- 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)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse … more
- CVS Health (Richmond, VA)
- …up to 50-75% of the time to meet with members face to face** **.** **The Nurse Case Manager ** **is responsible for evaluating and coordinating care for ... dependent care, do not interfere with work duties. As a **field-based role** , the Nurse Case Manager will regularly travel to various locations including… 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
- BAYADA Home Health Care (Richmond, VA)
- …all care provided meets clinical standards, regulatory requirements, and organizational goals. The RN Nurse Manager will be responsible for supervising ... their own home. We are currently seeking a dedicated ** RN Clinical Manager ** to lead our new...and home care trends through continuing education **Qualifications:** + Registered Nurse ( RN ) with a… more
- Humana (Richmond, VA)
- …timely intervention **Use your skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with no disciplinary action. + ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety...EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather… more
- CVS Health (Richmond, VA)
- …And we do it all with heart, each and every day. **Position Summary** This Case Manager nurse position is with Aetna's Long-Term Services and Supports ... The requirements is for candidates to hold a Virginia Registered Nurse , Licensed Practical Nurse ...talking on the telephone, and typing on the computer Nurse Case Manager is responsible… 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)
- **Behavioral Health Case Manager I** **Work location:** Virginia **Virtual:** This role enables associates to work virtually full-time, with the exception of ... required by law. **Position specific details:** The **Behavioral Health Case Manager I** will work with our...social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder… more
- Sedgwick (Richmond, VA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus Eligible **This Field Case Manager ... **Must have as least 1.5 years of prior Field Case Manager workers compensation experience.** **PRIMARY PURPOSE...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
- Sedgwick (Richmond, VA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the ... injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through advocacy,… more
- Sedgwick (Richmond, VA)
- …Great Place 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 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
- Humana (Richmond, VA)
- …BSN or an advanced degree in nursing or business-related field. + Certified Case Manager (CCM). + Previous MCO management/leadership experience + Previous direct ... 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… more
- Elevance Health (Richmond, VA)
- …**Medical Management Nurse ** is responsible for review of the most complex or challenging cases that require nursing judgment, critical thinking, and holistic ... with diagnosis. + Provide consultation to Medical Director on particularly peculiar or complex cases as the nurse deems appropriate. + May make recommendations… 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
- Elevance Health (Richmond, VA)
- …or NHCAA, RN or JD certification preferred. + Experience in complex , high dollar white collar and/or healthcare investigations strongly preferred. + Experience ... teams across the national SIU. + Functions within the SIU include investigations, case intake and assignment, and data analysis. + Hires, trains, coaches, counsels,… more
- Elevance Health (Richmond, VA)
- ** Nurse Care Manager II - LGBTIA+/Transgender...or BS in nursing preferred. + Certification as a Case Manager is preferred. + Prior managed ... Friday, 12:30 pm (EST) - 9:00 pm (EST)** The ** Nurse Care Mgr II** is responsible for collaborating with...activities within the scope of licensure for members with complex and chronic care needs. **How you will make… more