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Remote Insurance Case Management Jobs in Virginia

Akima

Case Management Analyst II

Herndon, VA · Remote

$75K - $82K/yr

Salary: $75,000 - $82,000/Annual Job ID 2026-23029 Work Type Remote Pay Range 75K to 82K Benefits ... insurance, 401(k) and a range of other voluntary benefits. Paid Time Off (PTO) is offered to ...

Sentara Healthcare

Nurse Case Manager

Newport News, VA · On-site +1

Position is remote but does require in person face-to-face assessments multiple times throughout ... Responsible for case management services within the scope of licensure; develops, monitors ...

Sentara Healthcare

Nurse Case Manager

Newport News, VA · On-site +1

Position is remote but does require in person face-to-face assessments multiple times throughout ... Responsible for case management services within the scope of licensure; develops, monitors ...

Sentara Healthcare

Nurse Case Manager

Richmond, VA · On-site +1

Position is remote but does require in person face-to-face assessments multiple times throughout ... Responsible for case management services within the scope of licensure; develops, monitors ...

Akima

Nurse Case Manager

Herndon, VA · Remote

Familiarity with word processors, spreadsheets, electronic record management programs and other ... Job ID 2026-23286 Work Type Remote Pay Range 105,000-110,000 Benefits Regular - The company offers ...

Akima

Nurse Case Manager

Herndon, VA · Remote

Familiarity with word processors, spreadsheets, electronic record management programs and other ... Job ID 2026-23286 Work Type Remote Pay Range 105,000-110,000 Benefits Regular - The company offers ...

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Remote Insurance Case Management information

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

To thrive as a Remote Insurance Case Manager, you need a solid understanding of insurance policies, claims processes, and case management principles, typically supported by a relevant degree or insurance certifications. Familiarity with case management software, claims processing systems, and secure communication platforms is essential. Excellent organizational skills, attention to detail, and strong written and verbal communication make someone stand out in this role. These skills ensure accurate, efficient handling of cases, effective client support, and compliance with regulatory standards in a remote environment.

What are some common challenges faced in remote insurance case management, and how can they be addressed?

Remote insurance case managers often face challenges such as coordinating care and communication across multiple stakeholders, managing large caseloads, and ensuring timely follow-ups without in-person interactions. To address these, it’s important to utilize robust digital tools for secure documentation and communication, establish clear routines for regular check-ins with clients and providers, and stay organized with task management software. Proactive communication and collaboration with both internal team members and external partners are key to overcoming the distance barrier and ensuring high-quality case management.

What is remote insurance case management?

Remote insurance case management involves overseeing and coordinating insurance claims or cases from a remote location, often working from home or another off-site setting. Professionals in this role assess client needs, communicate with policyholders, healthcare providers, and other stakeholders, and ensure that cases are processed efficiently and in compliance with regulations. Technology and secure software platforms are used to track cases, maintain documentation, and facilitate virtual communication. This role is common in health, disability, and life insurance, and requires strong organizational, communication, and analytical skills.

What is the difference between Remote Insurance Case Management vs Remote Insurance Claims Adjuster?

AspectRemote Insurance Case ManagementRemote Insurance Claims Adjuster
CredentialsTypically requires insurance or case management certificationsRequires claims adjusting licenses or certifications
Work EnvironmentCoordinate with clients, providers, and insurers to manage casesEvaluate and settle insurance claims, often reviewing documentation
Industry UsageUsed across health, auto, and property insurance sectorsPrimarily in auto, property, and health insurance claims
Search & Comparison IntentPeople seeking case management roles or servicesPeople comparing claims adjusting roles or careers

Remote Insurance Case Management involves coordinating and managing insurance cases, focusing on client advocacy and case resolution. In contrast, Remote Insurance Claims Adjusters evaluate and settle insurance claims by reviewing evidence and documentation. Both roles require industry-specific certifications and are integral to the insurance industry, but they serve different functions within the claims process.

What are popular job titles related to Remote Insurance Case Management jobs in Virginia? For Remote Insurance Case Management jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Remote Insurance Case Management jobs in Virginia look for? The top searched job categories for Remote Insurance Case Management jobs in Virginia are:
What cities in Virginia are hiring for Remote Insurance Case Management jobs? Cities in Virginia with the most Remote Insurance Case Management job openings:
Remote Insurance Case Management jobs near you

Case Management Pharmacist (Remote)

Pharmacy Careers

Annandale, VA • On-site, Remote

Other

Posted 4 days ago

Job description

Case Management Pharmacist - Coordinate Care and Improve Patient Outcomes
A confidential managed care organization is hiring a detail-oriented Case Management Pharmacist to support patients with complex medication needs. This role focuses on coordinating care, preventing medication-related issues, and ensuring members receive the most appropriate therapy at the right time.
Key Responsibilities

  • Collaborate with physicians, nurses, and care coordinators to manage high-risk or complex patients.
  • Conduct medication reviews to identify gaps in therapy, adherence concerns, or potential drug interactions.
  • Support prior authorization and appeals processes when needed.
  • Educate patients and caregivers on medication regimens and disease state management.
  • Document case activities and outcomes in compliance with health plan and regulatory standards.
  • Participate in quality improvement initiatives to reduce hospitalizations and improve health outcomes.


What You'll Bring

  • Education: Doctor of Pharmacy (PharmD) or Bachelor of Pharmacy degree.
  • Licensure: Active and unrestricted pharmacist license in the U.S.
  • Experience: Case management, MTM, or managed care experience preferred - retail and hospital pharmacists with strong patient counseling backgrounds are encouraged to apply.
  • Skills: Strong communication, problem-solving, and care coordination skills.


Why This Role?

  • Impact: Make a meaningful difference in patients' lives by ensuring safe and effective medication use.
  • Growth: Develop expertise in case management and managed care pharmacy.
  • Flexibility: Many organizations offer hybrid or fully remote work options.
  • Rewards: Competitive pay, benefits, and career advancement opportunities.

About Us
We are a confidential healthcare partner serving health plans and provider networks nationwide. Our case management pharmacists play a vital role in improving outcomes, reducing readmissions, and supporting patients across the continuum of care.
Apply Today
Apply now for our Case Management Pharmacist opportunity and join a team dedicated to patient-centered, coordinated care.

Apply