• Clinical Case Manager

    CVS Health (Richmond, VA)
    …Using advanced clinical skills, performs crisis intervention with members experiencing behavioral health or medical crisis and refers them to the appropriate ... of Care: * Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and… more
    CVS Health (06/23/25)
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  • Clinical Case Manager

    CVS Health (Richmond, VA)
    …Interviewing and good technological skills + Valid unrestricted independent professional behavioral health clinical license to practice per state regulations ... standard business hours. No weekends and no holidays.** Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical… more
    CVS Health (06/23/25)
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  • Behavioral Health Case

    Elevance Health (Richmond, VA)
    …This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. The ** Behavioral Health Case Manager I - Virginia Youth & ... **Position specific details: The Case Manager will work with our...visits within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder… more
    Elevance Health (06/14/25)
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  • Behavioral Health Case

    Elevance Health (Richmond, VA)
    …work-life integration, and ensures essential face-to-face onboarding and skill development. The ** Behavioral health Case Manager I** is responsible for ... and/or by home visits within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs. **How you will… more
    Elevance Health (06/13/25)
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  • Behavioral Health Case

    Elevance Health (Richmond, VA)
    …meeting with members both telephonically and in-person to provide crisis wraparound services** The ** Behavioral Health Case Manager I - Virginia - Crisis ... Services** is responsible for performing case management telephonically and/or by home visits within the...visits within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder… more
    Elevance Health (04/10/25)
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  • Behavioral Health Case

    Elevance Health (Richmond, VA)
    …onboarding and skill development.** **Position Overview:** Responsible for performing case management telephonically and/or by home visits within the scope ... of licensure for members with behavioral health and substance abuse or substance abuse disorder...substance abuse disorder needs. Subject matter expert in targeted clinical areas of expertise in serious mental illness "SMI",… more
    Elevance Health (06/14/25)
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  • Complex Case Manager RN - (Remote)

    Highmark Health (Richmond, VA)
    …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of...interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are… more
    Highmark Health (05/31/25)
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  • Registered Nurse - Case Manager

    Veterans Affairs, Veterans Health Administration (Richmond, VA)
    …member of the Behavioral Health Interdisciplinary Team. The BHIP RN Case Manager /Care Coordinator/MHTC uses the nursing process and evidence-based practice ... Summary This Registered Nurse - Case Manager /Care Coordinator (Mental Health BHIP)(MHTC)(Richmond)...-Track and follow up with Veterans with High Risk ( Behavioral and Suicide) Flags and those identified for Reach… more
    Veterans Affairs, Veterans Health Administration (06/14/25)
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  • Case Manager Registered…

    CVS Health (Richmond, VA)
    …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...current unrestricted Virginia state licensure required. - 3 years clinical experience (med surg, behavioral health) -… more
    CVS Health (06/08/25)
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  • Licensed Case Manager I, Foster Care…

    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 ... healthcare costs for the designated population via integrated (physical health/ behavioral health) case management and whole person...in nursing. + A minimum of 3 years of clinical experience in social work counseling with broad range… more
    Elevance Health (06/18/25)
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  • Analyst Case Manager - West Virginia

    CVS Health (Richmond, VA)
    …impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. - Coordinates ... Morgan. Utilizes critical thinking and judgment to collaborate and inform the case management process, to facilitate appropriate healthcare outcomes for members by… more
    CVS Health (06/14/25)
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  • Case Manager Registered Nurse…

    CVS Health (Richmond, VA)
    …do it all with heart, each and every day. **Position Summary** The Nurse Case Manager is responsible for coordinating and managing healthcare services for ... RN License in Virginia Must reside in Richmond or Mechanicsville VA 3 years clinical experience (med surg, behavioral health, NF) Managed Care experience Must… more
    CVS Health (06/21/25)
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  • RN Case Manager - Home Health…

    Maxim Healthcare (Glen Allen, VA)
    Maxim Healthcare Services in Richmond is hiring for a Case Manager to oversee the clinical care of homecare clients Why This Role? + Balanced ... + Recognition Programs + Expense Reimbursement Key Responsibilities: + Oversee the clinical care of homecare clients from admission through discharge + Manage care… more
    Maxim Healthcare (06/14/25)
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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 ... Do you have the PRN career opportunities as a Clinical Rehab Specialist PRN you want with your current...for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and… more
    HCA Healthcare (06/21/25)
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  • Field Care Manager - BH

    Humana (Glen Allen, VA)
    …licenses)** + Minimum of 2 years of post-degree clinical experience in behavioral health setting + Case management experience working with complex SMI or ... of our caring community and help us put health first** The Field Care Manager , Behavioral Health performs primarily face to face and telephonic assessments with… more
    Humana (06/07/25)
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  • Manager , Care Management

    Humana (Richmond, VA)
    …the Director, Case Management and supports the strategic priorities for Clinical Operations, Medical & Behavioral Health and Humana Government Business ... Puerto Rico. + Current valid and unrestricted Registered Nurse license + Certified Case Manager (CCM) + 5 years of healthcare supervisory/management experience,… more
    Humana (06/19/25)
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  • Care Manager RN

    Highmark Health (Richmond, VA)
    …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more
    Highmark Health (06/19/25)
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  • Inpatient Rehab Manager

    HCA Healthcare (Richmond, VA)
    …(ie observation status or inpatient admission) placement on department in absence of case manager . + ​Completes rounding on all therapy staff according to ... join an organization that invests in you as a(an) Manager of Inpatient Rehab? At Parham Doctors' Hospital, you...for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… more
    HCA Healthcare (06/21/25)
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  • Regional Coding Operations Manager WFH

    HCA Healthcare (Richmond, VA)
    …is incentive eligible. **Job Summary and Qualifications** The Regional Coding Operations Manager is responsible for assisting in the development and evolution of the ... workflow, including but not limited to, practice acquisitions, provider clinical documentation improvement, practice coding processes, and division relationship… more
    HCA Healthcare (06/21/25)
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  • Nurse Disease Mgmt II (US)

    Elevance Health (Richmond, VA)
    …programs for chronic diseases **How you will make an Impact:** + Conducts behavioral or clinical assessments to identify individual member knowledge, skills and ... behavioral needs. + Identifies and/or coordinates specific health coaching...coordinates coaching and/or care plans by educating members regarding clinical needs and facilitating referrals to health professionals for… more
    Elevance Health (06/21/25)
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