Top 56 Case manager Jobs in Portsmouth Va

Case Manager III
Patient Advocate Foundation —Hampton, VA
- $29 - $31 an hour
- Full-time
- Bilingual
- Nursing
- 5 years
Quick Apply
8d
Telephonic Case Manager
Sedgwick —Newport News, VA
- Full-time
- Remote
- Nursing
- RN License
- Mid-level
- Continuing education credits
- Health savings account
2d
Case Manager III
City of Norfolk, VA —Norfolk, VA
- $54,190.94 - $90,788.72 a year
- Full-time
- CPR Certification
- HIPAA
- Mid-level
13h
Adult Mental Health Case Manager
Hampton-Newport News Community Services Board —Hampton, VA
- From $50,604 a year
- Full-time
- Adults
- Mid-level
- Bachelor's degree
- Paid holidays
- Health insurance
Quick Apply
SF Case Manager Virginia Beach
Moms In Motion —Virginia Beach, VA
- 8 hour shift
- Background check
- Mid-level
- Driver's License
- Paid training
- AD&D insurance
Quick Apply
Case Manager (CM)
Lifepoint Rehabilitation —Portsmouth, VA
- $45 - $55 an hour
- Part-time
- Acute care
- Nursing
- Microsoft Outlook
- Disability insurance
- Health insurance
Quick Apply
SF Case Manager Hampton
Moms In Motion —Hampton, VA
- 8 hour shift
- Background check
- Mid-level
- Driver's License
- Paid training
- AD&D insurance
Quick Apply
Foster Care Case Worker: Onsite in Hampton Roads, VA
JAMES BARRY-ROBINSON INSTITUTE —Norfolk, VA
- $48,000 - $55,000 a year
- Experience working with individuals with developmental disabilities
- Mid-level
- Office
- Mileage reimbursement
- Paid holidays
Quick Apply
Family Support Specialist II (Case Management Exp.)
Urban Strategies, Inc. —Norfolk, VA
- $56,000 - $58,656 a year
- Weekends as needed
- Mid-level
- Driver's License
- Bachelor's degree
Quick Apply
Community Outreach Case Manager
Volunteers of America Chesapeake and Carolinas —Hampton, VA
- $60,000 - $65,000 a year
- Weekends as needed
- Bilingual
- 18 years or older
- Research
Quick Apply
ID Case Manager
WESTERN TIDEWATER COMMUNITY SERVICES BOARD —Suffolk, VA
- $51,970 - $68,859 a year
- Full-time
- Bachelor of Science
- Mid-level
- Driver's License
- Paid holidays
- Health insurance
Quick Apply
Qualified Developmental Disabilities Professional. Case Manager QDDP
JS Community Services LLC —Norfolk, VA
- $30 - $40 an hour
- Part-time
- Hybrid work
- Background check
- CPR Certification
- Current TB test
- Paid training
- Mileage reimbursement
Quick Apply
Treatment Foster Care (TFC) Case Worker
EMBRACE FOSTER CARE LLC —Norfolk, VA
- $47,649.66 - $61,186.56 a year
- Full-time
- Doctoral degree
- Mid-level
- Bachelor's degree
- Health savings account
- Disability insurance
Quick Apply
Case Manager
RO'S Referral Services —Virginia Beach, VA
- $20 - $25 an hour
- Full-time
- Up to 50% travel
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply
9d
Case Manager - Substance Use Disorder (SUD)
Hampton-Newport News Community Services Board —Hampton, VA
- From $50,604 a year
- Full-time
- Mid-level
- Driver's License
- Bachelor's degree
- Paid holidays
- Health insurance
Quick Apply
Case Manager
Eggleston Services —Norfolk, VA
- Part-time
- Clean driving record
- Pass drug screening
- Adults
Medical Case Manager
LGBT Life Center —Norfolk, VA
- $50,000 a year
- Full-time
- Clean driving record
- Microsoft Excel
- Microsoft Outlook
- AD&D insurance
- Disability insurance
Quick Apply
trainee - Case Manager
Peninsula Alcohol Safety Action Pro —Newport News, VA
- $38,000 - $40,000 a year
- Full-time
- Microsoft Word
- Spanish
- Microsoft Excel
- Health insurance
- Dental insurance
Quick Apply
Clinical Case Manager
Benevolent Family Services —Hampton, VA
- $35 - $41 an hour
- Full-time
- Hybrid work
- Licensed Clinical Social Worker
- Clinic experience
- Mid-level
Quick Apply
Case Manager - PT
Tidewater Youth Services Commission —Portsmouth, VA
- $21.68 an hour
- Part-time
- Mid-level
- 1 year
- Health insurance
- Dental insurance
Quick Apply

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case manager jobs near portsmouth va

Case Manager III

Patient Advocate Foundation -
Hampton, VA

Quick Apply

Job Details

Full-time
$29 - $31 an hour
8 days ago

Qualifications

Claims negotiation
Telecommunications systems
Medical terminology

Full Job Description

Case Manager III

Passion for Patients, Equity, Kindness, Accountability, Respect and Excellence

Are you ready to make a difference?

