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Remote Case Reviewer Jobs in Virginia (NOW HIRING)

Maximus Federal & VES

Psychiatry, Psychiatry

Mclean, VA · Remote

$250 - $400/wk

This is a flexible, fully remote opportunity ideal for physicians interested in case review work with no patient contact. About the Role In this role, you will conduct impartial reviews of medical ...

Prestige

LPN Case Manager

Richmond, VA · Remote

$75K/yr

Case Manager At Prestige Healthcare Services , we are committed to delivering exceptional care and ... review referrals and support smooth transitions into the facility What We Offer: This is a Remote ...

FCCI Insurance Group

Medical Case Manager

Glen Allen, VA · On-site +1

$62K - $96K/yr

... to review and research conducted utilizing nationally accepted practice parameters. This position ... remote. In exchange for your talents, FCCI offers competitive salaries and an excellent benefits ...

UVA Health

Physician Advisor (Remote)

Manassas, VA · Remote

$250K - $350K/yr

... Case Management. This remote role focuses on medical necessity, regulatory compliance ... Perform medical necessity reviews using MCG and/or InterQual * Support CMS compliance, including ...

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All JobsCase Reviewer JobsRemote Case Reviewer JobsRemote Case Reviewer Jobs in Virginia

Remote Case Reviewer information

What is a remote case reviewer?

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 are the key skills and qualifications needed to thrive as a remote case reviewer?

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 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 are popular job titles related to Remote Case Reviewer jobs in Virginia?

For Remote Case Reviewer jobs in Virginia, the most frequently searched job titles are:

What job categories do people searching Remote Case Reviewer jobs in Virginia look for?

The top searched job categories for Remote 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:

Remote Case Reviewer jobs near you
Infographic showing various Remote Case Reviewer job openings in Virginia as of August 2026, with employment types broken down into 2% As Needed, 73% Full Time, 23% Part Time, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution.

Nurse Practitioner (Remote) -TSA Headquarters

Fidelity Partners

Springfield, VA • Remote

Full-time

Re-posted 14 hours ago

Job description

Nurse Practitioner (Remote) – Transportation SecurityThis Position Is Contingent Upon Bid Award
Administration (TSA) HeadquartersWork Location
TSA Headquarters595 Springfield Center Drive, Springfield, VA 20598 
  • Citizenship Requirements: Must be a U.S. Citizen.
  • Clearance Requirements: National Background Check with Inquiries, Fingerprints, and Drug Screen.
  • Estimated Period of Performance: One 12-month base period of September 1, 2026, through August 31, 2027, plus four additional 12-month option periods through August 31, 2031.
  • Type of Employment: Performance/Output Driven.

Working Hours
TSA core hours are 9:00 AM-3:00 PM. The position does not prescribe a specific eight-hour shift, weekends, or rotating shifts; staffing must support workload, response times, and required performance metrics, including approximately 50 AMC cases per key person per day, about six reviews per nurse per day, and at least 300 medical recommendations per day when sufficient cases exist.

Nurses may work remotely but must be able to report physically to TSA Headquarters for medical exam review training (typically in the first month), and whenever OCMO requests.

Qualifications

  • All personnel must be fully trained, licensed/certified, and qualified under Virginia industry requirements.
  • Current, unrestricted Nurse Practitioner license in the Commonwealth of Virginia.
  • Bachelor of Science in Nursing (BSN) required.
  • Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP) required.
  • At least 5 years of direct relevant experience in occupational health, employee case management, and medical review, including FFD and medical exam records.

*Copies of all certifications and resumes must be forwarded with your application.

Summary of Duties: The Nurse Practitioner will perform advanced clinical review of employee medical records, including complex Fitness for Duty, FMLA, and medical qualification cases. Provide clinical recommendations, manage complex case reviews, document findings, and support TSA medical operations through reporting, customer service, and medical record management.

Attire

The Nurse Practitioner is expected to wear approved professional clothing appropriate to the environment while on duty. Footwear will be closed-toe, flat-bottom, and completely cover the feet; fluid resistance and non-slip soles are preferred.

Duties and Responsibilities

  • Review and evaluate complex medical qualification cases and questionnaires.
  • Assess Fitness for Duty (FFD), FMLA, and employee medical examination records.
  • Request, interpret, and review additional medical documentation.
  • Provide advanced clinical recommendations regarding medical clearance and qualification.
  • Document clinical findings and maintain comprehensive case records.
  • Manage complex case reviews consistent with Nurse Practitioner scope of practice.
  • Provide customer service and communicate with employees and applicants regarding medical requirements.
  • Maintain confidentiality and securely manage medical records.
  • Support EEO and litigation-related medical documentation requests.
  • Contribute to process improvement initiatives and prepare required reports.
  • Provide surge staffing support during periods of increased workload.