- CVS Health (Richmond, VA)
- …Overview** CVS Health Aetna has an opportunity for a full-time Behavioral Health Clinical Case Manager . You will administer processes to coordinate and ... regulations. + Identifies opportunities to develop training programs for the clinical case manager to ensure a thorough understanding of behavioral … more
- Elevance Health (Richmond, VA)
- …This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. The ** Behavioral Health Case Manager I - Virginia Youth & ... **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 abuse disorder… more
- Elevance Health (Richmond, VA)
- …work-life integration, and ensures essential face-to-face onboarding and skill development. The ** Behavioral health Case Manager I** is responsible for ... and/or by home visits within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs. **How you will… more
- Elevance Health (Richmond, VA)
- …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 abuse disorder… more
- Highmark Health (Richmond, VA)
- …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of...interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are… more
- 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...RN, LPN or BH License required. + 3 years clinical experience in Med Surg and/or Behavioral … more
- Elevance Health (Richmond, VA)
- …flexibility, responsiveness to client needs, and direct, hands-on engagement._ The Special Programs Case Manager I is responsible for performing case ... healthcare costs for the designated population via integrated (physical health/ behavioral health) case management and whole person...in nursing. + A minimum of 3 years of clinical experience in social work counseling with broad range… more
- HCA Healthcare (Richmond, VA)
- …order for a formal pre-admission assessment for acute inpatient rehab through their assigned case manager .** + **Once Case Management has completed the ... Do you have the PRN career opportunities as a Clinical Rehab Specialist PRN you want with your current...for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and… more
- HCA Healthcare (Richmond, VA)
- …(ie observation status or inpatient admission) placement on department in absence of case manager . + Completes rounding on all therapy staff according to ... join an organization that invests in you as a(an) Manager of Inpatient Rehab? At Parham Doctors' Hospital, you...for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… more
- Highmark Health (Richmond, VA)
- …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more
- HCA Healthcare (Richmond, VA)
- …is incentive eligible. **Job Summary and Qualifications** The Regional Coding Operations Manager is responsible for assisting in the development and evolution of the ... workflow, including but not limited to, practice acquisitions, provider clinical documentation improvement, practice coding processes, and division relationship… more
- Elevance Health (Richmond, 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
- CenterWell (Richmond, VA)
- …community and help us put health first** The Market CMO is an instrumental clinical leader of our primary care team, combining clinical practice experience with ... to adapt responsibilities as needed and demands a unique blend of clinical management, financial/business acumen, and strategic partnership to optimize patient care… more
- HCA Healthcare (Richmond, VA)
- …care. Performs in accordance with physician's orders and under the supervision of the Clinical Manager . **What you will do in this role:** + Assesses home ... and patient/family/caregiver. + Communicates significant findings, problems and changes to Clinical Manager and physician, and documents all findings,… more
- Elevance Health (Colonial Heights, VA)
- …**LTSS Service Coordinator-RN Clinician** is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to ... non-RN clinicians participating in the member's case in accordance with applicable state law and contract; develops, monitors, evaluates, and revises the member's… more
- HCA Healthcare (Richmond, VA)
- …case follow-up as requested. + Attend educational activities as approved by Manager or Director. + Maintain clinical knowledge of various abstracted measures. ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...+ Communicate in a timely manner with manager to achieve measure compliance. + Submit data timely… more
- CenterWell (Richmond, VA)
- …Intelligence Lead and support ad hoc reporting. * Develop basic modeling and business case analysis; work closely with Finance and Data teams * Coordinate with ACO ... 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
- Highmark Health (Richmond, VA)
- …Is responsible for or works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs in the facilities to identify ... related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges...processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and… more