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Remote Rn Case Review Jobs in Richmond, VA (NOW HIRING)

Prestige

LPN Case Manager

Richmond, VA · Remote

$75K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Case Manager At Prestige Healthcare Services , we are committed to delivering exceptional care and ... review referrals and support smooth transitions into the facility What We Offer: This is a Remote ...

FCCI Insurance Group

Medical Case Manager

Glen Allen, VA · On-site +1

$62K - $96K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

We are seeking a licensed Registered Nurse to provide telephonic case management on assigned ... to review and research conducted utilizing nationally accepted practice parameters. This position ...

Varsity Tutors

NCLEX-RN Tutor

Richmond, VA · Remote

$18 - $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 ...

Elevance Health

Med Mgmt Nurse (contract)

Richmond, VA · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

Sentara Healthcare

Prevention Nurse Specialist

Richmond, VA · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Travel reimbursement This is a remote PRN status position with Day Shift Hours, requires onsite participation across the Richmond region. Required Qualifications: • Active Registered Nurse (RN) ...

Corvel

Advocacy 24-7 Triage Nurse

Glen Allen, VA · Remote

$25.48 - $41.09/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Advocacy 24/7 Triage Nurse provides telephonic first aid to injured workers on a case-by-case ... Obtains and maintains licensure as a Registered Nurse in 50 states and the District of Columbia

State of Virginia

Case Intake Manager

Henrico, VA · Remote

$87K - $115K/yr

This sworn position ensures the timely and accurate review of allegations of misconduct through ... Must be willing to perform mobile work and to maintain a remote office with high speed Internet ...

Lange Recruiting

Care Facilitator/LPN

Richmond, VA · Remote

$25.50 - $34.75/hr

  • Medical

  • Retirement

  • PTO

... of experienced RNs, LPNs, and Medical Assistants who are passionate about case management and ... Prepare, review, and upload all pre-visit documentation into the EMR (Athena) * Review hospital ...

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All JobsRn Case Review JobsRemote Rn Case Review JobsRemote Rn Case Review Jobs in Richmond, VA

Remote Rn Case Review information

See Richmond, VA salary details

$19

$47

$79

How much do remote rn case review jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for remote rn case review in Richmond, VA is $47.04, according to ZipRecruiter salary data. Most workers in this role earn between $34.95 and $56.88 per hour, depending on experience, location, and employer.

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 Richmond, VA?

The most popular types of Rn Case Review jobs in Richmond, VA are:

What are popular job titles related to Remote Rn Case Review jobs in Richmond, VA?

For Remote Rn Case Review jobs in Richmond, VA, the most frequently searched job titles are:

What job categories do people searching Remote Rn Case Review jobs in Richmond, VA look for?

The top searched job categories for Remote Rn Case Review jobs in Richmond, VA are:

What cities near Richmond, VA are hiring for Remote Rn Case Review jobs?

Cities near Richmond, VA with the most Remote Rn Case Review job openings:

Remote Rn Case Review jobs near you
Infographic showing various Remote Rn Case Review job openings in Richmond, VA as of August 2026, with employment types broken down into 29% Full Time, 57% Part Time, and 14% Contract. Highlights an 100% Remote job distribution, with an average salary of $97,843 per year, or $47 per hour.

Integrated Nurse Case Manager/Registered Nurse (RN) for Maternal Health/ Perinatal in Central Richmo

Sentara Healthcare

Colonial Heights, VA • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 26 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 887 rated healthcare providers

Job description

City/State
Richmond, VA
Work Shift
First (Days)
Overview:
Sentara Health Plans is hiring an Integrated Nurse Case Manager/RN for Maternal Health/ Perinatal for Central Richmond (Henrico, Hanover, Colonial Heights, VA and the surrounding areas)!
The position requires both telephonic and face-to-face assessments and remote telephonic assessments for the low-risk and high-risk pregnant population (Maternal Health / Perinatal / OB-GYN /Labor and Delivery / Mother-Baby / Postpartum) in Central Richmond (Henrico, Hanover, Colonial Heights, VA) and the surrounding areas.
Status: Full-time, permanent position (40 hours)
Standard working hours: 8am to 5pm EST, M-F
Location: Applicants must reside in Central Richmond (Henrico, Hanover, Colonial Heights, VA) and the surrounding areas.
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:
  • Associate or Bachelors Degree in Nursing REQUIRED

Certification/Licensure:
  • Registered Nurse (RN) License (Compact or Virginia) REQUIRED

Experience:
  • 3 years experience in Nursing REQUIRED
  • Case Management experience preferred
  • Managed Care or Health Plan or Medicaid experience preferred
  • Experience working with low and high risk pregnant population (Maternal Health / Perinatal / OB-GYN /Labor and Delivery / Mother-Baby / Postpartum) experience preferred
  • Strong knowledge of physical, psychological, socio-cultural, and cognitive patient needs.
  • Excellent communication skills, both oral and written, as well as strong problem-solving and analytical skills

#Indeed
Talroo - Nursing
Care Coordination, Case Management, RN, Case Manager, Registered Nurse, BSN, ADN, Nursing, Managed Care, MCO, Health Plan, high-risk pregnant members, Maternity, OBGYN, Labor and Delivery, Mother and Baby, Postpartum, L&D, Central Richmond, Henrico, Hanover, Colonial Heights, VA, Medicaid
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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