- UnitedHealth Group (Richmond, VA)
- …Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Complex Care Manager , RN will be managing complex members ... CCM certification Experience with Medicare and/or Medicaid Experience with complex populations Managed care/ case management experience *All employees… more
- 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
- CVS Health (Richmond, 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 (Richmond, 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
- 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 (Richmond, VA)
- …Clinic Nurses are specialized registered nurses who work under the Dialysis Nurse Manager . He/she will administer medication and fluids via intravenous (IV), ... Summary Registered Nurse - Dialysis Infusion position...documentation. -Other tasks as needed and assigned by Infusion Nurse Manager . Pay: Competitive salary, regular salary… more
- Public Consulting Group (Richmond, VA)
- …on a team. + Proven working experience in case management, including as a nurse , medical, mental health care manager or a related job + Excellent knowledge ... . PCG Health team helps our clients meet the complex financial, regulatory, and operational challenges of today's changing...plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions**… more
- Elevance Health (Richmond, 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
- 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 (Richmond, VA)
- **Title** : Nurse Case Manager II **Location** : 740W Peachtree St NW, Atlanta, GA 30308 **VIRTUAL** : This role enables associates to work virtually ... *Required to work 2 Evening shifts/mth 11:30AM-8:00PM EST The ** Nurse Case Manager II** is...management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing,… more
- Elevance Health (Richmond, 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 (Richmond, 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 - Virginia Youth &...social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder… more
- Elevance Health (Richmond, VA)
- **Telephonic Nurse Case Manager II** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is...management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing,… more
- Sedgwick (Richmond, VA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager **We are growing all across the US and are looking for ... experienced Workers Comp Field Case Managers! Required to have a minimum of** **1.5...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
- Elevance Health (Richmond, VA)
- …onboarding and skill development.** **Position Overview:** Responsible for performing case management telephonically and/or by home visits within the scope ... social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder...equivalent background + Current active unrestricted license such as RN LCSW (as applicable by state law and scope… more
- Elevance Health (Richmond, VA)
- …guidelines and/or medical policies. May collaborate with healthcare providers. Focuses on relatively complex case types that do not require the training or skill ... of a registered nurse . Acts as a resource for...**How you will make an impact:** + Responsible for complex cases that may require evaluation of multiple variables… more
- Elevance Health (Richmond, VA)
- The **Behavioral Health Care Manager I - Virginia** is responsible for managing psychiatric and substance abuse or substance abuse disorder facility-based and ... and substance abuse or substance abuse disorder assessment coordination, implementation, case planning, monitoring and evaluating to promote quality member outcomes… more
- Elevance Health (Richmond, VA)
- …us and together we will drive the future of health care. The **Medical Management Nurse ** is responsible for reviewing the most complex or challenging cases that ... consultation to the Medical Director on particularly peculiar or complex cases as the nurse deems appropriate....skills and nursing judgment and experience. + Collaborates with case management nurses on discharge planning, ensuring the patient… more
- Elevance Health (Richmond, VA)
- …with a schedule of Wednesday - Sunday or Thursday - Monday. The **Transplant Nurse II** will be responsible for providing case and/or medical management for ... **Transplant Nurse II** **Location:** Virtual: This role enables associates...preparation for advancement to the senior level. Within the case management role will within the scope of licensure… more
