- Bon Secours Mercy Health (Mechanicsville, VA)
- …create an environment where associates want to work and help communities thrive. RN Care Manager _-_ **_Memorial Regional Medical Center_** **Job Summary:** ... The RN Care Manager is responsible for providing coordination of ...and readmission prevention. + Supports denial prevention related to medical necessity through addressing / removing barriers to progression… more
- Sunrise Senior Living (Richmond, VA)
- …of.** **COMMUNITY NAME** Sunrise of Bon Air **Job ID** 2025-234793 **JOB OVERVIEW** The Care Manager /"Designated Care Manager " is responsible for ... living/long term care and reminiscence neighborhoods. The Care Manager provides hands on care...also offer benefits and other compensation that include: + Medical , Dental, Vision, Life, and Disability Plans + Retirement… more
- Bon Secours Mercy Health (Mechanicsville, VA)
- …clinical and operational excellence. **Primary Function/General Purpose of Position** The RN Care Manager is responsible for providing coordination of care ... across the continuum. This role utilizes a collaborative process, the RN Care Manager identifies (using quantitative and qualitative methods), assesses, plans,… more
- Sunrise Senior Living (Richmond, VA)
- …place Sunrise is to be a part of.** **Job ID** 2025-234677 **JOB OVERVIEW** The Lead Care Manager functions as the lead to a group of Care ... Care Managers" during the shift. The Lead Care Manager ensures quality care ...also offer benefits and other compensation that include: + Medical , Dental, Vision, Life, and Disability Plans + Retirement… more
- Sunrise Senior Living (Richmond, VA)
- …Sunrise is to be a part of.** **Job ID** 2025-233505 **JOB OVERVIEW** The Medication Care Manager is responsible for providing the highest degree of quality ... are passed according to times and utilizing the mobile med cart. + Document and initial as medications are...to supervisor. + Count all narcotics with another Medication Care Manager (MCM) or Lead Care… more
- Humana (Richmond, VA)
- …a part of our caring community and help us put health first** The Behavioral Health Care Manager (Field Care Manager , Behavioral Health 2) performs ... primarily face to face and telephonic assessments with members. The BH Care Manager serves as the primary point of contact. providing integrated care to… more
- Humana (Richmond, VA)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2, in a telephonic environment, assesses and evaluates ... the care and wellbeing of members. The Care Manager , Telephonic Nurse 2 work assignments...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- Humana (Richmond, VA)
- …a part of our caring community and help us put health first** The NICU Care Manager , Telephonic Nurse 2, in a telephonic environment, assesses and evaluates ... care and wellbeing of members. The NICU Care Manager , Telephonic Nurse 2 work assignments... care givers in reviewing actual and proposed medical care and services against established CMS… more
- Sharecare (Richmond, VA)
- … more accessible and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care ... or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers,...to extrapolate information from a variety of sources including medical records to create concise records that accurately depict… more
- Humana (Richmond, VA)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and ... needs of the business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess Medicare, Medicaid, and/or and… more
- Highmark Health (Richmond, VA)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization,… more
- Gentiva (Petersburg, VA)
- …. Lead Clinical Excellence. Inspire Compassionate Teams.** We are seeking a dedicated Patient Care Manager to join our hospice team. Reporting directly to the ... care and regulatory compliance. **As a Hospice Patient Care Manager , You Will:** + O versee...and priority + T riage incoming phone referrals and medical concerns in a timely, compassionate, and professional manner… more
- Humana (Richmond, VA)
- …help us put health first** Humana Healthy Horizons in Virginia is seeking a Manager , Care Management (Maternal-Child Health) who will lead teams of nurses and ... health professionals responsible for maternal and child services care management. The Manager works within specific guidelines and procedures; applies advanced… more
- HCA Healthcare (Richmond, VA)
- **Description** **Introduction** Do you have the career opportunities as a **Trauma Complex Care Social Worker Case Manager ** you want with your current ... Do you want to work as a **Trauma Complex Care Social Worker Case Manager ** where your...as home health, hospice, skilled nursing, assisted living, private care , and durable medical equipment (DME). Inpatient… more
- Humana (Richmond, VA)
- …achieve desired clinical outcomes and to enhance quality of medical care . The **Telephonic Nurse Case Manager ** will collect and document data ... both the beneficiary (patient) and other members of the care team utilizing both evidence based medical ...disciplinary action. + An active designation as a Certified Care Manager (CCM). If no active designation… more
- BAYADA Home Health Care (Richmond, VA)
- …services. Our mission is to support families and ensure that every child receives the expert medical care they need in the comfort of their own home. We are ... At BAYADA Home Health Care , we are committed to providing compassionate, high-quality,...currently seeking a dedicated **RN Clinical Manager ** to lead our new and exciting Adult and… more
- Elevance Health (Richmond, VA)
- …+ Certification as a Case Manager is preferred. + Prior managed care experience preferred. + Knowledge of medical management process and ability to ... **Nurse Care Manager II - LGBTIA+/Transgender Community**...impact:** + Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of… more
- Highmark Health (Richmond, VA)
- …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to… more
- Bon Secours Mercy Health (Mechanicsville, VA)
- …of America's 50 Best Hospitals by HealthGrades.com. This position will support our Progressive Care Unit at Memorial Regional Medical Center. A 21 bed stepdown ... At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and… more
- 3M (Richmond, VA)
- …benefits (eg, Medical , Dental & Vision, Health Savings Accounts, Health Care & Dependent Care Flexible Spending Accounts, Disability Benefits, Life ... **Job Description:** **Key Account Manager - FCS** **Collaborate with Innovative 3Mers Around...you will drive Food Service efforts in 3M Facilities Care Solutions (FCS) to profitably grow with major national… more