.80K - $115K/yr

Case Reviewer (Experienced) Job Category: Investigation Time Type: Full time Minimum Clearance ... This is a fully remote position, however, there may be local travel to attend business meetings.

Assessing new applicants by gathering information, reviewing diagnoses and analyzing medical test ... Job ID 2026-23286 Work Type Remote Pay Range 105,000-110,000 Benefits Regular - The company offers ...

Appeals Pharmacist (Remote)

Ashburn, VA · On-site +1

$58.50 - $71.25/hr

Collaborate with physicians, nurses, and medical directors during case reviews. * Track, document ... Many roles offer hybrid or fully remote options. * Rewards: Competitive salary, comprehensive ...

Appeals Pharmacist (Remote)

Annandale, VA · On-site +1

$57 - $69.50/hr

Collaborate with physicians, nurses, and medical directors during case reviews. * Track, document ... Many roles offer hybrid or fully remote options. * Rewards: Competitive salary, comprehensive ...

Assessing new applicants by gathering information, reviewing diagnoses and analyzing medical test ... Job ID 2026-23286 Work Type Remote Pay Range 105,000-110,000 Benefits Regular - The company offers ...

Reviews case management process, workflows and provides recommendations to the PM and Sr. Case ... Salary: $75,000 - $82,000/Annual Job ID 2026-23029 Work Type Remote Pay Range 75K to 82K Benefits ...

Case Manager, Registered Nurse

Richmond, VA · Remote

$54.10K - $155.54K/yr

Position Summary This is a remote work from home role anywhere in the US with virtual training ... Perform medical necessity reviews. Required Qualifications * 5+ years' experience as a Registered ...

next page

Showing results 1-20

Remote Case Reviewer information

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

To thrive as a Remote Case Reviewer, you need strong analytical skills, attention to detail, and relevant professional credentials, often in fields like healthcare, insurance, or law. Familiarity with case management software, electronic documentation systems, and industry regulations (such as HIPAA for healthcare) is typically required. Excellent written communication, time management, and independent decision-making are standout soft skills for this role. These abilities ensure accurate, compliant, and efficient case evaluations while maintaining high-quality standards in a remote work environment.

What are some common challenges Remote Case Reviewers face, and how can they effectively manage them?

Remote Case Reviewers often encounter challenges such as managing a high volume of cases, staying organized with digital documentation, and maintaining clear communication with team members across different locations. To address these, it's important to develop strong time management skills, utilize standardized review checklists, and take advantage of collaboration tools like secure messaging platforms. Regular virtual meetings and clear protocols help ensure consistency and quality, while ongoing training can keep reviewers up to date on best practices.

What are remote case reviewers?

Remote case reviewers are professionals who assess and evaluate cases, such as medical, legal, or insurance files, from a remote location rather than working on-site. Their responsibilities typically include reviewing documentation, ensuring compliance with policies and regulations, and providing recommendations or decisions based on their findings. Remote case reviewers use secure digital platforms to access and analyze case materials, enabling flexibility and efficiency in their work. This role can be found in industries like healthcare, law, insurance, and finance. Strong attention to detail and analytical skills are essential for success in this position.

What is the difference between Remote Case Reviewer vs Remote Claims Processor?

AspectRemote Case ReviewerRemote Claims Processor
Required CredentialsHigh school diploma or equivalent; healthcare or legal background often preferredHigh school diploma or equivalent; experience in insurance or claims processing beneficial
Work EnvironmentHome-based, independent review settingHome-based, processing insurance claims
Industry UsageHealthcare, legal, insurance sectorsInsurance companies, third-party administrators
Common Search/ComparisonRemote Case Reviewer vs Remote Claims Processor

While both roles are remote and involve handling cases or claims, Remote Case Reviewers primarily evaluate and assess cases, often requiring specialized knowledge in healthcare or legal fields. Remote Claims Processors focus on processing insurance claims, verifying information, and ensuring accurate payment. Understanding these differences helps job seekers identify the role that best matches their skills and career goals.

