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 ...
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 ...
RN Field Case Manager
Washington, DC · Remote
$88.30K - $112.10K/yr
Must be an RN and have as least 1.5 years of prior Field Case Manager workers compensation ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Washington, DC · Remote
$88.30K - $112.10K/yr
Must be an RN and have as least 1.5 years of prior Field Case Manager workers compensation ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Washington, DC · Remote
$88.30K - $112.10K/yr
Must be an RN and have a minimum of 1.5 years of prior Workers Compensation Case Management ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Washington, DC · Remote
$88.30K - $112.10K/yr
Must be an RN and have a minimum of 1.5 years of prior Workers Compensation Case Management ... remote work environment that allows face to face interaction with injured workers and medical ...
Case Volume: Varies monthly--no fixed predictions by specialty or case type Key Responsibilities ... Review cases initiated for non-standardized performance improvement reasons * Assess medical ...
Quick apply
Case Volume: Varies monthly--no fixed predictions by specialty or case type Key Responsibilities ... Review cases initiated for non-standardized performance improvement reasons * Assess medical ...
RN Field Case Manager
Fairfax, VA · Remote
$79.70K - $101.20K/yr
Must be an RN and have as least 1.5 years of prior Field Case Manager workers compensation ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Fairfax, VA · Remote
$79.70K - $101.20K/yr
Must be an RN and have as least 1.5 years of prior Field Case Manager workers compensation ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Fairfax, VA · Remote
$79.70K - $101.20K/yr
Must be an RN and have as least 1.5 years of prior Field Case Manager workers compensation ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Fairfax, VA · Remote
$79.70K - $101.20K/yr
Must be an RN and have as least 1.5 years of prior Field Case Manager workers compensation ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Annapolis, MD · Remote
$77.20K - $98K/yr
Must be an RN and have a minimum of 1.5 years of prior Workers Compensation Case Management ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Annapolis, MD · Remote
$77.20K - $98K/yr
Must be an RN and have a minimum of 1.5 years of prior Workers Compensation Case Management ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Fairfax, VA · Remote
$80.40K - $102K/yr
Must be an RN and have as least 1.5 years of prior Field Case Manager workers compensation ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Fairfax, VA · Remote
$80.40K - $102K/yr
Must be an RN and have as least 1.5 years of prior Field Case Manager workers compensation ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Washington, DC · Remote
$88.30K - $112.10K/yr
Must be an RN and have as least 1.5 years of prior Field Case Manager workers compensation ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Washington, DC · Remote
$88.30K - $112.10K/yr
Must be an RN and have as least 1.5 years of prior Field Case Manager workers compensation ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Admissions Coordinator - Long-Term Care & Rehabilitation (Remote)
Annapolis, MD · On-site +1
$85K/yr
... Review clinical documentation and assessments to determine appropriate placement based on member ... Management and Case Management teams to support continuity of care and efficient resource ...
RN Admissions Coordinator - Long-Term Care & Rehabilitation (Remote)
Annapolis, MD · On-site +1
$85K/yr
... Review clinical documentation and assessments to determine appropriate placement based on member ... Management and Case Management teams to support continuity of care and efficient resource ...
Remote Care Management Nurse
Washington, DC · Remote
$34.20 - $55.70/hr
... RN's provide clinical care management (such as case management, disease management, and/or care ... review * Active, unrestricted licensure or certification in a U.S. state or territory that allows ...
Remote Care Management Nurse
Washington, DC · Remote
$34.20 - $55.70/hr
... RN's provide clinical care management (such as case management, disease management, and/or care ... review * Active, unrestricted licensure or certification in a U.S. state or territory that allows ...
Psychiatric Nurse Practitioner (PMHNP) - Telehealth
Washington, DC · Remote
$84 - $115/hr
Flexible & Remote Telemedicine ... Evidence-based approach to psychiatric care via telemedicine, including asynchronous case review ...
Quick apply
Psychiatric Nurse Practitioner (PMHNP) - Telehealth
Washington, DC · Remote
$84 - $115/hr
Flexible & Remote Telemedicine ... Evidence-based approach to psychiatric care via telemedicine, including asynchronous case review ...
Evidence-based approach to psychiatric care via telemedicine, including asynchronous case review ... Benefits 100% remote, telehealth position 1099 contract agreement Autonomy to create your own ...
Evidence-based approach to psychiatric care via telemedicine, including asynchronous case review ... Benefits 100% remote, telehealth position 1099 contract agreement Autonomy to create your own ...
Medicare Nurse Practitioner (Remote)
Columbia, MD · Remote
$115K - $130K/yr
Partner with RNs, Community Health Workers, and clinical leadership to close care gaps and ensure ... case reviews, escalations, and complex patient situations * Support patients with conditions common ...
Quick apply
Medicare Nurse Practitioner (Remote)
Columbia, MD · Remote
$115K - $130K/yr
Partner with RNs, Community Health Workers, and clinical leadership to close care gaps and ensure ... case reviews, escalations, and complex patient situations * Support patients with conditions common ...
