Required Qualifications
Active, unrestricted RN license
3+ years of clinical practice (hospital, home health, ambulatory, or similar settings)
Healthcare and/or managed care experience
Strong computer skills (comfortable working in multiple systems, keyboarding, documentation)
Preferred Qualifications
CCM (Certified Case Manager) strongly preferred
Keywords
Nurse Case Manager, RN, Registered Nurse, Case Management, Managed Care, Utilization Management, Care Coordination, Member Assessment, Clinical Assessment, Case Planning, Care Plan, Discharge Planning, Clinical Guidelines, Clinical Criteria, Benefits Administration, Documentation, Remote, Work From Home, Field Based, Local Travel, Northern Virginia, Sterling VA, Reston VA, Chantilly VA, Oakton VA, Herndon VA, CCM, Certified Case Manager, Healthcare
Key Responsibilities
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
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)
Overview
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.
A-Line Staffing Solutions is a premier staffing company that supplies professionals to the Healthcare, Insurance, Pharmaceutical, and Information Technology industries.
Founded in 2004, A-Line Staffing Solutions has been a leader in matching talented individuals to the jobs that our clients NEED to fill. We are experts at offering creative staffing solutions to employers, and we are hiring every day.
A-Line Staffing can offer short-term, long-term and direct-hire opportunities to professionals across the United States. We hire only the most qualified and talented individuals in the country. Our recruiting, selection and stringent screening processes have strengthened our reputation for delivering quality customer service and unbeatable talent.
For our commissioned clients, A-Line Staffing closely follows the standards and practices established by The Joint Commission. For all of our clients and employees, our commitment to continual improvement combined with a strict code of ethics provides an atmosphere of respect and unparalleled professionalism.
To find out how A-Line Staffing Solutions can share our talent with you, please contact us today. We are eager to include you among our most valued and satisfied clients. If you are a professional and would like to learn more about open opportunities in your area, please contact us today. We are always searching for talented and enthusiastic professionals