- AmeriHealth Caritas (Washington, DC)
- …with complex medical needs appropriate for care coordination and case management services in achieving their optimal level of health through self-management.; ... more about us at; www.amerihealthcaritas.com . **Responsibilities:** The Care Manager II (Registered Nurse/Licensed Independent Clinical Social Worker) assists… more
- Highmark Health (Washington, DC)
- …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 a care plan, encouraging behavior… more
- Cardinal Health (Washington, DC)
- …or senior peers on complex and unusual problems **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement Support ... efficiency and strong organizational skill + Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate + Proactive… more
- The Arora Group (Bethesda, MD)
- Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse (RN) Case Manager to work the Directorate of Healthcare Operations (DHO) at ... one month in advance. DUTIES OF THE REGISTERED NURSE CASE MANAGER (RN): The contracted RN shall...the continuity, access, and provision of care services for complex and defined patients, to include catastrophic and end-of-life… more
- KBR (Washington, DC)
- Title: Special Operations Case Manager (National Capitol Region) (Part-Time) THIS POSITION OFFERS RELOCATION. Belong. Connect. Grow. with KBR! KBR is a company ... services. We are seeking a stellar part-time Special Operations Case Manager that will provide a full...Demonstrated knowledge of patient education principles and management of complex medical, psychosocial, and financial problems in order to… more
- Cardinal Health (Washington, DC)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient ... and customers, striving for one-call resolution. + Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate + Must… more
- CVS Health (Woodbridge, VA)
- …And we do it all with heart, each and every day. **Position Summary** This Case Manager RN/LPN position is with Aetna's Long-Term Services & Support (LTSS) team ... current unrestricted Virginia state RN or LPN licensure. Nurse Case Manager is responsible for assessing, planning,...designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning… more
- Elevance Health (Arlington, VA)
- **Behavioral Health Case Manager I** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... Roanoke, VA, Arlington, VA, Norfolk, VA The **Behavioral Health Case Manager I** is responsible for performing...social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder… more
- Elevance Health (Washington, DC)
- …- Friday** **Travel:** **Field Based** **Position Overview:** Responsible for performing case management telephonically and/or by home visits within the scope of ... You Will Make an Impact:** + Responds to more complex cases and account specific requests + Uses appropriate...providers + Serves as a resource to other BH Case Mgrs + Participates in cross-functional teams projects and… more
- Sedgwick (Washington, DC)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer RN Field Case Manager **We are only considering full time employees at this ... time.** **Looking for** **experienced** **Workers Comp RN Field Case Manager Nurses across multiple cities in...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
- Capital One (Mclean, VA)
- Manager , Product Manager - Case Servicing Product Management at Capital One is a booming, vibrant craft that requires reimagining the status quo, finding ... we are actively driving our servicing experiences toward this future state. The Manager , Product Management for Case Servicing Strategy will be responsible for… more
- Guardian Life (Washington, DC)
- …with Group Disability claims experience to join our dynamic Appeals Team. The Appeals Case Manager II (ACM 2) is responsible for adjudicating assigned appeals ... minimum of 3 years of experience handling appeals or complex claims (preferred). + Bachelor's Degree (preferred) or equivalent...learnings with claims colleagues. **Reporting Relationships:** As our Appeals Case Manager II, you will report to… more
- Nightwing (Sterling, VA)
- …defense, civil, and commercial markets. Nightwing seeks an Information Review and Release Analyst/ Case Manager in support of a dynamic fast-paced business office ... successful candidate will be responsible for performing a combination of Review, Research, Case Management, and ad hoc tasks; applying critical thinking skills to a… more
- Cardinal Health (Washington, DC)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement ... and customers, striving for one-call resolution. + Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate + Must… more
- AmeriHealth Caritas (Washington, DC)
- …about us at www.amerihealthcaritas.com . **$5,000.00 SIGN ON BONUS** The Care Manager II assists members appropriate for care management and care coordination ... in achieving their optimal level of health through self-management. The Care Manager is responsible for engaging the member, member caregiver and providers to… more
- Public Consulting Group (Washington, DC)
- …teams responsible for implementing and supporting our services and solutions. The Program Manager is a key advisor and thought partner to clients, playing a ... as needed, but is mostly remote. The portfolio of projects for this Program Manager are within the northeast United States and requires the successful candidate to… more
- Immigration and Customs Enforcement (Washington, DC)
- … management board certification through the American Nurses Credentialing Center ANCC or a Certified Case Manager through the Commission for Case Manager ... Health Service Corps (IHSC). The incumbent will report directly to the Medical Case Management Program Manager (MCMPM). This is a non-supervisory position. This… more
- NANA Regional Corporation (Herndon, VA)
- …confidentiality of sensitive case information. Responsible for supporting Lead Case Manager 's directions for enabling high-quality management of Federal ... from case management systems. + Perform in-depth analysis of complex processing issues. + Prepare reports and presentations summarizing findings and… more
- Cardinal Health (Washington, DC)
- …knowledge in technical or specialty area + Applies advanced skills to resolve complex problems independently + May modify process to resolve situations + Works ... independently within established procedures; may receive general guidance on new assignments + May provide general guidance or technical assistance to less experienced team members **TRAINING AND WORK SCHEDULES:** Your new hire training will take place… more
- NANA Regional Corporation (Herndon, VA)
- Akima Global Logistics seeks a Case Manager II located in the Southeastern United States capable of evaluating and improving a federal agency's case ... case management requirements. Collaboration and Communication: + Collaborate with program manager and other stakeholders to ensure effective case management… more