- Elevance Health (Richmond, VA)
- …initiatives. **Minimum Requirements:** + Requires MA/MS in social work counseling or a related behavioral health field or a degree in nursing, and minimum of 3 ... licensure required. + Prior utilization management experience preferred. + Prior managed care experience preferred. + Experience with Applied Behavioral Analysis… more
- Molina Healthcare (Mechanicsville, VA)
- … who lives in VIRGINIA and must be licensed for the state of VIRGINIA. Case Manager will work in remote and field setting supporting our SMI (Severe Mental ... Illness) Medicaid Population. Case Manager will be required to physically go to member's...assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health… more
- Molina Healthcare (Mechanicsville, VA)
- …RN who lives in VIRGINIA and must be licensed for the state of VIRGINIA. Case Manager RN will work in remote and field setting supporting our SMI (Severe Mental ... Illness) Medicaid Population. Case Manager will be required to physically go to member's...assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health… more
- CVS Health (Fredericksburg, VA)
- …no holidays.** **Willing to travel 50-75% within the Fredericksburg, Virginia area.** The CVS Accountable Care RN Care Manager will be the primary care ... of the time outside of the home/office. The RN Care Manager is responsible for telephonically and/or...with a multi-disciplinary team to develop and implement a care plan that addresses physical, behavioral , and… more
- Humana (Richmond, VA)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2 , in a telephonic environment, ... the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health...impact** **Required Qualifications** + Bachelor's degree in SW or Behavioral Health related field + 3 -… more
- Highmark Health (Richmond, VA)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization,… more
- Molina Healthcare (Richmond, VA)
- …DESCRIPTION** Case Manager RN will work in remote and field setting supporting our Medicaid Population (Including Maternity and Pediatric Population. Complete ... licensed in the state of VA **TRAVEL** in the field to do member visits in the surrounding areas...assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health… more
- Highmark Health (Richmond, VA)
- …**EDUCATION** Required + Bachelor's Degree in science, technology, mathematics or related field OR relevant experience and/or education as determined by the company ... Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company… more
- Molina Healthcare (Fredericksburg, VA)
- …or LCSW who lives in VIRGINIA and must be licensed for the state of VIRGINIA. Manager will support a team of field Nurse Case Managers supporting our Medicaid ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care… more
- CVS Health (Richmond, VA)
- …and typing on the computer. **Required Qualifications** + 2 years' experience in behavioral health, social services or appropriate related field equivalent to ... purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our... more personal, convenient and affordable. **Position Summary** Case Manager Analyst is responsible for face to face and… more
- CenterWell (Richmond, VA)
- …education around maintenance of chronic health conditions, as well as available options for behavioral care and social support + Serve as liaison between the ... Refer patient to necessary services and supports + This field may include but is not limited to: assistance...address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral … more
- HCA Healthcare (Richmond, VA)
- **Description** **Introduction** Do you have the career opportunities as a Manager Med Staff Svcs you want with your current employer? We have an exciting ... 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 medical… more
- Humana (Richmond, VA)
- …Qualifications** + Experience in managing a team. + Registered Nurse or Behavioral Health professional. + Managed care , Medicaid health plan experience. ... health first** Humana Healthy Horizons is seeking an Accreditation Manager who will oversee and support a team of...+ Advanced degree in a healthcare-related field . **Work From Home** To ensure Home or Hybrid… more
- CenterWell (Richmond, VA)
- …learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and ... of diverse scope and complexity ranging from moderate to substantial. **Complex Care Program Operations Lead** **Job Summary** The Program Delivery Lead will partner… more
- Elevance Health (Richmond, VA)
- …law and contract requirements. **Preferred skills, capabilities, and experiences:** + BA/BS degree field of study in health care related field preferred. ... **Managed Care Coordinator** Location: Candidate must reside within 50...strongly preferred. + Prior experience working with individuals with behavioral health issues and/or developmental disabilities preferred. + Experience… more
- HCA Healthcare (Fredericksburg, VA)
- …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 medical ... auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling… more
- Elevance Health (Richmond, VA)
- …A proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and ... depression, and insightful analytics to improve the delivery of care . We are looking for candidates to work on...and a minimum of 1 year of experience in behavioral health or a minimum of 6 months of… more
- CenterWell (Richmond, VA)
- …learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and ... with regulatory standards. + Implement process improvement initiatives to enhance patient care , increase efficiency, and reduce costs. + Ensure clinical services are… more
- ICF (Richmond, VA)
- …ICF is currently seeking Case Coordinators capable of working directly with ORR care provider staff and federal staff to make recommendations for the release and/or ... Case Coordinator, you will be the primary contact with care provider and ORR staff in carrying out these...to ORR in conjunction with the case provider Case Manager . Release plans provide for the unaccompanied child's physical… more
- HCA Healthcare (Richmond, VA)
- …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 medical ... auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling… more