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 Remote Case Reviewer jobs? Cities in Virginia with the most Remote Case Reviewer job openings:
Case Reviewer (Experienced)

Case Reviewer (Experienced)

CACI International

Reston, VA • On-site, Remote

$54.80K - $115K/yr

Other

Medical, Retirement, PTO

Posted 12 days ago


Job description

Job Title: Case Reviewer (Experienced)

Job Category: Investigation

Time Type: Full time

Minimum Clearance Required to Start: Top Secret

Employee Type: Regular

Percentage of Travel Required: None

Type of Travel: None

CACI Premier Technology, Inc., is seeking full-time Reviewers for the federal background investigation program. Reviewers work with investigators to complete and submit background investigation interviews and record checks to determine the suitability of current and prospective Federal employees, contractors, and military personnel for security clearances. The investigations support critical national security efforts of our federal government customer on behalf of over 100 U.S. government agencies having some of the nation's most sensitive missions.

POSITION SUMMARY:

The Reviewer scrutinizes reports of investigations submitted by Field Investigators and Record Searchers to ensure accuracy, completeness, and timely submission to the customer. This is a fully remote position, however, there may be local travel to attend business meetings.

RESPONSIBILTIES:

  • Conduct thorough reviews of a background investigations, including reports of investigation, to ensure investigations are complete and adhere to customer and CACI requirements.

  • Provide guidance on customer investigation requirements to Field Investigators and Record Searchers

  • Maintain quality and production that meets customer contract requirements and CACI performance expectations

  • Identify trends in errors and communicate trends to Field Investigators, Record Searchers, and management

  • Work closely with review team members, field investigators, and record searchers to develop training and guidance to improve background investigations

  • Other duties as assigned

REQUIRED QUALIFICATIONS:

  • Candidates must have at least 12 months' experience conducting/processing background investigations on behalf of the customer and must currently work on the contract.

  • Bachelor's degree or equivalent work-related experience

  • U.S. Citizenship (a requirement for a federal security clearance)

  • Ability to pass a mandatory pre-employment drug test

  • Ability to obtain and maintain a favorable U.S. Government security clearance

  • Self-starter with the ability to work independently

  • Detail oriented with a focus on analyzing information

  • Excellent oral and written communication skills to communicate with individuals by telephone, email, and face to face

  • Strong customer service and teamwork skills

  • Proficient in Microsoft Office Suite

  • Proficient in using the internet

  • Sense of mission in support of national security

  • Impeccable work ethic, integrity, and can-do attitude

  • Excellent time management and administrative skills

This position is contingent on funding and may not be filled immediately. However, this position is representative of positions within CACI that are consistently available. Individuals who apply may also be considered for other positions at CACI.

What You Can Expect:

A culture of integrity.

At CACI, we place character and innovation at the center of everything we do. As a valued team member, you'll be part of a high-performing group dedicated to our customer's missions and driven by a higher purpose - to ensure the safety of our nation.

An environment of trust.

CACI values the unique contributions that every employee brings to our company and our customers - every day. You'll have the autonomy to take the time you need through a unique flexible time off benefit and have access to robust learning resources to make your ambitions a reality.

A focus on continuous growth.

Together, we will advance our nation's most critical missions, build on our lengthy track record of business success, and find opportunities to break new ground - in your career and in our legacy.

Pay Range :

There are a host of factors that can influence final salary including, but not limited to, geographic location, Federal Government contract labor categories and contract wage rates, relevant prior work experience, specific skills and competencies, education, and certifications. Our employees value the flexibility at CACI that allows them to balance quality work and their personal lives. We offer competitive compensation, benefits and learning and development opportunities. Our broad and competitive mix of benefits options is designed to support and protect employees and their families. At CACI, you will receive comprehensive benefits such as; healthcare, wellness, financial, retirement, family support, continuing education, and time off benefits.

Since this position can be worked in more than one location, the range shown is the national average for the position.

The proposed salary range for this position is:

$54,800-$115,000

CACI is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, age, national origin, disability, status as a protected veteran, or any other protected characteristic.