Company Details Berkley Medical Management Solutions (BMMS) provides a different kind of managed ... Coordinate and implement medical case management to facilitate case closure * Timely and ...
Company Details Berkley Medical Management Solutions (BMMS) provides a different kind of managed ... Coordinate and implement medical case management to facilitate case closure * Timely and ...
Integrated Case Manager- Registered Nurse
Woodbridge, VA ยท On-site +1
Sentara Health in Woodbridge, VA is looking to hire an Integrated Case Manager, RN. This is a remote position; however, candidates must reside in Woodbridge and surrounding areas as travel is ...
Integrated Case Manager- Registered Nurse
Woodbridge, VA ยท On-site +1
Sentara Health in Woodbridge, VA is looking to hire an Integrated Case Manager, RN. This is a remote position; however, candidates must reside in Woodbridge and surrounding areas as travel is ...
Nurse Case Manager-NOVA, VA
Manassas, VA ยท On-site +1
Responsible for case management services within the scope of licensure; develops, monitors ... For positions that are available as remote work, Sentara Health employs associates in the following ...
Nurse Case Manager-NOVA, VA
Manassas, VA ยท On-site +1
Responsible for case management services within the scope of licensure; develops, monitors ... For positions that are available as remote work, Sentara Health employs associates in the following ...
Case Manager - PT
Washington, DC ยท Remote
$22/hr
... and maternity/paternity leave, as well as a 403(B) plan. Program Summary: SBY's Transitional ... Residents receive a wide range of housing, case management, employment assistance, life skills ...
Quick apply
Case Manager - PT
Washington, DC ยท Remote
$22/hr
... and maternity/paternity leave, as well as a 403(B) plan. Program Summary: SBY's Transitional ... Residents receive a wide range of housing, case management, employment assistance, life skills ...
Physician Advisor (Remote)
Manassas, VA ยท Remote
$250K - $350K/yr
Partner with Case Management, CDI, and physician teams to improve documentation and patient flow ... Fully remote physician leadership opportunity (with the exception of 4 on-site meetings per year ...
New
Physician Advisor (Remote)
Manassas, VA ยท Remote
$250K - $350K/yr
Partner with Case Management, CDI, and physician teams to improve documentation and patient flow ... Fully remote physician leadership opportunity (with the exception of 4 on-site meetings per year ...
New
Physician Advisor (Remote)
Manassas, VA ยท On-site +1
$250K - $350K/yr
Partner with Case Management, CDI, and physician teams to improve documentation and patient flow ... Fully remote physician leadership opportunity (with the exception of 4 on-site meetings per year ...
New
Physician Advisor (Remote)
Manassas, VA ยท On-site +1
$250K - $350K/yr
Partner with Case Management, CDI, and physician teams to improve documentation and patient flow ... Fully remote physician leadership opportunity (with the exception of 4 on-site meetings per year ...
New
Remote Contract-based Federal Litigation Paralegal Opportunity
Washington, DC ยท On-site +1
$35/hr
Remote work hours will vary, but are expected to be approximately 5+ hours per week. Paralegal ... Manage day-to-day litigation file activity * Maintain and organize case files to ensure matters ...
Remote Contract-based Federal Litigation Paralegal Opportunity
Washington, DC ยท On-site +1
$35/hr
Remote work hours will vary, but are expected to be approximately 5+ hours per week. Paralegal ... Manage day-to-day litigation file activity * Maintain and organize case files to ensure matters ...
Senior Program Analyst (Systems Analysis) (Senior Case Management Specialist)
Washington, DC ยท On-site +1
$121K - $158K/yr
... Senior Case Management Specialist), GS-0343-13, your typical work assignments may include ... This is not a remote (virtual) position. * Relocation expenses are not authorized. * This position ...
Senior Program Analyst (Systems Analysis) (Senior Case Management Specialist)
Washington, DC ยท On-site +1
$121K - $158K/yr
... Senior Case Management Specialist), GS-0343-13, your typical work assignments may include ... This is not a remote (virtual) position. * Relocation expenses are not authorized. * This position ...
Senior Program Analyst (Systems Analysis) (Senior Case Management Specialist)
Washington, DC ยท On-site +1
$121K - $158K/yr
... Senior Case Management Specialist), GS-0343-13, your typical work assignments may include ... This is not a remote (virtual) position. * Relocation expenses are not authorized. * This position ...
Senior Program Analyst (Systems Analysis) (Senior Case Management Specialist)
Washington, DC ยท On-site +1
$121K - $158K/yr
... Senior Case Management Specialist), GS-0343-13, your typical work assignments may include ... This is not a remote (virtual) position. * Relocation expenses are not authorized. * This position ...
Child Care Scholarship Program SME (Remote)
Columbia, MD ยท On-site +1
Columbia, MD (Remote) Description: We are seeking an experienced Child Care Scholarship (CCS ... Provide expertise in eligibility determination, redetermination, and case lifecycle management.
