- Molina Healthcare (Virginia Beach, VA)
- … will work in remote and field setting supporting our SMI population, within our Medicaid Population with. Case Manager will be required to physically go ... level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit.… more
- Molina Healthcare (Suffolk, VA)
- … Case Manager will work in remote and field setting supporting our Medicaid Population with. Case Manager will be required to physically go to ... waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
- Bon Secours Mercy Health (Portsmouth, VA)
- …in field of study as required by state and federal law (required) Case Management Certification preferred (ACM, CCM, or ANCC) (preferred upon hire, required within ... counseling and knowledge of community resources, public assistance systems, Medicare or Medicaid (required) 1 year of experience in an acute care clinical setting… more
- ACI Federal (Chesapeake, VA)
- …also provide resources and referrals to at-risk clients and serves as a limited case manager for screening follow up needs. The successful applicant works ... to conduct pre-admission screening and medical need determination for Medicaid -funded nursing home placement and community-based services (PAS/NHS). This position… more
- City of Norfolk, Virginia (Norfolk, VA)
- …hire a Benefit Programs Supervisor for the Self-Sufficiency Benefits SNAP and Medicaid Intake and Ongoing Units. The Benefit Programs Supervisor will plan, organize, ... evaluates and recommends changes. + Assigns casework to staff and monitors case activities by reviewing referrals, scanning databases for relevant data, maintaining… more
- Elevance Health (Norfolk, VA)
- …Amerigroup, is a proud member of Elevance Health's family of brands, offering Medicaid and Medicare plans in several states. We also provide administrative services ... to Medicaid plans in partnership with blue cross blue shield...and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers… more
- Elevance Health (Norfolk, VA)
- …Amerigroup, is a proud member of Elevance Health's family of brands, offering Medicaid and Medicare plans in several states. We also provide administrative services ... to Medicaid plans in partnership with blue cross blue shield...and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers… more
- Humana (Portsmouth, VA)
- …Field Operations by attending eMSM meetings as needed 10% Provide feedback to Regional Manager on issues that may require manager review, assistance and or ... with the TRICARE population + 3 or more years of utilization or case management experience + Professional certification in utilization review, case management,… more