RN CASE MANAGER - CENTRAL VIRGINIA (FIELD & REMOTE) – MANAGED CARE ORGANIZATION

We are seeking a Registered Nurse (RN) Case Manager who resides in Central Virginia to join a dynamic Managed Care Organization. This role supports Medicaid members and requires pediatrics and maternity experience, as well as field-based travel to member homes for assessments.

Compensation: This is temp-to-perm paying $50.00 per hour

Location & Travel Requirements

• Remote position based in Central Virginia with required travel to member homes in Richmond, Ashland, Emporia, Farmville, Williamsburg, Hampton, and Newport News.
• Travel is 30-40% field-based with mileage reimbursement.
• High-speed internet and a home office setup required.

Position Overview

The RN Case Manager will work remotely and in the field, conducting face-to-face assessments and developing care plans for Medicaid members. The case manager will participate in interdisciplinary care team meetings and coordinate services to improve health outcomes.

Key Responsibilities

• Conducts clinical assessments and determines eligibility for case management based on health needs.
• Develops and implements individualized care plans in collaboration with the member, caregivers, and healthcare professionals.
• Performs telephonic and in-person visits to assess and monitor members’ health status and needs.
• Ensures continuity of care by integrating behavioral health services, long-term care support, and wellness programs (e.g., asthma and depression management).
• Facilitates interdisciplinary care team (ICT) meetings to coordinate services.
• Uses motivational interviewing techniques to educate and support members.
• Identifies and addresses barriers to care, providing resources to improve member outcomes.
• Maintains an ongoing caseload, ensuring compliance with case management requirements.

Schedule & Work Expectations

• Monday through Friday, 8:00 AM - 5:00 PM (No weekends).
• Travel required 30%+ for face-to-face assessments.
• Caseload: 175-200 members.

Required Qualifications

• Active, unrestricted RN license in Virginia.
• 1-3 years of case management, disease management, managed care, or healthcare experience.
• Background in pediatrics and/or maternity nursing.
• Strong computer skills for multitasking between systems, documenting interactions, and managing case files.
• Must possess a valid driver’s license with a clean driving record and reliable transportation for field visits.
• Bachelor’s Degree in Nursing (BSN) preferred.

Preferred Qualifications

• Experience working in Managed Care Organizations (MCOs).
• Familiarity with Medicaid programs and community-based services.
• Experience with behavioral health case management is a plus.

Why Join Us?

• Competitive salary & benefits package
• Mileage reimbursement for travel
• Opportunity to make a direct impact on members’ health and well-being
• Work-life balance with a Monday-Friday schedule

If you are a compassionate RN Case Manager looking for a rewarding opportunity in Central Virginia, apply today!