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Case Manager - Maternity and Pediatrics $50/hr (Remote)

Morgan Stephens
Richmond, VA Remote Full Time
POSTED ON 3/3/2025
AVAILABLE BEFORE 4/27/2025

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!

Salary : $50

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