About Us

Patient Advocate Foundation (PAF), a national non-profit, headquartered in Hampton, VA, has been solving insurance and healthcare problems since 1996. Our mission is to actively advocate for patients living with chronic and critical illnesses, resolving the healthcare access and affordability challenges they face through the provision of case management services and financial aid. To read more about us, please visit our website at www.patientadvocate.org.

The Ideal Candidate

Do you have the drive and desire to help others? Are you a passionate advocate willing to improve our patients’ experience? PAF is seeking an organized, self-starter, who is independent and comfortable:

Creating a welcoming and professional first impression by making sure patients feel comfortable and heard.
Identifying problems, collecting data, establishing facts, and drawing valid conclusions.
Working in a high-volume environment and dealing effectively with rapidly changing priorities.
Utilizing a system of tools and IT platforms to support the rapidly changing needs of patients.

The Opportunity

PAF is currently seeking a Case Manager III to join our team in Hampton, VA. Case Managers actively engage to solve patient’s issues, identifying their root causes, developing a plan of action, and interacting with external stakeholders on their behalf to ensure access to care, workplace protections and preservation of their financial stability.

A Case Manager III will have expertise and knowledge of:

The healthcare delivery system.
Insurance and reimbursement including Medicare (all parts including supplemental plans), Medicaid, Marketplace, and employer sponsored plans.
Appealing health insurance denials.
Healthcare services and resources that support underrepresented and underserved populations.

In this role, a Case Manager III will be:

Leading the collaboration between the patient, provider, and insurer for all levels of health insurance appeals to include:

Understanding and interpreting insurance plan language.
Determining root cause of coverage denial and addressing accordingly (i.e., coding and billing issue, lack of necessary documentation, denial that needs appeal, etc.).
Generating and mailing appeal letter and supportive documents
Actively collaborating with providers to assist with prior authorizations.
Mediating with insurance companies, medical providers and/or other 3rd party entities on behalf of patients when necessary to bring resolution to denied claims, network issues or coverage disputes.
Requesting and obtaining medical records, notes, and/or detailed bills as appropriate
Determining appropriate language for letters and preparing responses to appeal.
Creating and sending appropriate communications to patients, including follow up and closure letters, surveys and/or authorization forms, when applicable as well as supplemental educational materials.
Entering and maintaining accurate case related information into the program database throughout the engagement of the case
Actively engage with patients and their families over the phone in a timely and professional manner.
Maintain confidentiality and comply with patient privacy guidelines.

Qualifications

If you have worked in one of these areas and are ready to put your skills to use in a different way, this role could be for you! The ideal candidate for a Case Manager III role with PAF will have:

5+ years of relevant experience required.
Comprehensive medical terminology and knowledge required.
Significant, direct experience in one or more of the following areas:
- Leading and coordinating health insurance appeals for patients who are insured through employer sponsored insurance plans (self-insured and fully funded), Medicare, Medicaid, and Marketplace plans.
- Reading and interpreting insurance plan language.
- Assisting with prior authorization.
- Familiarity with coding and billing and working through denied claims that are a result of coding errors/issues; claim resubmission process.
- Working knowledge of how to research available clinical trials.
- Utilization review and discharge planning
- Experience interacting with all payor types (Medicare, Medicaid, commercial insurance and/or Marketplace
Professional background in social work, nursing, healthcare administration, health sciences or relevant field, health insurance utilization review and discharge planning preferred.
LCSW, MSN, BSH, RN, LPN, CPC preferred.
Customer service background essential, with understanding of and commitment to providing a consistently high-level of service to patients and their families.
Possess strong research and problem-solving skills.
Demonstrates a high level of initiative and ability to self-direct to solve financial problems of patients, frequently working collaboratively with external entities.
Excellent organization, time management, conflict resolution and negotiation skills required.
Ability to effectively communicate with callers who may be very emotional, angry, or overwhelmed.
Ability to utilize technology tools and telecommunications equipment required to do the job.
Ability to work in a high-volume environment and deal effectively with rapidly changing priorities.
Ability to work independently, retain flexibility and maintain composure under pressure.
Maintain confidentiality and comply with patient privacy guidelines.
Bilingual Preferred.

Next Training Class: Monday, August 17, 2026

To Apply

This is an incredible opportunity to join an organization that makes a difference! To apply, please send your resume through our PAF Career Center for consideration.

Quick Apply

Refine Your Search

case manager jobs in portsmouth va

Case Manager III

Telephonic Case Manager

Case Manager III

Adult Mental Health Case Manager

SF Case Manager Virginia Beach

Case Manager (CM)

SF Case Manager Hampton

Foster Care Case Worker: Onsite in Hampton Roads, VA

Family Support Specialist II (Case Management Exp.)

Community Outreach Case Manager

ID Case Manager

Qualified Developmental Disabilities Professional. Case Manager QDDP

Treatment Foster Care (TFC) Case Worker

Case Manager

Case Manager - Substance Use Disorder (SUD)

Case Manager

Medical Case Manager

trainee - Case Manager

Clinical Case Manager

Case Manager - PT

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