RN Case Manager - Remote/Some Field Visits

Job Description

Job Description

A-Line Staffing is now hiring an RN Case Manager. This will be Full Time.

• · Location Requirement (Mandatory): Candidates ideally must live in one or near the following areas- Sterling, Reston, Chantilly, Oakton, Herndon
• Schedule – M-F 8am-5pm
• Pay Rate- $46.00 an hour paid weekly
• Benefits – active after 90 days of employment

Key Responsibilities

• Conduct comprehensive member assessments using clinical tools, data review, and eligibility determination
• Evaluate benefit plans and available internal/external resources to determine appropriate interventions
• Develop, implement, and adjust individualized care plans based on clinical needs and ongoing evaluation
• Coordinate care transitions, including hospital discharge and nursing facility transitions
• Address medical and social determinants of health (housing, food insecurity, etc.)
• Collaborate with providers, members, caregivers, and care teams to ensure timely service delivery
• Apply case management standards, regulatory requirements, and internal policies
• Maintain accurate documentation in electronic health records
• Support quality and utilization management processes
• May mentor new team members once proficient in role

Required Qualifications

• Active, unrestricted RN license in the State of Virginia
• Minimum 3 years of clinical practice experience in case management or home health, hospice or discharge planning

INDKS