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

Varsity Tutors

NCLEX-RN Tutor

Virginia Beach, 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 ...

Varsity Tutors

NCLEX-RN Tutor

Norfolk, 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 ...

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 ...

Oshi Health

GI- Nurse Practitioner

Virginia Beach, VA · Remote

Preferred RN compact License Required Location: We are only hiring from the following states ... Remote-first -- work from home anywhere in the US within our approved states * Growth: Advanced ...

Centene

Senior Compliance Investigator

Virginia Beach, VA · On-site +1

$70K - $126K/yr

Provides weekly case summaries and adheres to established minimum case review quotas to ensure ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

Centene

Senior Compliance Investigator

Newport News, VA · On-site +1

$70K - $126K/yr

Provides weekly case summaries and adheres to established minimum case review quotas to ensure ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

Centene

Senior Compliance Investigator

Newport News, VA · On-site +1

$70K - $126K/yr

Provides weekly case summaries and adheres to established minimum case review quotas to ensure ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

Centene

Senior Compliance Investigator

Virginia Beach, VA · On-site +1

$70K - $126K/yr

Provides weekly case summaries and adheres to established minimum case review quotas to ensure ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

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

Remote Rn Case Review information

See Suffolk, VA salary details

$18

$45

$76

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

As of Aug 7, 2026, the average hourly pay for remote rn case review in Suffolk, VA is $45.22, according to ZipRecruiter salary data. Most workers in this role earn between $33.61 and $54.66 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 popular job titles related to Remote Rn Case Review jobs in Suffolk, VA? For Remote Rn Case Review jobs in Suffolk, VA, the most frequently searched job titles are:
What job categories do people searching Remote Rn Case Review jobs in Suffolk, VA look for? The top searched job categories for Remote Rn Case Review jobs in Suffolk, VA are:
What cities near Suffolk, VA are hiring for Remote Rn Case Review jobs? Cities near Suffolk, 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 Suffolk, VA as of August 2026, with employment types broken down into 62% Full Time, 33% Part Time, and 5% Contract. Highlights an 10% In-person, and 90% Remote job distribution, with an average salary of $94,054 per year, or $45.2 per hour.

Integrated Nurse Case Manager/Registered Nurse/RN for Chronic/Complex Condition in Hampton, Newport

Sentara Healthcare

Newport News, VA • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 3 days ago

New

Sentara Health rating

6.8

Company rating: 6.8 out of 10

Based on 398 frontline employees who took The Breakroom Quiz

492nd of 887 rated healthcare providers

Job description

City/State
Newport News, VA
Work Shift
First (Days)
Overview:
Sentara Health Plans is hiring an Integrated Nurse Case Manager/Registered Nurse/RN for Chronic/Complex Condition in Hampton, Newport News, Yorktown, Williamsburg, VA, and the surrounding areas!
This is a full-time, work-from-home position that requires travel to conduct face-to-face home visits (target of at least 12 monthly) for chronic/complex condition members (asthma, diabetes, heart failure, cancer, heart disease, COPD) in Hampton, Newport News, Yorktown, Williamsburg, 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 Hampton, Newport News, Yorktown, Williamsburg, 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.

Target Member Population Includes:
  • High Emergency Room (ER) utilizers
  • Recent hospital discharges
  • Members diagnosed with chronic/complex conditions (Asthma, diabetes, heart failure, cancer, heart disease, COPD)

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 highly preferred
  • Managed Care or Health Plan experience preferred
  • Experience working with chronic/complex condition members (Asthma, diabetes, heart failure, cancer, heart disease, COPD) preferred
  • Experience in home health experience, inpatient case management, hospice, transition of care, and discharge planning 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

Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees.
Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals.
We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services-all to help our members improve their health.
Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.
Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!
To apply, please go to www.sentaracareers.com and use the following as your Keyword Search: JR-103807
Talroo - Health Plan
Managed Care, MCO, Health Plan, Healthcare, Health Insurance, Nursing, RN, Registered Nurse, Medicaid, Chronic, Complex condition members, Asthma, diabetes, heart failure, cancer, heart disease, COPD, home health experience, inpatient case management, hospice, emergency room, ED, Emergency Department, Discharge Planning, Case Management, Transition of Care, TOC, Hampton, Newport News, Yorktown, Williamsburg, VA, Remote, Virginia
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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