- Highmark Health (Richmond, VA)
- …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
- CVS Health (Richmond, VA)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse … more
- CVS Health (Richmond, VA)
- …sitting for extended periods, talking on the telephone, and typing on the computer Nurse Case Manager is responsible for assessing, planning, implementing ... with heart, each and every day. **Position Summary** **This Case Management position is with Aetna's Long-Term Services and...The requirements is for candidates to hold a Virginia RN , LPN, or BH License, and travel up to… more
- CVS Health (Richmond, VA)
- …up to 50-75% of the time to meet with members face to face** **.** **The Nurse Case Manager ** **is responsible for evaluating and coordinating care for ... dependent care, do not interfere with work duties. As a **field-based role** , the Nurse Case Manager will regularly travel to various locations including… more
- CVS Health (Richmond, VA)
- …including NCQA standards. **Required Qualifications** + Candidate must have an active and unrestricted Registered Nurse ( RN ) License in Virginia OR Compact ... Registered Nurse ( RN ) License in state of residence...the requirements of the position **Preferred Qualifications** + Certified Case Manager + 3+ years Care Management,… more
- Sharecare (Richmond, VA)
- …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of ... within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required,… more
- Elevance Health (Richmond, VA)
- **Telephonic RN Nurse Case Manager I** **Location** : This role enables associates to work virtually full-time, with the exception of required in-person ... (TPA) of medical benefits, including medical management. The **Telephonic Nurse Case Manager I** is...management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing,… more
- Humana (Richmond, VA)
- …**Use your skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with **no** disciplinary action ... schedules, which limits day-to-day flexibility **.** + All our RN Care Managers are work at home associates, working... Management experience + Managed care experience + Certified Case Manager (CCM) + Bilingual in English… more
- Intermountain Health (Richmond, VA)
- …of Intermountain Health, and abide by service behavior standards. **Minimum Qualifications** + Current Registered Nurse ( RN ) license in state of practice. + ... **Job Description:** The RN Ambulatory Care Manager I delivers...**Education and Advocacy** : Educates healthcare team members about case management processes, appropriate referrals, and advocate for patient… more
- US Tech Solutions (Richmond, VA)
- … Case management and/or discharge planning experience preferred **Position Summary** + Nurse Case Manager is responsible for telephonically and/or face ... designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning...in Virginia required Associate or Bachelor's in nursing **Skills:** RN , Case management **About US Tech Solutions:**… more
- Elevance Health (Richmond, VA)
- **Telephonic Nurse Case Manager II** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person ... hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is...management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing,… more
- Elevance Health (Richmond, VA)
- **Behavioral Health Case Manager I** **Work location:** Virginia Preferred candidates will reside in one of the following counties: Hanover, Chesterfield, City ... required by law. **Position specific details:** The **Behavioral Health Case Manager I** will work with our...social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder… more
- Elevance Health (Richmond, VA)
- …guidelines and/or medical policies. May collaborate with healthcare providers. Focuses on relatively complex case types that require the training and skill of a ... registered nurse . Acts as a resource for...but are not limited to** **:** + Responsible for complex cases that may require evaluation of multiple variables… more
- Sedgwick (Richmond, VA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus Eligible **This Field Case Manager ... **Must have as least 1.5 years of prior Field Case Manager workers compensation experience.** **PRIMARY PURPOSE...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
- Elevance Health (Richmond, VA)
- **Telephonic Nurse Case Manager I** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... states; therefore, Multi-State Licensure will be required.** The **Telephonic** ** Nurse Case Manager I** is...management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing,… more
- Sedgwick (Richmond, VA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the ... injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through advocacy,… more