- Molina Healthcare (Suffolk, VA)
- …Nurse who lives in VIRGINIA and must be licensed for the state of VIRGINIA. Case Manager will work in remote and field setting supporting our Medicaid Population ... with. Case Manager will be required to physically...an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high… more
- US Tech Solutions (Chesapeake, VA)
- …all levels to enable decision making at most appropriate level **Duties:** + Nurse Case Manager is responsible for face to face and telephonically assessing, ... planning, implementing, and coordinating all case management activities with members to evaluate the medical...current unrestricted Virginia state licensure required. + 3 years clinical experience (for example med surg or behavioral… more
- Elevance Health (Norfolk, VA)
- …programs for chronic diseases. **How you will make an Impact:** + Conducts behavioral or clinical assessments to identify individual member knowledge, skills, ... and behavioral needs. + Identifies and/or coordinates specific health coaching...coordinates coaching and/or care plans by educating members regarding clinical needs and facilitating referrals to health professionals for… more
- Elevance Health (Norfolk, VA)
- …for clinical operational aspects of a program. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers ... and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical /strategic advisor to enhance … more
- Select Medical (Virginia Beach, VA)
- …well as any updates. + Complete and maintain all Corporate & Clinical Services required trainings and maintain compliance with state/local/federal regulations. + ... members, and third party payers at all times. + Demonstrates knowledge of behavioral principles and implements behavioral programming as evidenced by making… more
- CenterWell (Norfolk, VA)
- …or request additional information. Recognizes a sensitive diagnoses and/or referral requiring Case Management, and pend to appropriate point of contact for review. ... that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time… more