• Behavioral Health Care

    Elevance Health (Richmond, VA)
    …and insightful analytics to improve the delivery of care . **Title** : Behavioral Health Care Manager - Utilization Management **Location:** ... essential face-to-face onboarding and skill development. **Shift:** Monday- Friday 8:30-5:00 The Behavioral Health Care Manager (UM) job progression is… more
    Elevance Health (05/28/25)
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  • Field Care Manager

    Humana (Richmond, VA)
    …help us put health first** Humana Healthy Horizons in Kentucky is seeking a Field Care Manager , Behavioral Health 2 who will assess and evaluate ... resources appropriate for the care and wellbeing of members. The Field Care Manager , Behavioral Health 2 work assignments are varied and frequently… more
    Humana (05/16/25)
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  • Field Care Manager , ARTS

    Humana (Richmond, VA)
    …interaction with resources appropriate for the care and wellbeing of members. The Field Care Manager , Behavioral Health 2 work assignments are varied ... part of our caring community and help us put health first** The Field Care Manager...crisis intervention, peer support, and strong collaboration with medical, behavioral health , and ARTS providers. + Provides… more
    Humana (04/18/25)
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  • Behavioral Health Case…

    Elevance Health (Richmond, VA)
    ** Behavioral Health Case Manager I** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... Richmond, VA, Roanoke, VA, Arlington, VA, Norfolk, VA The ** Behavioral Health Case Manager I**...+ Conducts assessments to identify individual needs and develops care plan to address objectives and goals as identified… more
    Elevance Health (05/30/25)
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  • Senior Manager , Network Management,…

    CVS Health (Richmond, VA)
    …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... a Fortune 4 company, as the Network Management Senior Manager . In this role, you will manage negotiations, conduct...of contracts, with large and complex, national, and market-based, behavioral health groups and facility providers. You… more
    CVS Health (05/16/25)
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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 ... visits within the scope of licensure for members with behavioral health and substance abuse or substance...+ Conducts assessments to identify individual needs and develops care plan to address objectives and goals as identified… more
    Elevance Health (04/10/25)
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  • Behavioral Health Case…

    Elevance Health (Richmond, VA)
    …working with provider and agency policies in local area preferred + Knowledge of behavioral health systems of care in Virginia strongly preferred + ... visits within the scope of licensure for members with behavioral health and substance abuse or substance...+ Conducts assessments to identify individual needs and develops care plan to address objectives and goals as identified… more
    Elevance Health (05/22/25)
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  • Case Manager Behavioral Utilization…

    HCA Healthcare (Richmond, VA)
    …Richmond Virginia area for over 100 years. Our campuses offer services in orthopedics, joint care , behavioral health , cancer care , and neurology. We have ... an organization that invests in you as a(an) Case Manager Behavioral Utilization Management? At Chippenham Hospital,...discharge. + Demonstrates awareness of current trends that influence health care practice and assures compliance with… more
    HCA Healthcare (05/20/25)
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  • Care Manager RN - Remote

    Highmark Health (Richmond, VA)
    …implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure ... of quality issues. Monitors and analyzes the delivery of health care services; educates providers and members...established industry and corporate standards and are within the care manager 's professional discipline. + Function in… more
    Highmark Health (05/21/25)
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  • Division Manager of Care

    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 ... This position is incentive eligible. **Job Summary and Qualifications** The Division Manager of Care Coordination contributes to the company's mission and… more
    HCA Healthcare (05/22/25)
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  • RN Manager Neonatal Intensive Care

    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 ... Do you have the career opportunities as a RN Manager Neonatal Intensive Care you want with...healthcare services, with specialties in trauma, cardiovascular and neurological care , women's health , oncology, and groundbreaking diagnostic… more
    HCA Healthcare (03/18/25)
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  • Provider Relationship Account Manager

    Elevance Health (Richmond, VA)
    **Provider Relationship Account Manager Senior** Carelon Behavioral Health _Location: Hybrid 1: This role requires associates to be in-office 1 - 2 days per ... the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health ...depression, and insightful analytics to improve the delivery of care . The **Provider Relationship Account Manager Senior**… more
    Elevance Health (05/30/25)
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  • Provider Relationship Account Manager

    Elevance Health (Richmond, VA)
    **Provider Relationship Account Manager ** Carelon Behavioral Health _Location: Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, ... and other locations as necessary. **Preferred Skills, Capabilities and Experiences:** + Managed Care experience preferred. + Behavioral Health experience a… more
    Elevance Health (05/30/25)
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  • Registered Nurse RN - Research Manager

    Bon Secours Mercy Health (Midlothian, VA)
    At Bon Secours Mercy Health , we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and ... and patient-focused organization, Bon Secours exists to enhance the health and well-being of all people in mind, body,...expenses to ensure charges for research items and standard care are appropriately allocated. The manager keeps… more
    Bon Secours Mercy Health (04/07/25)
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  • Provider Network Manager Senior

    Elevance Health (Richmond, VA)
    **Provider Network Manager Senior** Carelon Behavioral Health _Location: Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, ... the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health ...depression, and insightful analytics to improve the delivery of care . The **Provider Network Manager ** develops the… more
    Elevance Health (05/30/25)
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  • RN Case Manager - Home Health

    Maxim Healthcare Services (Glen Allen, VA)
    …offer private duty nursing, skilled nursing, physical rehabilitation, companion care , respite care and behavioral care for individuals with chronic and ... Healthcare Services in Richmond is hiring for a Case Manager to oversee the clinical care of...expertise and dedication are truly valued. #IND123 Maxim Benefits: Health and Wellness Medical/Prescription, Dental, Vision, Health more
    Maxim Healthcare Services (04/26/25)
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  • Complex Case Manager RN - Pediatrics…

    Highmark Health (Richmond, VA)
    …, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals ... ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs… more
    Highmark Health (05/15/25)
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  • Case Manager Registered Nurse/Licensed…

    CVS Health (Richmond, VA)
    …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... to reduce risk factors and barriers and address complex health and social indicators which impact care ...state licensure required. - 3 years clinical experience (med-surg, behavioral health ). - Proficiency with computer skills… more
    CVS Health (05/16/25)
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  • Case Manager Registered Nurse/Licensed…

    CVS Health (Richmond, VA)
    …state licensure required. - 3 years clinical experience (med surg, behavioral health ) - 2+ years Managed Care experience. - Must reside in Christiansburg, ... consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions… more
    CVS Health (05/17/25)
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  • Social Worker SW Case Manager PRN

    HCA Healthcare (Richmond, VA)
    …Richmond Virginia area for over 100 years. Our campuses offer services in orthopedics, joint care , behavioral health , cancer care , and neurology. We have ... for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine...**Job Summary and Qualifications** The Social Worker SW Case Manager PRN is responsible for promoting patient-centered care more
    HCA Healthcare (05/20/25)
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