Case Management Specialist

Inova Health

Case Management Specialist coordinating administrative support, continuing care services, and patient transitions. Managing regulatory documentation, budgets, payor communication, and departmental records for Inova healthcare.

Posted 8/19/2026full-timeRemote • Virginia • 🇺🇸 United StatesJuniorMid-Level💰 $21 - $35 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in coordinating administrative activities within Case Management, including managing patient transitions, financial documentation, and compliance with state and federal regulations. Proficient in monitoring operational budgets and vendor contract reimbursements while ensuring effective communication with payors and providers.

Highest-signal resume keywords

Case Management CoordinationFinancial DocumentationUAI Filings ManagementOperational Budget MonitoringPatient Care Services Arrangement

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Patient-Level-of-Care FormsAccounts Receivable ManagementAccounts Payable ManagementHome Health Services ArrangementDurable Medical Equipment CoordinationAmbulance Services CoordinationSkilled Nursing Facility ArrangementTime and Attendance ReviewCapital Requests MonitoringBusiness Expense Management

Soft Skills

Effective CommunicationOrganizational SkillsProblem-Solving

Certifications & Qualifications

High School DiplomaGED

Industry Keywords

Case ManagementPatient TransitionsProvider IssuesPayor CommunicationStrategic PlanningBusiness Development

About the role

Key responsibilities & impact

Coordinate and perform administrative activities supporting the Case Management department
Participate in annual and ongoing budget processes
Arrange continuing care services for assigned patient populations and support patient transitions
Communicate and document clinical and financial information for Case Managers and Social Workers
Deliver and document mandated Observation and Medicare IMM/HINN letters
Receive and document benefit and contract-level requirements
Address provider and payor issues with Case Management staff
Communicate with payors regarding billing, authorization and service utilization
Complete state and federal patient-level-of-care forms
Manage UAI filings and departmental accounts receivable/payable functions
Maintain the Case Management program and negotiated vendor contract reimbursement
Support strategic planning and business development initiatives
Review and approve department staff time and attendance
Maintain Case Management files and liaise with Foundation, auxiliary and external vendors
Monitor operational budgets, fund disbursement, capital requests, travel funds and business expenses

Requirements

What you’ll need

2 years of relevant experience
High School or GED
Ability to arrange Home Health, Durable Medical Equipment, Ambulance, Housing, Skilled Nursing Facility and other continuing care services
Ability to communicate and document accurate clinical and financial information
Ability to complete state and federal forms related to patient level of care
Ability to manage UAI filings and accounts receivable/payable functions
Ability to monitor Case Management programs and vendor contract reimbursement
Ability to review and approve staff time/attendance and submit pay adjustments
Ability to monitor operational budgets, capital requests, travel funds and business expenses

Benefits

Comp & perks

World-class healthcare
Professional development opportunities
Equal Opportunity employment