- Elevance Health (Richmond, VA)
- ** Behavioral Health Case Manager I** **Work location** : **Virginia -** Ideal candidates will reside in: Hanover, Chesterfield, City of Richmond, ... unless an accommodation is granted as required by law. Position specific details: The Behavioral Health Case Manager I will work with our member… more
- Elevance Health (Richmond, VA)
- …successful candidate will be domiciled and hold an independent licensure in Virginia.** The ** Behavioral Health Case Manager I - Northern Virginia** ... granted as required by law._ **Position specific details: The Case Manager will work with our Northern...visits within the scope of licensure for members with behavioral health and substance abuse or substance… more
- Elevance Health (Richmond, VA)
- ** Behavioral Health Care Manager II -...of care. The ** Behavioral Health Care Manager II** is responsible for performing case management ... the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health ...providers. + Serves as a resource to other BH Case Mgrs. + Assists with more complex cases and… more
- Elevance Health (Richmond, VA)
- ** Behavioral Health Care Manager I - Ameriben** **Location** : This role enables associates to work virtually full-time, with the exception of required ... (TPA) of medical benefits, including medical management. **Hours: 8am-5pm (Local time)** The ** Behavioral Health Care Manager I** is responsible for managing… 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
- Highmark Health (Richmond, VA)
- …ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs ... interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are...various resources to assist members in achieving their personal health goals. The incumbent monitors, improves and maintains quality… more
- CVS Health (Richmond, 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 ... Monday - Friday. Half day Saturday rotation, once a month.** The ** Behavioral Health Medical Director-Psychiatrist Appeals** is responsible for the… more
- CVS Health (Richmond, VA)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... previous experience in Oncology, Transplant, Specialty Pharmacy, Pediatrics, Medical/Surgical, Behavioral Health /Substance Abuse or Maternity/ Obstetrics experience.… 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
- HCA Healthcare (Richmond, VA)
- …Hospital have the opportunity to make a real impact. As a Registered Nurse RN Case Manager you can be a part of change. **Benefits** Johnston-Willis Hospital, ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free...outcomes for your patients as a Registered Nurse RN Case Manager . We want your knowledge 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 ... Hospital offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...by location._** We are seeking a(an) Social Worker BSW Case Manager for our team to ensure… 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 ... potential! **Job Summary and Qualifications** + Coordinates with RN case manager and social worker for support...are the region's first choice for orthopedics, joint care, behavioral health and cardiovascular care. The Joint… 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
- 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
- Humana (Richmond, VA)
- **Become a part of our caring community and help us put health first** At Humana, our Medicaid Clinical Enablement team is dedicated to designing, developing, and ... innovative learning solutions for clinical associates across Medicaid markets. As a Manager of Learning ( Manager , Learning Design) within Clinical Operations,… more
- Elevance Health (Richmond, VA)
- …of integrated Medical Management of more than one member population type of Physical Health and/or Behavioral Health with varying degrees of medical ... complexity. **How you will make an impact:** + Oversees case and utilization management execution/decision making for managed member populations. + Is accountable to… more
- Highmark Health (Richmond, VA)
- …points with examples of all three being an "ok" answer andmaygive a good use case argument where each may be the "best" answer) + 7+ years of experience with ... data movement platforms as an engineer, architect, or technical product manager /owner + Strong experience and knowledge ofthebelowrelevant platforms to this… 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