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Value Based Care Manager Jobs in Virginia (NOW HIRING)

Somatus, Inc.

Senior Value-Based Care Data Analyst

Mclean, VA · On-site

$87K - $110K/yr

  • Medical

  • Dental

  • Vision

  • PTO

Through advanced analytics, clinical innovation, and technology-enabled care management, Somatus is transforming healthcare delivery and helping our partners succeed in value-based care arrangements.

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All JobsValue Based Care JobsValue Based Care Manager JobsValue Based Care Manager Jobs in Virginia

Value Based Care Manager information

What is a value based care manager?

A Value Based Care Manager is a healthcare professional who oversees the design, implementation, and management of programs aimed at improving patient outcomes while controlling costs. They work to transition healthcare organizations from traditional fee-for-service models toward value-based care models, which reward providers for quality and efficiency. Responsibilities include analyzing data, coordinating care teams, ensuring compliance with regulatory standards, and fostering collaborations to enhance patient care. Their goal is to achieve better patient outcomes, improved patient experiences, and reduced healthcare costs.

How does a value based care manager collaborate with clinical and administrative teams to drive care improvements?

A Value Based Care Manager works closely with both clinical staff (such as physicians, nurses, and care coordinators) and administrative teams to design and implement care models that improve patient outcomes while controlling costs. This typically involves facilitating regular cross-functional meetings, analyzing performance data, and aligning workflows to meet quality and financial targets. The role also requires strong communication skills to ensure all stakeholders understand and are engaged in value-based initiatives, as well as the ability to troubleshoot challenges and share best practices across teams.

What are the key skills and qualifications needed to thrive as a value based care manager, and why are they important?

To thrive as a Value Based Care Manager, you need a solid background in healthcare administration, data analysis, and a strong understanding of value-based care models, often supported by a degree in healthcare or business and relevant experience. Familiarity with population health management tools, electronic health records (EHRs), and healthcare quality metrics is typically required. Strong leadership, communication, and problem-solving skills help drive team performance and foster collaboration across clinical and administrative stakeholders. These skills are crucial for improving patient outcomes, optimizing care delivery, and ensuring financial sustainability in value-based healthcare environments.

What is the difference between Value Based Care Manager vs Care Coordinator?

AspectValue Based Care ManagerCare Coordinator
CredentialsHealthcare-related certifications, experience in care managementOften licensed or certified in nursing or social work
Work EnvironmentHealthcare organizations, insurance companies, value-based programsHospitals, clinics, community health settings
Employer & IndustryHealth plans, healthcare providers, accountable care organizationsHospitals, outpatient clinics, community health agencies

The main difference is that a Value Based Care Manager focuses on developing and managing programs that improve patient outcomes within value-based payment models, while a Care Coordinator primarily manages individual patient care plans and facilitates services. Both roles require healthcare knowledge, but the VBC Manager has a broader strategic and program management focus.

What are the most commonly searched types of Value Based Care jobs in Virginia?

The most popular types of Value Based Care jobs in Virginia are:

What are popular job titles related to Value Based Care Manager jobs in Virginia?

For Value Based Care Manager jobs in Virginia, the most frequently searched job titles are:

What job categories do people searching Value Based Care Manager jobs in Virginia look for?

The top searched job categories for Value Based Care Manager jobs in Virginia are:

What cities in Virginia are hiring for Value Based Care Manager jobs?

Cities in Virginia with the most Value Based Care Manager job openings:

Value Based Care Manager jobs near you
Infographic showing various Value Based Care Manager job openings in Virginia as of August 2026, with employment types broken down into 88% Full Time, and 12% Part Time. Highlights an 94% In-person, and 6% Remote job distribution.

