- 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 ... business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess...skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with… 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 ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- CVS Health (Richmond, VA)
- …. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... position consists of working intensely as a telephonic case manager with patients and their care team...setting. + A Registered Nurse that holds an active, unrestricted… more
- AccentCare, Inc. (Mechanicsville, VA)
- … Manager Location: Mechanicsville, VA-Office location Position: RN Case Manager Position Type: Full-Time Remote /Virtual Position: No Coverage Area: East ... care we're building together. Be the Best RN Field Nurse You Can Be If...professional nursing and currently licensed to practice as a registered nurse in the state of agency… more
- Humana (Richmond, VA)
- …Healthy Horizons in Virginia is looking for RN , Field Care Managers (Field Care Manager Nurse 2) who performs primarily face to face and telephonic ... , Field Care Manager (Field Care Manager Nurse 2) will...reside in the Commonwealth of Northern Virginia** + Active Registered Nurse ( RN ) license in… more
- HCA Healthcare (Richmond, VA)
- **Description** **Job Summary and Qualifications** The Care Manager RN supports the patient and primary care relationship through care delivery ... quality improvement initiatives in assigned division(s). This role is remote but requires visiting onsite with the practices as...of colleagues. Do you want to work as a(an) Care Manager RN WFH where… more
- ChenMed (Richmond, VA)
- …members, including physicians, HCT team members such as Manager of Community, Registered Nurse ( RN ), Community Health Worker (CHW) market leaders, center ... (roughly 10%). The Post Acute Manager , Complex Care (LPN) is a Licensed Practical Nurse ...to be able to follow the Registered Nurse ( RN ) plan or care … more
- CenterWell (Richmond, VA)
- …**Use your skills to make an impact** **License/Certifications:** + Active and unrestricted Registered Nurse ( RN ) license with authorization to practice in ... individual circumstances and company policy. **This is not a remote or work-from-home position. This position requires you to...insurance and reliable transportation. + Two years as a Registered Nurse ( RN ) with at… more
- Sharecare (Richmond, VA)
- …that will positively impact the greater team and aid in their personal development as a Care Manager . + Provide performance management for the team of Care ... of Sharecare with leadership practices. **Qualifications:** + Current licensure as a Registered Nurse is required; Compact state preferred + Bachelor's degree… more
- CenterWell (Richmond, VA)
- …it will allow for off-days during the week.** The **Clinical Care Coordinator/ Care Manager , Telephonic Nurse ** helps to ensure optimal continuity of ... The Clinical Care Coordinator is under the general supervision of the Manager of Care Coordination and under established performance criteria. This is a… more
- Sedgwick (Richmond, VA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus Eligible **This Field Case Manager will cover our Richmond, ... have as least 1.5 years of prior Field Case Manager workers compensation experience.** **PRIMARY PURPOSE OF THE ROLE:**...on the health and lives of others, and a remote work environment that allows face to face interaction… more
- Sedgwick (Richmond, VA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus Eligible **We are growing all across the US and are looking ... on the health and lives of others, and a remote work environment that allows face to face interaction...more. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.… more
- Sedgwick (Richmond, VA)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the injured worker, ... on the health and lives of others, and a remote work environment. + Enjoy flexibility and autonomy in...more. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.… more
- Humana (Richmond, VA)
- …each day between 6AM and 9AM in their home time zone. **Required Qualifications** + Active Registered Nurse ( RN ) license in the state they reside. + Minimum ... caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure...as ER, OR, Pre-op, PACU,L&D, mother-baby, behavioral health, SNF, care manager /discharge manager , LTC, rehab,… more
- Humana (Richmond, VA)
- …contract. We are not able to hire candidates that are currently living in Puerto Rico. + Registered Nurse with current in-state RN license + At least 3 years ... Nurse 2 reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves...Management. Coordinate cases with and refer to tier III Care Manager and Disease Management Programs as… more
- CenterWell (Richmond, VA)
- …initiatives. **Use your skills to make an impact** + Current and unrestricted Registered Nurse licensure (in the state of practice) _preferred_ + Minimum ... operations to ensure the following: operational efficiencies, quality of patient care , regulatory compliance, support of business development & patient base growth,… more
- CenterWell (Richmond, VA)
- …in KPI-driven performance management. **Preferred Certifications:** * Certified Healthcare Access Manager (CHAM) * Certified Revenue Cycle Professional (CRCP) * Lean ... Belt or higher) * Project Management Professional (PMP) * Nursing license ( RN or LPN/LVN) preferred but not required **Additional Information:** To ensure Home… more
- CenterWell (Richmond, VA)
- …experience in a supervisory or teaching role + Thorough knowledge of health care policy, industry and related clinical practice + Knowledge in the interpretation and ... assigned **Preferred Qualifications** + Master's Degree preferred + Licenses/Certification: RN , PT or OT preferred + More than 3...PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training… more