• Behavioral Health Case

    Elevance Health (Richmond, VA)
    …This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. The ** Behavioral Health Case Manager I - Virginia ... **Position specific details: The Case Manager will work with our...visits within the scope of licensure for members with behavioral health and substance abuse or substance… more
    Elevance Health (06/14/25)
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  • Behavioral Health Case

    Elevance Health (Richmond, VA)
    …supports work-life integration, and ensures essential face-to-face onboarding and skill development. The ** Behavioral health Case Manager I** is ... visits within the scope of licensure for members with behavioral health and substance abuse or substance...**Preferred skills, capabilities, and experiences** : + Experience in case management and telephonic and/or in person coaching with… more
    Elevance Health (07/05/25)
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  • Behavioral Health Case

    Elevance Health (Richmond, VA)
    …for meeting with members both telephonically and in-person to provide crisis wraparound services** The ** Behavioral Health Case Manager I - Virginia - ... Crisis Services** is responsible for performing case management telephonically and/or by home visits within the...visits within the scope of licensure for members with behavioral health and substance abuse or substance… more
    Elevance Health (07/03/25)
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  • Clinical Case Manager

    CVS Health (Richmond, VA)
    …CVS Health Aetna has an opportunity for a full-time Behavioral Health Clinical Case Manager . You will administer processes to coordinate and ... develop training programs for the clinical case manager to ensure a thorough understanding of behavioral health practices. + implements a monitoring and… more
    CVS Health (06/28/25)
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  • Licensed Case Manager I, Foster Care…

    Elevance Health (Richmond, VA)
    …Care. Manages overall healthcare costs for the designated population via integrated (physical health / behavioral health ) case management and whole person ... client needs, and direct, hands-on engagement._ The Special Programs Case Manager I is responsible for performing...Requires MS/MA in social work, counseling, or a related behavioral health field or a degree in… more
    Elevance Health (06/18/25)
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  • Complex Case Manager RN - Oncology…

    Highmark Health (Richmond, VA)
    …ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs ... interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are...various resources to assist members in achieving their personal health goals. The incumbent monitors, improves and maintains quality… more
    Highmark Health (04/25/25)
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  • Case Manager , Registered…

    CVS Health (Richmond, VA)
    …it all with heart, each and every day. **Position Summary** + Nurse Case Manager is responsible forassessing, planning, implementingand coordinating all case ... Reviews prior claims to address potential impact on current case management and eligibility. + Using a holistic approach...+ 3 years clinical experience in Med Surg and/or Behavioral Health or other similar fields. +… more
    CVS Health (06/30/25)
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  • Care Manager RN (Delaware)

    Highmark Health (Richmond, VA)
    …appropriate resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality ... and refer members whose healthcare outcomes might be enhanced by Health Coaching/ case management interventions. + Employ collaborative interventions which… more
    Highmark Health (07/08/25)
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  • Field Care Manager , ARTS -- Northern…

    Humana (Richmond, VA)
    …with resources appropriate for the care and wellbeing of members. The Field Care Manager , Behavioral Health 2 work assignments are varied and frequently ... part of our caring community and help us put health first** The Field Care Manager , ARTS...crisis intervention, peer support, and strong collaboration with medical, behavioral health , and ARTS providers. + Provides… more
    Humana (06/12/25)
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  • Inpatient Rehab Manager

    HCA Healthcare (Richmond, VA)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...or inpatient admission) placement on department in absence of case manager . + ​Completes rounding on all… more
    HCA Healthcare (06/21/25)
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  • Regional Coding Operations Manager WFH

    HCA Healthcare (Richmond, VA)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... is incentive eligible. **Job Summary and Qualifications** The Regional Coding Operations Manager is responsible for assisting in the development and evolution of the… more
    HCA Healthcare (06/21/25)
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  • Nurse Disease Mgmt II (US)

    Elevance Health (Richmond, VA)
    …care plans by educating members regarding clinical needs and facilitating referrals to health professionals for behavioral health needs. + Uses motivational ... or clinical assessments to identify individual member knowledge, skills and behavioral needs. + Identifies and/or coordinates specific health coaching plan… more
    Elevance Health (07/08/25)
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  • LTSS Service Coordinator - RN Clinician

    Elevance Health (Colonial Heights, VA)
    …the identification, evaluation, coordination and management of member's needs, including physical health , behavioral health , social services and long term ... **LTSS Service Coordinator-RN Clinician** is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to… more
    Elevance Health (06/10/25)
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  • Clinical Rehab Specialist PRN

    HCA Healthcare (Richmond, VA)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and free AirMed medical ... pre-admission assessment for acute inpatient rehab through their assigned case manager .** + **Once Case ...years. Our campuses offer services in orthopedics, joint care, behavioral health , cancer care, and neurology. We… more
    HCA Healthcare (06/21/25)
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  • PRN RN Home Health

    HCA Healthcare (Richmond, VA)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... have the career opportunities as a PRN RN Home Health you want with your current employer? We have...physician's orders and under the supervision of the Clinical Manager . **What you will do in this role:** +… more
    HCA Healthcare (06/21/25)
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  • Coding Auditor Educator

    Highmark Health (Richmond, VA)
    **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding ... works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs...of Ethical Coding as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines.… more
    Highmark Health (05/09/25)
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  • Neuroscience Data Abstractor

    HCA Healthcare (Richmond, VA)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... Parallon, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...instructions to abstract all reportable cases. + Assist with case follow-up as requested. + Attend educational activities as… more
    HCA Healthcare (07/01/25)
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  • Senior Strategy Advancement Professional

    CenterWell (Richmond, VA)
    …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... ad hoc reporting. * Develop basic modeling and business case analysis; work closely with Finance and Data teams...primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager more
    CenterWell (06/24/25)
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  • Market CMO

    CenterWell (Richmond, VA)
    …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... precise + Identify critical issues for high-risk patients during case reviews & other forums, and modeling and driving...primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager more
    CenterWell (06/13/25)
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