Medicare Nurse Practitioner (Remote)
Washington, DC · Remote
$115K - $130K/yr
Partner with RNs, Community Health Workers, and clinical leadership to close care gaps and ensure ... case reviews, escalations, and complex patient situations * Support patients with conditions common ...
Quick apply
Medicare Nurse Practitioner (Remote)
Washington, DC · Remote
$115K - $130K/yr
Partner with RNs, Community Health Workers, and clinical leadership to close care gaps and ensure ... case reviews, escalations, and complex patient situations * Support patients with conditions common ...
Nurse Practitioner - Medical Case Reviewer - Rockville, MD
Rockville, MD · Remote
$113.10K - $143.30K/yr
Job Title: Nurse Practitioner -- Medical Case Reviewer Specialty: Family, Adult-Gerontology ... Remote (U.S. only) Duration: 6 months contract with a possibility of 6 months extension License ...
Quick apply
Nurse Practitioner - Medical Case Reviewer - Rockville, MD
Rockville, MD · Remote
$113.10K - $143.30K/yr
Job Title: Nurse Practitioner -- Medical Case Reviewer Specialty: Family, Adult-Gerontology ... Remote (U.S. only) Duration: 6 months contract with a possibility of 6 months extension License ...
NCLEX-RN Tutor
Laurel, MD · Remote
$40/hr
... NCLEX case study formats. Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates ...
NCLEX-RN Tutor
Laurel, MD · Remote
$40/hr
... NCLEX case study formats. Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates ...
LTSS Service Coordinator-RN Clinician
Vienna, VA · On-site +1
The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case ... reviewing and providing input on the non-RN clinicians' performance on a regular basis. Minimum ...
LTSS Service Coordinator-RN Clinician
Vienna, VA · On-site +1
The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case ... reviewing and providing input on the non-RN clinicians' performance on a regular basis. Minimum ...
NCLEX-RN Tutor
Washington, DC · Remote
$40/hr
... NCLEX case study formats. Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates ...
NCLEX-RN Tutor
Washington, DC · Remote
$40/hr
... NCLEX case study formats. Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates ...
LTSS Service Coordinator-RN Clinician
Arlington, VA · On-site +1
The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case ... reviewing and providing input on the non-RN clinicians' performance on a regular basis. Minimum ...
LTSS Service Coordinator-RN Clinician
Arlington, VA · On-site +1
The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case ... reviewing and providing input on the non-RN clinicians' performance on a regular basis. Minimum ...
Remote Rn Case Review information
What is the difference between Remote Rn Case Review vs Remote Rn Utilization Review?
| Aspect | Remote Rn Case Review | Remote Rn Utilization Review |
|---|---|---|
| Credentials | Registered Nurse (RN), licensure, case review certifications | Registered Nurse (RN), licensure, utilization review certifications |
| Work Environment | Remote, healthcare settings, insurance companies | Remote, healthcare settings, insurance companies |
| Employer & Industry | Hospitals, insurance firms, healthcare providers | Insurance 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 popular job titles related to Remote Rn Case Review jobs in Washington? For Remote Rn Case Review jobs in Washington, the most frequently searched job titles are:
What job categories do people searching Remote Rn Case Review jobs in Washington look for? The top searched job categories for Remote Rn Case Review jobs in Washington are:
What cities in Washington are hiring for Remote Rn Case Review jobs? Cities in Washington with the most Remote Rn Case Review job openings:
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 8 days ago
Sentara Health rating
6.8
Based on 377 frontline employees who took The Breakroom Quiz
489th of 864 rated healthcare providers
Job description
City/State
Fairfax, VA
Work Shift
First (Days)
Overview:
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 required.
The Integrated Case Manager is 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. Ensure compliance with regulatory, accrediting and company policies and procedures. May assist in problem solving with provider, claims or service issues.
Demonstrates the minimum knowledge, skills and abilities to care for the individualized needs of the patient to include physical, psychological, socio-cultural, spiritual and cognitive needs as well as functional abilities including the need for diversified use of such practices. Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills
Education:
Certification:
Experience:
Keywords: Talroo- Health, Case Management, Managed Care, Discharge Planning
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.
Fairfax, VA
Work Shift
First (Days)
Overview:
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 required.
The Integrated Case Manager is 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. Ensure compliance with regulatory, accrediting and company policies and procedures. May assist in problem solving with provider, claims or service issues.
Demonstrates the minimum knowledge, skills and abilities to care for the individualized needs of the patient to include physical, psychological, socio-cultural, spiritual and cognitive needs as well as functional abilities including the need for diversified use of such practices. Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills
Education:
- Associates
- Bachelors preferred
Certification:
- Registered Nurse required
Experience:
- 3 years of nursing experience required
- Managed care preferred
- Discharge planning experience preferred
Keywords: Talroo- Health, Case Management, Managed Care, Discharge Planning
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.
What Sentara Health employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Sentara Health
Sourced by ZipRecruiter
Industry
Hospitals
Company size
10,000+ Employees
Headquarters location
Norfolk, VA, US
Year founded
1888