- Elevance Health (Richmond, VA)
- ** Behavioral Health Case Manager I** **Work location:** Virginia **Virtual:** This role enables associates to work virtually full-time, with the ... unless an accommodation is granted as required by law. **Position specific details:** The ** Behavioral Health Case Manager I** will work with our member… more
- Humana (Richmond, VA)
- **Become a part of our caring community and help us put health first** The Behavioral Health Care Manager (Field Care Manager , Behavioral ... BH Care Manager remains dedicated to enhancing behavioral health outcomes, reducing care gaps, and...Minimum of 2 years of post-degree clinical experience in behavioral health setting + Case … more
- CVS Health (Mechanicsville, VA)
- …extended periods, talking on the telephone, and typing on the computer Nurse Case Manager is responsible for assessing, planning, implementing and coordinating ... with heart, each and every day. **Position Summary** This Case Management position is with Aetna's Long-Term Services and...+ 3 years Clinical Experience (Preferably in Medical-Surgical Nursing, Behavioral Health , Long term Care, etc.) +… more
- Elevance Health (Richmond, VA)
- ** Behavioral Health Medical** **Director-Psychiatrist** **Appeals** **Location:** This role enables associates to work virtually full-time, with the exception of ... once a month.** The **Medical Director** is responsible for the administration of behavioral health medical services, to ensure the appropriate and most… more
- CVS Health (Richmond, VA)
- …50-75% of the time to meet with members face to face** **.** **The Nurse Case Manager ** **is responsible for evaluating and coordinating care for members to ... work duties. As a **field-based role** , the Nurse Case Manager will regularly travel to various...required.** **3 years Clinical Experience (Preferably in Medical-Surgical Nursing, Behavioral Health , Long term Care, etc.)** **1+… more
- HCA Healthcare (Richmond, VA)
- …Do you have the career opportunities as a **Trauma Complex Care Social Worker Case Manager ** you want with your current employer? We have an exciting ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free...to work as a **Trauma Complex Care Social Worker Case Manager ** where your passion for creating… more
- Maxim Healthcare (Glen Allen, VA)
- Maxim Healthcare in Richmond is hiring for a Case Manager to oversee the clinical care of homecare clients Why This Role? + Balanced Responsibilities + Work-Life ... team where your expertise and dedication are truly valued. Maxim Benefits: Health and Wellness Medical/Prescription, Dental, Vision, Health Advocacy (company… more
- HCA Healthcare (Richmond, VA)
- …our nurses set us apart from any other healthcare provider. We are seeking a(an) Case Manager Registered Nurse RN PRN to join our healthcare family. **Benefits** ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free...their passion for patient care. Apply today for our Case Manager Registered Nurse RN PRN opportunity.… more
- HCA Healthcare (Richmond, VA)
- …want to join an organization that invests in you as a(an) Social Worker BSW Case Manager ? At Henrico Doctors' Hospital, you come first. HCA Healthcare has ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free...We are looking for a dedicated Social Worker BSW Case Manager like you to be a… more
- HCA Healthcare (Richmond, VA)
- **Description** **Introduction** Do you have the PRN career opportunities as a(an) Case Manager Social Worker Inpatient Rehab PRN you want with your current ... for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine...of colleagues. Do you want to work as a(an) Case Manager Social Worker Inpatient Rehab PRN… more
- HCA Healthcare (Richmond, VA)
- …services 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 ... Hospital offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...(CMA) will work under the direction of the RN case manager or social worker to assist… more
- CVS Health (Richmond, VA)
- …+ Minimum 3+ years post master's degree clinical experience required for Behavioral Health License; and 3+ years post-bachelor's clinical experience for ... customer visits and/or presentations). **Education** + Master's Degree required for Behavioral Health License and/or Bachelor's Required for Registered Nurse… more
- Highmark Health (Richmond, VA)
- …appropriate resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality ... and refer members whose healthcare outcomes might be enhanced by Health Coaching/ case management interventions. + Employ collaborative interventions which… more
- Highmark Health (Richmond, VA)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** HNAS ( Health Now Administrative Services) offers flexible, cost-effective solutions for employee ... health benefits. HNAS is part of Highmark Health...or its strategic business partners. When this is the case , there may be less direct reporting relationships and… more
- HCA Healthcare (Richmond, VA)
- …services 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 ... is incentive eligible. **Job Summary and Qualifications** The Regional Coding Operations Manager is responsible for assisting in the development and evolution of the… more
- Elevance Health (Richmond, VA)
- …an equivalent background. + For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years of experience providing ... vision and implementation to deliver an improvement in the health of the people we serve. The medical director...clinical expertise in all aspects of utilization review and case management. Provides input on the clinical relevance to… more
- Elevance Health (Richmond, VA)
- …the identification, evaluation, coordination and management of member's needs, including physical health , behavioral health , social services and long term ... **LTSS Service Coordinator-RN Clinician** is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to… more
- Elevance Health (Richmond, VA)
- …The **Medical Director-PSCCR** is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most ... with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss… more
- Highmark Health (Richmond, VA)
- …+ Healthcare experience + Project Management experience **Preferred** + 2 years Health Plan, Pharmacy Benefit Manager (PBM) or Pharmaceutical manufacturer ... to understand business needs, processes project specifications and business case development. Translate business needs into clearly defined and...environment + Experience in a Health Plan or PBM pharmacy department supporting strategic care… more
- HCA Healthcare (Richmond, VA)
- …services 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 ... Hospital offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...+ **Ensures the integrity of the data submitted on Case Report Forms or other data collection tools by… more