• UM Case Manager

    Healthfirst (VA)
    … management, identifying alternative care options, and discharge planning** + **Certified Case Manager ** + **Interqual and//or Milliman knowledge** + **Knowledge ... This position is 100% Remote** **Duties//Responsibilities:** + **Provides case management services for assigned member caseloads which includes:** +… more
    Healthfirst (10/07/25)
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  • Behavioral Health Care Manager II…

    Elevance Health (Richmond, VA)
    …an accommodation is granted as required by law The **Behavioral Health Care Manager II - Virginia** is responsible for managing psychiatric and substance abuse or ... necessary, quality behavioral healthcare in a cost-effective setting in accordance with UM Clinical Guidelines and contract. + Refers cases to Peer Reviewers as… more
    Elevance Health (10/08/25)
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  • Transplant Care Nurse - Remote

    Highmark Health (Richmond, VA)
    …industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans ... :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over… more
    Highmark Health (10/10/25)
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