- Elevance Health (Richmond, VA)
- …and/or by home visits within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs. Subject ... providers + Serves as a resource to other BH Case Mgrs + Participates in cross-functional teams projects and...Requires MA/MS in social work counseling or a related behavioral health field or a degree in… more
- Humana (Richmond, VA)
- …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 ... the care and wellbeing of members. The Field Care Manager , Behavioral Health 2 work...the KY Medicaid Population. + Managed Care Experience. + Case Management Certification (CCM). + Bilingual (English/Spanish); speaking, reading,… 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 ... plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential.… more
- Humana (Richmond, VA)
- …a part of our caring community and help us put health first** The Manager , Utilization Management Behavioral Health utilizes behavioral health ... and communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Behavioral Health works within… 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
- CAI (Richmond, VA)
- …including facilitating referrals to special programs such as Disease/Chronic Condition Management, Behavioral Health , and Complex Case Management + ... Remote **Job Summary** We are looking for a motivated Case Manager , RN ready to take us...Care Plans + Experience collaborating with PCP's, Occupational Therapists, Behavioral Health , and Providers + Experience with… 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. ... an integrated delivery of care across the continuum, including behavioral health and long term care, for... settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina… more
- Molina Healthcare (Ashland, 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...with. Case Manager will be required to physically go to member's...an integrated delivery of care across the continuum, including behavioral health and long-term care, for members… 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...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...Doctors' Hospital Forest! **Job Summary and Qualifications** As a Case Manager Registered Nurse (RN), you will… more
- Elevance Health (Richmond, VA)
- …Care. Manages overall healthcare costs for the designated population via integrated (physical health / behavioral health ) case management and whole person ... **This position is** **sign-on bonus** **eligible!!** The Special Programs Case Manager I is responsible for performing...Requires MS/MA in social work, counseling, or a related behavioral health field or a degree in… more
- CVS Health (Richmond, VA)
- …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...the Northern Virginia Region + 2 years' experience in behavioral health , social services or appropriate related… more
- ICF (Richmond, VA)
- …children to make recommendations for release plans to ORR in conjunction with the case provider Case Manager . Release plans provide for the unaccompanied ... Description ICF is currently seeking Case Coordinators capable of working directly with ORR...Experience working for a refugee program. + Experience in mental/ behavioral health for children or experience with… more
- Humana (Richmond, VA)
- …our caring community and help us put health first** The Field Care Manager , LTSS/ Behavioral Health performs primarily face to face and telephonic ... 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
- Humana (Richmond, VA)
- …with resources appropriate for the care and wellbeing of members. The Field Care Manager , Behavioral Health 2 work assignments are varied and frequently ... part of our caring community and help us put health first** The Field Care Manager , ARTS...crisis intervention, peer support, and strong collaboration with medical, behavioral health , and ARTS providers. + Provides… more
- Highmark Health (Richmond, VA)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** The Customer Navigation and Service Senior Product Manager defines the vision, strategy and ... optimizing channel connectivity, and enhancing agent tools. The Senior Product Manager will define the product's value proposition, develop a compelling business… more
- Highmark Health (Richmond, VA)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** The Billing Product Manager defines and executes the strategy and roadmap for a best-in-class ... define the product's value proposition to develop a compelling business case focused on revenue generation and operational efficiency. Responsibilities include… 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
- Highmark Health (Richmond, VA)
- …and existing Risk Adjustment Programs. The incumbent will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs (MA ... the engagement deliverables, resources, and outcomes. + Develop the engagement business case , scope, staffing and incentive model for RPM engagement with Providers… more
- Humana (Richmond, VA)
- …+ Virginia licensed RN + Minimum of 2 years of post-degree clinical experience in behavioral health setting + Case management experience working with complex ... part of our caring community and help us put health first** The Field Care Manager Nurse...pregnant and post-partum population with BH needs + Field Case Management Experience + Knowledge of community health… more