Registered Nurse Care Manager - Value Based Care (VBC)

Care Advantage Inc

Henrico, VA • On-site

Other

Re-posted yesterday

Care Advantage rating

3.9

Company rating: 3.9 out of 10

Based on 25 frontline employees who took The Breakroom Quiz

Job description

Hybrid/Remote position.
Make a Bigger Impact-Beyond the Bedside
At Care Advantage, we believe nursing is more than tasks and charts-it's about outcomes, advocacy, and meaningful connections. As a Registered Nurse Care Manager, Value-Based Care, you'll play a critical role in improving health outcomes for high-risk Medicaid members while helping reduce avoidable emergency department visits and hospital readmissions.
This is a role for experienced nurses who thrive on transition care coordination, patient education, and system-level improvement-and who want to see their clinical expertise translate into real, measurable impact.
What You'll Do
As an RN Care Manager in Value-Based Care, you'll serve as a clinical advocate and coordinator for a panel of high-risk Medicaid members, partnering with patients, families, caregivers, and interdisciplinary teams to support safe transitions and better long-term outcomes.
Key Responsibilities
Transition Care Coordination & Post-Discharge Follow-Up
  • Conduct telephonic post-discharge follow-ups for high-risk members
  • Review care plans and historical clinical documentation within EMR and PointClickCare prior to outreach
  • Identify gaps in care, barriers to recovery, and opportunities to prevent readmissions
  • Coordinate next steps with clinical and operations teams to address member needs
Clinical Performance & Quality Improvement
  • Support targeted initiatives tied to health-plan performance measures
  • Monitor and positively influence value-based contract metrics
  • Identify trends and insights at the member level to drive continuous improvement
  • Set and achieve quarterly performance goals
Education & Advocacy
  • Educate patients, families, and caregivers to support adherence, self-management, and recovery
  • Provide education and insights to internal clinical and operations teams, including population-specific initiatives (e.g., diabetes management)
  • Serve as a clinical advocate in cross-functional and external partnerships
Collaboration & Leadership
  • Partner closely with the Senior Vice President of Value-Based Care, Director of Population Health, and the broader VBC team
  • Collaborate with internal and external clinical leaders to improve patient outcomes
  • Create visibility across the organization for high-risk members and their individualized needs
Who We're Looking For
This role is ideal for nurses who enjoy autonomy, critical thinking, and relationship-driven care-and who are energized by improving outcomes at scale.
Required Qualifications
  • Active Registered Nurse (RN) license in the covered region
  • Minimum 5 years of nursing experience
  • Experience conducting telephonic post-discharge follow-ups
  • Strong clinical judgment, communication, and care coordination skills
  • Candidate must reside in Virginia (prefer Richmond or the surrounding area)
Preferred Qualifications
  • Experience in Value-Based Care, Population Health, Case Management, or Transition Care Coordination
  • Bachelor's degree in nursing or related health field
  • Leadership, management, or program development experience
  • Proficiency in Microsoft Word, Excel, PowerPoint, and Teams
Why Care Advantage?
At Care Advantage, our mission is grounded in our core values:
Integrity • Compassion • Accountability • Respect • Excellence
You'll join a team that values your clinical expertise, supports professional growth, and empowers nurses to influence care beyond individual encounters, helping shape better systems, better experiences, and better outcomes.
Work Environment & Flexibility
  • Combination of clinical coordination, telephonic outreach, and collaboration
  • Regular travel required; occasional overnight or weekend work may be needed
  • Physical requirements include sitting, standing, lifting up to 10 lbs, and general mobility
  • Workplace accommodations are available when appropriate

Ready to Lead Change in Healthcare?
If you're a nurse who wants to reduce readmissions, improve transitions of care, and make value-based healthcare work for patients, we'd love to meet you.
Apply today and help redefine what nursing impact looks like.
Location: 23111, 23112, 23113, 23114, 23116, 23150, 23173, 23219, 23220, 23221, 23222, 23223, 23224, 23225, 23226, 23227, 23228, 23229, 23230, 23231, 23232, 23233, 23234, 23235, 23236, 23237, 23238, 23294, 23831, 23832

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