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Remote Rn Case Review Jobs in Virginia (NOW HIRING)

Sedgwick

Telephonic Case Manager

Newport News, VA · Remote

... is a remote position, however; you will be required to go into the Newport News, VA office from ... EDUCATION AND LICENSING Current unrestricted RN license(s) in a state or territory of the United ...

Elevance Health

Med Mgmt Nurse (contract)

Richmond, VA · Remote

Responsible for review of the most complex or challenging cases that require nursing judgment ... Collaborates with case management nurses on discharge planning, ensuring patient has appropriate ...

Elevance Health

Med Mgmt Nurse (contract)

Richmond, VA · Remote

Responsible for review of the most complex or challenging cases that require nursing judgment ... Collaborates with case management nurses on discharge planning, ensuring patient has appropriate ...

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All JobsRn Case Review JobsRemote Rn Case Review JobsRemote Rn Case Review Jobs in Virginia

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.

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Cities in Virginia with the most Remote Rn Case Review job openings:

Remote Rn Case Review jobs near you

RN Integrated Care Manager

Sentara Healthcare

Charlottesville, VA • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 28 days ago

Sentara Health rating

6.7

Company rating: 6.7 out of 10

Based on 412 frontline employees who took The Breakroom Quiz

531st of 888 rated healthcare providers

Job description

City/State
Charlottesville, VA
Work Shift
First (Days)
Overview:
Sentara MJ is hiring an RN, Integrated Care Manager, to support Primary Care Practices in the Charlottesville area.
Job Summary
  • Monday through Friday, 40 hours per week
  • Standard work hours are 8:00 AM to 4:30 PM
  • Remote position; candidates must reside in the Charlottesville area
  • Travel to designated locations is required 1-4 days per month

The RN, Integrated Care Manager, is responsible and accountable for the provision and facilitation of comprehensive care coordination services and quality outcomes for patients across the continuum. Promotes effective utilization and monitoring of health services, collaborates and communicates with the healthcare team and patient/caregiver to manage care and transitions. Develops and/or implements a comprehensive care plan based on assessment and evaluation of patient/caregiver needs. Functions in one of the following practice settings: Acute Care, Service Lines, Ambulatory/Community-based, Home Health, and Long-Term Care.
Experience:
  • 3 years of nursing experience Required
  • 3 years of Case Management experience preferred

Education:
  • RN Diploma Required
  • ASN, BSN or MSN preferred

Certification:
  • VA Registered Nurse License or compact Required
  • BLS required within 90 days of hire and maintained thereafter (if in clinical setting)
  • For Integrated Care Management departments, specialty certification required within one year of eligibility (ACM, CCM, CCCTM, CMAC or CGMT-BC).
  • For other service lines, certification based on specialty area required within one year of eligibility.
  • For those in Behavioral Health - Certification in de-escalation training within 15 days of hire and annually.

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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