- Elevance Health (Richmond, VA)
- …- Friday** **Travel:** **Field Based** **Position Overview:** Responsible for performing case management telephonically and/or by home visits within the scope of ... licensure for members with behavioral health and substance abuse or substance abuse disorder...substance abuse disorder needs. Subject matter expert in targeted clinical areas of expertise in serious mental illness "SMI",… more
- Molina Healthcare (Richmond, VA)
- …the state of VIRGINIA. Manager will support a team of field Nurse Case Managers supporting our Medicaid Behavioral Members. We are looking for someone with ... experience. **Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management… more
- Humana (Richmond, VA)
- …resources, schedules and goals. The Manager , Utilization Management Behavioral Health uses clinical knowledge, communication skills, and independent ... coaching, performance review, up to termination. + Certified or certified-eligible case manager required. **Additional Information:** **Workstyle:** Remote work… more
- Humana (Richmond, VA)
- …us put health first** Humana Healthy Horizons in Kentucky is seeking a Field Care Manager , Behavioral Health 2 who will assess and evaluate member's needs and ... the care and wellbeing of members. The Field Care Manager , Behavioral Health 2 work assignments are...license with a minimum of 1 year of post-degree clinical experience in behavioral health **OR** +… more
- Molina Healthcare (Richmond, VA)
- **JOB DESCRIPTION** Case Manager RN will work in remote and field setting supporting our Medicaid Population (Including Maternity and Pediatric Population. ... health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
- CAI (Richmond, VA)
- …Type** Full time **Worksite Flexibility** Remote **Job Summary** We are looking for a motivated Case Manager , RN ready to take us to the next level! If you ... apply now. **Job Description** We are looking for a Case Manager , RN to provide community-based care...referrals to special programs such as Disease/Chronic Condition Management, Behavioral Health, and Complex Case Management +… more
- Molina Healthcare (Chesterfield, VA)
- …Nurse who lives in VIRGINIA and must be licensed for the state of VIRGINIA. Case Manager will work in remote and field setting supporting our Medicaid Population ... with. Case Manager will be required to physically...an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high… more
- Highmark Health (Richmond, VA)
- …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of...interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are… more
- HCA Healthcare (Richmond, VA)
- …**Introduction** Do you have the PRN career opportunities as a **Social Worker SW Case Manager PRN** you want with your current employer? We have an ... for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and...by location._** We are seeking a Social Worker SW Case Manager PRN for our team to… more
- HCA Healthcare (Richmond, VA)
- **Description** **Introduction** Do you have the career opportunities as a(an) Case Manager Registered Nurse RN PRN you want in your current role? We invest in ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...Doctors' Hospital Forest! **Job Summary and Qualifications** As a Case Manager Registered Nurse (RN), you will… more
- CVS Health (Richmond, VA)
- …solutions to make health care more personal, convenient and affordable. **Position Summary** Case Manager Analyst is responsible for face to face and ... telephonically assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to… more
- Elevance Health (Richmond, VA)
- …visits) is expected.** **This position is** **sign-on bonus** **eligible!!** The Special Programs Case Manager I is responsible for performing case ... healthcare costs for the designated population via integrated (physical health/ behavioral health) case management and whole person...in nursing. + A minimum of 3 years of clinical experience in social work counseling with broad range… more
- HCA Healthcare (Richmond, VA)
- …order for a formal pre-admission assessment for acute inpatient rehab through their assigned case manager .** + **Once Case Management has completed the ... Do you have the PRN career opportunities as a(an) Clinical Rehab Specialist PRN you want with your current...for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and… more
- Humana (Richmond, VA)
- …LPC or LCSW + Minimum of 2 years of post-degree clinical experience in behavioral health setting + Case management experience working with complex SMI or SED ... of our caring community and help us put health first** The Field Care Manager , Behavioral Health performs primarily face to face and telephonic assessments with… more
- Intermountain Health (Richmond, VA)
- …and provides short term treatment planning for mental, emotional and behavioral disorders, conditions and addictions. **Essentials:** + Participates in case ... psychosocial functioning for the purpose of diagnosing mental, emotional, behavioral , addictive and developmental disorders and disabilities, implementing appropriate… more
- Elevance Health (Richmond, VA)
- …**sign-on bonus** **eligible!!** The Transition of Care Specialist (Special Programs Case Mgr I) works directly with members, their families and providers/facilities ... of the member in terms of integrated (physical and behavioral ) whole person care. + Coordinates social determinants of...in nursing. + A minimum of 3 years of clinical experience in social work counseling with broad range… more
- HCA Healthcare (Richmond, VA)
- …care. Performs in accordance with physician's orders and under the supervision of the Clinical Manager . **What you will do in this role:** + Assesses home ... and patient/family/caregiver. + Communicates significant findings, problems and changes to Clinical Manager and physician, and documents all findings,… more
- HCA Healthcare (Richmond, VA)
- …registered nurse manager in our ambulatory surgery center who provides clinical management and expertise to ensure patients receive high quality, efficient care. ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...and improvement of human life. As a registered nurse manager , you will have the opportunity for future growth… more
- Elevance Health (Richmond, VA)
- …position is Sign-on Bonus Eligible!!** The Family Preservation Specialist (Special Programs Case Mgr I) provides support to families connected with our foster care ... of the member in terms of integrated (physical and behavioral ) whole person care. + Coordinates social determinants of...in nursing. + A minimum of 3 years of clinical experience in social work counseling with broad range… more
- Highmark Health (Richmond, VA)
- …Is responsible for or works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs in the facilities to identify ... related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges...processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and… more