Child Care Scholarship Program SME (Remote)
Columbia, MD ยท On-site +1
Columbia, MD (Remote) Description: We are seeking an experienced Child Care Scholarship (CCS ... Provide expertise in eligibility determination, redetermination, and case lifecycle management.
Integrated Care Manager/ Registered Nurse (RN) LTSS Waiver Members/Medicaid - Remote in NOVA (Fairfa
Alexandria, VA ยท On-site +1
... Remote in NOVA (Fairfax, Springfield and Alexandria, VA) and the surrounding areas! Status ... Responsible for case management services within the scope of licensure; develops, monitors ...
Integrated Care Manager/ Registered Nurse (RN) LTSS Waiver Members/Medicaid - Remote in NOVA (Fairfa
Alexandria, VA ยท On-site +1
... Remote in NOVA (Fairfax, Springfield and Alexandria, VA) and the surrounding areas! Status ... Responsible for case management services within the scope of licensure; develops, monitors ...
Program Manager - Military Family Respite Care Program (Remote)
Arlington, VA ยท Remote
$95K - $115K/yr
The right candidate has run case-management or special-needs programs at scale, knows military ... Remote-first role with structured travel for program meetings and site needs. * Multi-year program ...
Quick apply
Program Manager - Military Family Respite Care Program (Remote)
Arlington, VA ยท Remote
$95K - $115K/yr
The right candidate has run case-management or special-needs programs at scale, knows military ... Remote-first role with structured travel for program meetings and site needs. * Multi-year program ...
Quality Assurance Engineer
Gaithersburg, MD ยท Remote
$84K - $109K/yr
This person will work closely with Case Management, Partner Support, and remote Quality Engineering ... maternity and bonding leave; EAP, other wellbeing resources; and much more.
Quality Assurance Engineer
Gaithersburg, MD ยท Remote
$84K - $109K/yr
This person will work closely with Case Management, Partner Support, and remote Quality Engineering ... maternity and bonding leave; EAP, other wellbeing resources; and much more.
Options Counselor - VDC Program - Remote Position, DC/MD
Waldorf, MD ยท On-site +1
$17.50 - $22.75/hr
... case management and service coordination for eligible VAMC clients in MD, DC, and VA. Introduction Peninsula Agency on Aging has been providing services that have enabled older adults to live ...
Options Counselor - VDC Program - Remote Position, DC/MD
Waldorf, MD ยท On-site +1
$17.50 - $22.75/hr
... case management and service coordination for eligible VAMC clients in MD, DC, and VA. Introduction Peninsula Agency on Aging has been providing services that have enabled older adults to live ...
Deputy Program Manager - Military Family Respite Care Program (Remote)
Arlington, VA ยท Remote
$77K - $93K/yr
Case management or special-needs program experience. * Experience with remote management of distributed staff or services. * Federal or state contract operations experience with documented ...
Quick apply
Deputy Program Manager - Military Family Respite Care Program (Remote)
Arlington, VA ยท Remote
$77K - $93K/yr
Case management or special-needs program experience. * Experience with remote management of distributed staff or services. * Federal or state contract operations experience with documented ...
6AM City, LLC is seeking a residential Registered Nurse Case Manager/Delegating Nurse to oversee the health care needs of individuals with intellectual/developmental disabilities in a home-based ...
6AM City, LLC is seeking a residential Registered Nurse Case Manager/Delegating Nurse to oversee the health care needs of individuals with intellectual/developmental disabilities in a home-based ...
6AM City, LLC is seeking a residential Registered Nurse Case Manager/Delegating Nurse to oversee the health care needs of individuals with intellectual/developmental disabilities in a home-based ...
6AM City, LLC is seeking a residential Registered Nurse Case Manager/Delegating Nurse to oversee the health care needs of individuals with intellectual/developmental disabilities in a home-based ...
RN Field Case Manager
Washington, DC ยท Remote
$88K - $112K/yr
Apply your medical/clinical or rehabilitation knowledge and experience to assist in the management ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Washington, DC ยท Remote
$88K - $112K/yr
Apply your medical/clinical or rehabilitation knowledge and experience to assist in the management ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Fairfax, VA ยท Remote
$79K - $101K/yr
Apply your medical/clinical or rehabilitation knowledge and experience to assist in the management ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Fairfax, VA ยท Remote
$79K - $101K/yr
Apply your medical/clinical or rehabilitation knowledge and experience to assist in the management ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Washington, DC ยท Remote
$88K - $112K/yr
Apply your medical/clinical or rehabilitation knowledge and experience to assist in the management ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Washington, DC ยท Remote
$88K - $112K/yr
Apply your medical/clinical or rehabilitation knowledge and experience to assist in the management ... remote work environment that allows face to face interaction with injured workers and medical ...
Remote Maternity Case Management information
What is remote maternity case management?
What are the key skills and qualifications needed to thrive as a remote maternity case manager?
