- Highmark Health (Richmond, VA)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Veterans Affairs, Veterans Health Administration (Richmond, VA)
- …below, along with the duties. Responsibilities The Registered Nurse ( RN ), Inpatient Case Manager (Acute Medicine) is responsible for coordinating ... Summary Registered Nurse - Inpatient Case Manager...practice in providing care to clients with basic or complex . An ADN or Diploma in Nursing AND 1… more
- Bon Secours Mercy Health (VA)
- …clinical and operational excellence. **Summary of Primary Function** In the capacity of a Registered Nurse , the Ambulatory Care Manager will provide clinical ... policies. Identify, enroll and manage patients in program for Transitions of Care/ Complex Case Management/Chronic Disease Management. Develop and implement care… more
- CVS Health (Virginia Beach, VA)
- …And we do it all with heart, each and every day. **Position Summary** This Case Manager Registered Nurse position is with Aetna's Long-Term ... requirements is for candidates to hold a Virginia LPN, RN , or BH License, and travel 50-75% of the...talking on the telephone, and typing on the computer Nurse Case Manager is responsible… more
- CVS Health (Danville, VA)
- …And we do it all with heart, each and every day. **Position Summary** Nurse Case Manager is responsible for assessing, planning, implementing and ... coordinating all case management activities with members to evaluate the medical...designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning… more
- CVS Health (Front Royal, VA)
- …we do it all with heart, each and every day. **Position Summary** + Nurse Case Manager is responsible forassessing, planning, implementingand coordinating ... designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning...Reviews prior claims to address potential impact on current case management and eligibility. + Using a holistic approach… more
- Healthfirst (VA)
- …options, and discharge planning across a variety of treatment settings for high risk, complex populations + Certified Case Manager + Interqual, Milliman, ... additional information required for appropriate utilization management and to solve complex clinical problems + Allocate, monitor, and control resources while… more
- Somatus (Fairfax, VA)
- …settings. + 2+ years healthcare related experience. + Current, unrestricted compact Registered Nurse license + Requires all teammates to maintain current, ... well-being + Community engagement opportunities + And more! The RN Care Manager is a critical member...and physicians. This position will be working closely with complex renal patients in their home, dialysis center, by… more
- Sharecare (Richmond, VA)
- …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of ... within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required,… more
- Veterans Affairs, Veterans Health Administration (Hampton, VA)
- …to apply. Responsibilities Duties include, but are not limited to: Home-Based Primary Care Registered Nurse Care Manager (HBPC RNCM) is responsible for ... and their care within the HBPC Program. Responsible for case management, assessment, triage, Veteran education, resource coordination, medication...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- CVS Health (Richmond, VA)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...Oncology or Specialty Pharmacy. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse … more
- Elevance Health (Ashburn, VA)
- …supports work-life integration, and ensures essential face-to-face onboarding and skill development._ The Nurse Case Manager I (Transition of Care) is ... management within the scope of licensure for members with complex and chronic care. Responsible for those members at...nursing home is strongly preferred. + Certification as a Case Manager is preferred. Please be advised… more
- LifePoint Health (Richlands, VA)
- …* Coordinates Quality Wellness Preventative Health * Works closely with Clinical Nurse Manager with staffing, scheduling, and disciplinary actions for clinical ... staff. This position will serve as the backup to the Clinical Nurse Manager . * Works closely with Clinical Nurse Manager to keep offices functioning… more
- US Tech Solutions (Richmond, VA)
- … Case management and/or discharge planning experience preferred **Position Summary** + Nurse Case Manager is responsible for telephonically and/or face ... designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning...in Virginia required Associate or Bachelor's in nursing **Skills:** RN , Case management **About US Tech Solutions:**… more
- Elevance Health (Arlington, VA)
- **Behavioral Health Case Manager II** **Location:** This field-based role enables associates to primarily operate in the field, traveling to client sites or ... zone, Virtual with ~50% local fieldwork.** The **Behavioral Health Case Manager II** is responsible for performing...licensure for members with behavioral health, substance abuse, and/or complex medical needs. **How you will make an impact:**… 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 ... person health. For this role, we are seeking an RN . Primary duties may include, but are not limited...provide an equivalent background is required. **Preferred Qualifications** + Case management with a broad range of complex… more
- Elevance Health (Richmond, VA)
- ** Nurse Case Manager I** **Schedule:** Monday - Friday, 8am-4:30pm EST **Virtual** **:** This role enables associates to work virtually full-time, with the ... an accommodation is granted as required by law._ The ** Nurse Case Manager I** is...management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing,… more
- Elevance Health (Ashburn, VA)
- **Position specific details: The Case Manager will work telephonically with our Youth & Adolescent population with serious emotional disturbance and/or substance ... and ensures essential face-to-face onboarding and skill development. The **Behavioral Health Case Manager I - Virginia SMI/SED** is responsible for performing… more
- Elevance Health (VA)
- **Position specific details: The Case Manager will work with our Youth & Adolescent population with serious emotional disturbance and/or substance use disorder ... client needs, and direct, hands-on engagement. The **Behavioral Health Case Manager I - Youth & Adolescent**...social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder… more
- Elevance Health (Front Royal, VA)
- …business leaders passionate about transforming American healthcare delivery. **Behavioral Health Case Manager I** **Location:** Candidate must reside in ... - Friday 8:00am to 5:00pm EST. The **Behavioral Health Case Manager I** is responsible for performing...social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder… more