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Remote Rn Case Review Jobs in Virginia (NOW HIRING)

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 ... Virginia or Compact RN License (Required) Experience * 3 years experience in Nursing (Required)

Aetna

Case Manager RN

Charlottesville, VA · Remote

Click here to review the benefits associated with this position. Aetna is an equal opportunity ... JVS Job Title Case Manager RN * POSITION SUMMARY The RN Case Manager utilizes advanced clinical ...

Sedgwick

RN Field Case Manager

Fairfax, VA · Remote

$79K - $101K/yr

Must be an RN and prefers 1.5 years of prior Field Case Manager workers compensation experience ... remote work environment that allows face to face interaction with injured workers and medical ...

York Risk Services

RN Field Case Manager

Fairfax, VA · Remote

$79K - $101K/yr

Must be an RN and prefers 1.5 years of prior Field Case Manager workers compensation experience ... remote work environment that allows face to face interaction with injured workers and medical ...

York Risk Services

RN Field Case Manager

Fredericksburg, VA · Remote

$76K - $97K/yr

... RN Field Case Manager This Field Case Manager will cover our Friendricksburg, VA and must live in ... remote work environment that allows face to face interaction with injured workers and medical ...

Sedgwick

RN Field Case Manager

Fredericksburg, VA · Remote

$76K - $97K/yr

... RN Field Case Manager This Field Case Manager will cover our Friendricksburg, VA and must live in ... remote work environment that allows face to face interaction with injured workers and medical ...

York Risk Services

RN Field Case Manager

Virginia Beach, VA · Remote

$74K - $94K/yr

... RN Field Case Manager This Field Case Manager will cover our Virginia Beach, VA region and must ... remote work environment that allows face to face interaction with injured workers and medical ...

Imh

The RN Triage and Transition is a remote position; however the caregiver must reside in Colorado or ... Participates in rounds or case conferences when necessary. Utilizes team-based care approach ...

Maximus Federal & VES

Addiction, Psychiatrist

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 ...

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Remote Rn Case Review information

What is the difference between Remote Rn Case Review vs Remote Rn Utilization Review?

AspectRemote Rn Case ReviewRemote Rn Utilization Review
CredentialsRegistered Nurse (RN), licensure, case review certificationsRegistered Nurse (RN), licensure, utilization review certifications
Work EnvironmentRemote, healthcare settings, insurance companiesRemote, healthcare settings, insurance companies
Employer & IndustryHospitals, insurance firms, healthcare providersInsurance companies, healthcare management organizations

Remote Rn Case Review and Remote Rn Utilization Review roles both involve remote nursing work within the healthcare and insurance industries. While they share similar credentials and work environments, case review focuses on evaluating individual patient cases, whereas utilization review assesses the necessity and appropriateness of healthcare services. Understanding these distinctions helps job seekers identify the right role based on their skills and career goals.

What are the most commonly searched types of Rn Case Review jobs in Virginia? The most popular types of Rn Case Review jobs in Virginia are:
What are popular job titles related to Remote Rn Case Review jobs in Virginia? For Remote Rn Case Review jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Remote Rn Case Review jobs in Virginia look for? The top searched job categories for Remote Rn Case Review jobs in Virginia are:
What cities in Virginia are hiring for Remote Rn Case Review jobs? Cities in Virginia with the most Remote Rn Case Review job openings:
Remote Rn Case Review jobs near you
Nurse Case Manager

Nurse Case Manager

Sentara Healthcare

Newport News, VA • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 20 days ago

Sentara Health rating

6.9

Company rating: 6.9 out of 10

Based on 391 frontline employees who took The Breakroom Quiz

442nd of 880 rated healthcare providers

Job description

City/State
Newport News, VA
Work Shift
First (Days)
Overview:
Sentara Health Plans is currently hiring an Integrated Nurse Case Manager in the Central- Midlothian area of Virginia
Status: Full Time (40 hrs/wk)
Shift: Day (8am-5pm)
*Position is remote but does require in person face-to-face assessments multiple times throughout the week. Candidates must be able to travel frequently throughout the week to complete in person assessments around the central region
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

Preferred: Private duty nursing experience and knowledgeable with ventilators in a facility or home
Education
  • Associates or Bachelors Degree in Nursing (Required)

Certification/Licensure
  • Virginia or Compact RN License (Required)

Experience
  • 3 years experience in Nursing (Required)
  • Experience in Private Duty Nursing or NICU or Experience working with Ventilators (Required)
  • Discharge planning experience (Preferred)
  • Managed Care experience (Preferred)

Keywords: Care Coordination, Case Management, Human Services, Community Health, Health Education, RN Case Manager, Registered Nurse, BSN, ADN, Private Duty, Ventilator, LinkedIn, Talroo-Nursing
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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