What is the difference between Remote Maternity Case Management vs Remote Prenatal Care Coordinator?
| Aspect | Remote Maternity Case Management | Remote Prenatal Care Coordinator |
|---|---|---|
| Certifications | Case management certification, nursing or health-related credentials | Obstetric or prenatal care certifications, nursing background |
| Work Environment | Remote, healthcare settings, patient advocacy | Remote, healthcare settings, patient education and support |
| Industry Usage | Used by insurance companies, healthcare providers, case management agencies | Used by clinics, hospitals, prenatal programs |
Both roles involve supporting pregnant women remotely, but Remote Maternity Case Management focuses on coordinating care, managing health plans, and advocating for patients, while Remote Prenatal Care Coordinators primarily provide education, support, and guidance during pregnancy. The roles often overlap but differ mainly in scope and primary responsibilities.
How do remote maternity case managers typically coordinate care with healthcare providers and patients from a distance?
Workers Compensation - Telephonic Nurse Case Manager (Remote)
Manassas, VA โข On-site, Remote
Other
Medical, Dental, Vision, Life, Retirement, PTO
Posted 11 days ago
Job description
Berkley Medical Management Solutions (BMMS) provides a different kind of managed-care service for W.R. Berkley Corporation. We believe focusing on an injured worker's successful and speedy return to work is good for people and good for Berkley's insurance operating units. BMMS was first started in 2014 by reimagining the relationship between medical need and technology to deliver the best outcome for injured workers and Berkley's operating units. Our goal was clear: combine solid clinical practices, proven return-to-work strategies and robust software into one system for seamless management of workers' compensation cases.
To get it right, we started with a flexible technology platform that allowed for impressive customization without sacrificing the ability for expansion and continued innovation. We deploy integrated systems to give W.R. Berkley Companies recommendations and professional services for managing each individual case in an efficient and appropriate manner. The power of our technology takes medical bill-review services and clinical advisory services to a new level. Our unique marriage of technology, software platforms, data analytics and professional services ensures we provide Berkley's operating units with reliable results, and reduced time and expenses associated with case management.
Responsibilities
As a Telephonic Nurse Case Manager, you will assess, plan, coordinate, monitor, evaluate and implement options and services to facilitate timely medical care and return to work outcomes of injured workers.
- Coordinate and implement medical case management to facilitate case closure
- Timely and comprehensive communication with with employers, adjusters and the injured workers.
- Assess appropriate utilization of medical treatment and services available through contact with physicians and other specialist to ensure cost effective quality care
- Review and analyze medical records and assess data to ensure appropriate case management process occurs while providing recommendations to achieve case progress and movement to closure
- Responsible for assigned caseloads, which may vary in numbers, territory and/or by state jurisdiction
- Acquire and maintain nursing licensure for all jurisdictions as business needs require
- Coordinate services to include home services, durable medical equipment, IMEs, admissions, discharges, and vocational services when appropriate and evaluate cost effectiveness and quality of services
- Document activities and case progress using appropriate methods and tools following best practices for quality improvement
- Reviewing job analysis/job description with all providers to coordinate and implement disability case management. This includes coordinating job analysis with employer to facilitate return to work.
- Engage and participate in special projects as assigned by case management leadership team
- Occasionally attend on site meetings and professional programs
- Foster a teamwork environment
- Maintaining and updating evidence based medical guidelines (such as Official Disability Guidelines, MD Guidelines and all required state regulated guidelines) in reference to the injured worker treatment plan and work status.
- Obtain and maintain applicable state certifications and/or licensures in the state where job duties are performed.
- Obtain case management professional certification (CCM) within 2 years of hire date
- Earn Continuing Education Units to maintain certifications and licensures
Qualifications
- Minimum 2 years of experience in workers compensation insurance and medical case management preferred
- Minimum of 4 years medical/surgical clinical experience required
- Exhibit strong communication skills, professionalism, flexibility and adaptability
- Possess working knowledge of medical and vocational resources available to the Workers' Compensation industry
- Demonstrate evidence of self-motivation and the ability to perform case management duties independently
- Demonstrate evidence of computer and technology skills
- Oral and written fluency in both Spanish and English a plus
Education
- Graduate of an accredited school of nursing and possess a current RN license.
- *RN compact license preferred, CCM preferred, Bachelor of Nursing preferred*
Additional Company Details
*The above job description is not intended to be an "all-inclusive" list of the duties and responsibilities of the job described, nor is it intended to be such a listing of the skills and abilities required to do the job. Rather, it is intended only to describe the general nature of the job.
The Company is an equal employment opportunity employer.
We do not accept any unsolicited resumes from external recruiting agencies or firms.
The company offers a competitive compensation plan and robust benefits package for full time regular employees
โข Benefits: Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans.
- Base Salary Range: 75k-88k
The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.
Additional Requirements
Domestic U.S. travel required (up to 10% of time)
Sponsorship Details
Sponsorship not Offered for this Role