- Humana (Richmond, VA)
- …community and help us put health first** Humana Healthy Horizons in Kentucky is seeking a Field Care Manager , Behavioral Health 2 who will assess and ... with resources appropriate for the care and wellbeing of members. The Field Care Manager , Behavioral Health 2 work assignments are varied and… more
- Highmark Health (Richmond, VA)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in accordance with ... clinical setting **Preferred** + Certification in utilization management or a related field + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS**… more
- 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 ... member needs to ensure access to medically necessary quality behavioral healthcare in a cost effective setting in accordance...+ Will serve as a resource to other BH Care Managers. + Assists with more complex cases and… more
- Molina Healthcare (Chesterfield, 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 (Chesterfield, 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
- Elevance Health (Richmond, VA)
- ** Behavioral Health Outreach Care Specialist** **Location** : This is a remote position. The ideal candidate will live within 50 miles of an Elevance Health ... **Work Schedule : Monday - Friday, 8:00am - 5:00pm EST** The **Outreach Care Specialist** is responsible for ensuring that appropriate member treatment plans are… more
- CVS Health (Richmond, 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...care coordination 2+ years of telephonic and/ or field care management experience. A Registered Nurse… 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)
- …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. ... productivity is important. TRAVEL (50% or more) 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
- 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
- HCA Healthcare (Richmond, VA)
- …and expertise! **Job Summary and Qualifications** The Social Worker SW Case Manager is responsible for promoting patient-centered care by evaluating psychosocial ... as a liaison between the patient and community resources/post-acute care providers. The Social Worker SW Case Manager...100 years. Our campuses offer services in orthopedics, joint care , behavioral health, cancer care ,… more
- HCA Healthcare (Richmond, VA)
- …you to apply! **Job Summary and Qualifications** The Social Worker SW Case Manager PRN is responsible for promoting patient-centered care by evaluating ... as a liaison between the patient and community resources/post-acute care providers. The Social Worker SW Case Manager...100 years. Our campuses offer services in orthopedics, joint care , behavioral health, cancer 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
- J&J Family of Companies (Richmond, VA)
- Johnson & Johnson is recruiting for a field -based Site Activation CAR-T Senior Manager , Cell Therapy Experience Lead to support the United States. This is a ... field based role based in the United States with...Johnson, we all belong. The Site Activation CAR-T Senior Manager , Cell Therapy Experience reports into the Johnson 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
- Elevance Health (Richmond, VA)
- …**Preferred Skills, Capabilities, and Experiences:** + Master's degree in a related field preferred. + Health insurance or managed care experience preferred. ... **VoC Analysis & Insights Manager ** **Location:** This position will work a hybrid...and operational touch points based on customer feedback and behavioral data. + Drive continuous improvement of VoC programs,… more
- Elevance Health (Richmond, VA)
- …high-impact results for over 150 years. With capabilities spanning pharmacy, behavioral health, complex care delivery, medical benefits management, payment ... for the Serious Mental Illness (SMI) total cost of care product across all markets. This innovative and unique...enhance outcomes. Reporting to the Staff VP and General Manager of Carelon's SMI Product, this Director will focus… 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