• Case Manager Behavioral

    HCA Healthcare (Richmond, VA)
    …**Introduction** Do you want to join an organization that invests in you as a(an) Case Manager Behavioral Utilization Management? At Chippenham Hospital, ... and you have the opportunity to make a difference. We are looking for a dedicated Case Manager Behavioral Utilization Management like you to be a part of… more
    HCA Healthcare (05/20/25)
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  • Behavioral Health Case

    Elevance Health (Arlington, VA)
    ** Behavioral Health Case Manager ...are required for this position. + Experience with the utilization of Motivation Interviewing as well as being able ... **Locations:** Richmond, VA, Roanoke, VA, Arlington, VA, Norfolk, VA The ** Behavioral Health Case Manager I** is responsible for performing case more
    Elevance Health (04/08/25)
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  • Social Worker SW Case Manager PRN

    HCA Healthcare (Richmond, VA)
    …**Introduction** Do you have the PRN career opportunities as a **Social Worker SW Case Manager PRN** you want with your current employer? We have an ... by location._** We are seeking a Social Worker SW Case Manager PRN for our team to...experience in an acute care setting preferred. + Previous case management or utilization review experience preferred.… more
    HCA Healthcare (05/20/25)
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  • Social Worker SW Case Manager

    HCA Healthcare (Richmond, VA)
    …want you to apply! **Job Summary and Qualifications** The Social Worker SW Case Manager is responsible for promoting patient-centered care by evaluating ... and community resources/post-acute care providers. The Social Worker SW Case Manager creates and facilitates the timely...experience in an acute care setting preferred. + Previous case management or utilization review experience preferred.… more
    HCA Healthcare (04/30/25)
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  • RN Case Manager

    HCA Healthcare (Salem, VA)
    …issues through the established chain of command. . In a RN Case Manager role, you will perform utilization management reviews and communicates information to ... about delivering patient-centered care?** Submit your application for RN Case Manager position and spend more time...for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… more
    HCA Healthcare (04/25/25)
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  • Case Manager RN Inpatient…

    HCA Healthcare (Richmond, VA)
    **Description** **Introduction** Do you have the PRN career opportunities as a ** Case Manager RN Inpatient Rehabilitation PRN** you want with your current ... for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and...of colleagues. Do you want to work as a Case Manager RN Inpatient Rehabilitation PRN where… more
    HCA Healthcare (04/18/25)
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  • Registered Nurse RN Case Manager

    HCA Healthcare (Richmond, VA)
    …Hospital have the opportunity to make a real impact. As a **Registered Nurse RN Case Manager ** you can be a part of change. Currently offering a sign-on ... outcomes for your patients as a Registered Nurse RN Case Manager . We want your knowledge and...RN experience in a hospital setting preferred.** + **Previous case management or utilization review experience preferred.**… more
    HCA Healthcare (05/16/25)
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  • LTSS Service Coordinator ( Case

    Elevance Health (Martinsville, VA)
    **LTSS Service Coordinator ( Case Manager )** **Location:** Seeking candidates to work in Bartholomew County, Delaware County, Daviess County, Dubois County, Grant ... to client needs, and direct, hands-on engagement. The **LTSS Service Coordinator ( Case Manager )** is responsible for conducting service coordination functions… more
    Elevance Health (05/10/25)
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  • Case Manager Registered Nurse RN PRN

    HCA Healthcare (Hopewell, VA)
    …TriCities Hospital we support our colleagues in their positions. Join our Team as a(an) Case Manager Registered Nurse RN PRN and access programs to assist with ... gain certifications and job skills. Apply today for our Case Manager Registered Nurse RN PRN opening...experience as RN years demonstrated leadership experience + Commercial Utilization Management and/or Case Management experience; Quality… more
    HCA Healthcare (04/04/25)
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  • Registered Nurse (RN) - Case Manager

    LifePoint Health (Martinsville, VA)
    …requirements include: * Basic Life Support certification is required. * Certification as Case Manager (preferred). * At least one year of clinical direct ... **Sovah Health - Martinsville* **Title:** *Registered Nurse (RN) - Case Manager - Full Time* **Location:** *Virginia-Martinsville* **Requisition… more
    LifePoint Health (05/07/25)
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  • Case Manager RN

    Somatus (Mclean, VA)
    …can leverage existing high-speed internet service Preferred Qualifications: * BSN * Certified Case Manager (CCM) * Diabetic educator experience * ICU, Cardiology ... utilizing basic nursing knowledge, experience and skills to ensure appropriate utilization of resources and patient quality outcomes. Performs care management… more
    Somatus (05/08/25)
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  • RN - Team Leader Case Management

    LifePoint Health (Danville, VA)
    …patient ratio. Our team's approach to offering safe discharge planning is the use of a Utilization RN and Case Manager RN, in conjunction with a Social ... *Registered Nurse, RN - Team Leader Case Manager * Job Type: Full Time...to /making communities healthier/(R) with acute care, rehabilitation, and behavioral health facilities from coast to coast. From your… more
    LifePoint Health (05/17/25)
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  • Care Manager RN - Remote

    Highmark Health (Richmond, VA)
    …Health **Job Description :** **JOB SUMMARY** This job implements effective ** utilization management** strategies including: review of appropriateness of health care ... services, application of criteria to ensure appropriate resource utilization , identification of opportunities for referral to a Health Coach/ case management, and… more
    Highmark Health (05/21/25)
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  • Transplant Care Nurse RN - Stem Cell, Bone Marrow…

    Highmark Health (Richmond, VA)
    …Inc. **Job Description :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. ... industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans… more
    Highmark Health (04/25/25)
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  • Clinical Rehab Specialist

    HCA Healthcare (Richmond, VA)
    …order for a formal pre-admission assessment for acute inpatient rehab through their assigned case manager . 2. Once Case Management has completed the Patient ... 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 medical… more
    HCA Healthcare (05/21/25)
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  • Clinical Rehab Specialist PRN

    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 ... no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and free AirMed medical transportation.… more
    HCA Healthcare (05/04/25)
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  • LTSS Service Coordinator - RN Clinician

    Elevance Health (Arlington, VA)
    …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;...coordination and management of member's needs, including physical health, behavioral health, social services and long term services and… more
    Elevance Health (04/24/25)
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  • Transitions of Care - RN, 100% Virtual, CareBridge

    Elevance Health (VA)
    …with IDD and patients with special needs is preferred. + Home Health, Utilization Management or Case Management experience strongly preferred. + Previous ... Impact** Primary duties may include, but are not limited to: + Conducts behavioral or clinical assessments to identify individual member knowledge, skills and … more
    Elevance Health (05/17/25)
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  • Medical Director- Carelon RX

    Elevance Health (Richmond, VA)
    …**Medical Director** is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most cost-effective ... with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss… more
    Elevance Health (05/23/25)
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  • Medical Director- Medicare

    Elevance Health (Norfolk, VA)
    …Medical Director** is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most cost-effective ... with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss… more
    Elevance Health (05/20/25)
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