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Remote Insurance Case Management Jobs in Virginia

Sedgwick

Telephonic Case Manager

Newport News, VA · Remote

... Insurance Telephonic Case Manager This position is a remote position, however; you will be required to go into the Newport News, VA office from time to time. You must live in this area in order to be ...

Lone Star Careers

Remote Life Insurance Agent

Richmond, VA · Remote

$69K - $150K/yr

Remote Insurance Representative | Flexible Schedule | Commission Only This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...

Lone Star Careers

Remote Life Insurance Agent

Hampton, VA · Remote

$69K - $150K/yr

Remote Insurance Representative | Flexible Schedule | Commission Only This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...

Lone Star Careers

Remote Life Insurance Agent

Norfolk, VA · Remote

$69K - $150K/yr

Remote Insurance Representative | Flexible Schedule | Commission Only This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...

Lone Star Careers

Remote Life Insurance Agent

Danville, VA · Remote

$69K - $150K/yr

Remote Insurance Representative | Flexible Schedule | Commission Only This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...

Lone Star Careers

Remote Life Insurance Agent

Roanoke, VA · Remote

$69K - $150K/yr

Remote Insurance Representative | Flexible Schedule | Commission Only This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...

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All JobsInsurance Case Management JobsRemote Insurance Case Management JobsRemote Insurance Case Management Jobs in Virginia

Remote Insurance Case Management information

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 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 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
Infographic showing various Remote Insurance Case Management job openings in Virginia as of July 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, 1% Temporary, and 3% Contract. Highlights an 86% Physical, 2% Hybrid, and 12% Remote job distribution.

Nurse Case Manager-NOVA, VA

Sentara Healthcare

Manassas, VA • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 29 days ago

Sentara Health rating

6.7

Company rating: 6.7 out of 10

Based on 412 frontline employees who took The Breakroom Quiz

532nd of 891 rated healthcare providers

Job description

City/State
Manassas, VA
Work Shift
First (Days)
Overview:
Sentara Healthcare is currently hiring an Integrated Nurse Case Manager for Northern Virginia, VA
This is a Full Time position with day shift hours and great benefits!
Requires travel to conduct face-to-face home visits in members' homes or other locations throughout the Northern Virginia Region, VA (including Arlington, Manassas, Bristow, Haymarket, Woodbridge, Front Royal, and Warrenton).
Preferred residence locations include:
  • Manassas, VA
  • Bristow, VA
  • Haymarket, VA
  • Prince William County area
  • Warrenton, VA / Fauquier County area (also considered)

Primary responsibilities include:
  • Responsible for case management services within the scope of licensure; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum
  • Performs telephonic or face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical and behavioral health, social services and long-term services
  • Identifies members for high-risk complications and coordinates care in conjunction with the member and health care team
  • Manages chronic illnesses, co-morbidities, and/or disabilities ensuring cost effective and efficient utilization of health benefits; conducts gap in care management for quality programs
  • Assists with the implementation of member care plans by facilitating authorizations/referrals within benefits structure or extra-contractual arrangements, as permissible
  • Interfaces with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on care management treatment plans
  • Presents cases at case conferences for multidisciplinary focus. Ensures compliance with regulatory, accrediting and company policies and procedures
  • May assist in problem solving with provider, claims or service issues

Education
  • Associates or Bachelors Degree in Nursing

Certification/Licensure
  • Registered Nurse License (RN) - Nursing License - Compact/Multi-State License required.

Experience
  • 3 years experience in Nursing
  • Discharge planning experience preferred
  • Managed Care experience preferred
  • Preferred: Private duty nursing and knowledgeable with ventilators in a facility or home

Keywords: Care Coordination, Case Management, Human Services, Community Health, Health Education, RN Case Manager, Registered Nurse, BSN, ADN, Private Duty, Ventilator, LinkedIn, Talroo-Nursing ,Manassas, Bristow, Haymarket, Prince William County ,Warrenton, VA , Fauquier County area
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to 10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - 5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - 10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission "to improve health every day," this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

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