Nurse Case Manager; RN-Field & Remote

Nurse Case Manager (RN)-Field & Remote-{171308}

Location:Field-based in Northern Virginia + Work From Home (WFH)
Must reside in/near:Sterling, Reston, Chantilly, Oakton, Herndon (VA)
Travel:Up to
75% local travel
(remaining time WFH)
Pay Rate:$44.14/hr.
Schedule:Monday-Friday, 8:00am-5:00pm (40 hours/week)

We’re hiring a
Nurse Case Manager (RN)to support members through clinical case management, using assessment tools and data review to identify needs and eligibility, coordinate services, and drive optimal health outcomes. This role requires strong clinical judgment, organized documentation, and the ability to work across multiple systems while aligning with benefit plans, clinical guidelines, and regulatory standards.

• Conduct comprehensive assessments for referred members (needs, eligibility, barriers, and risks)
• Develop, implement, and drive case plans toward resolution and appropriate services/resources
• Apply clinical criteria and guidelines to support accurate benefit administration
• Coordinate care and resources while maintaining a member-focused approach
• Document and manage cases in multiple systems while meeting quality and productivity expectations