• Manager , Care Management ( Ltss

    Humana (Richmond, VA)
    …in a bordering state/district (Washington DC, MD, WV, KY, TN & NC).** + Active Registered Nurse ( RN ) license, or Licensed Mental Health Professional (LMHP) ... first** Humana Healthy Horizons in Virginia is seeking a Manager , Care Management ( LTSS -ABD) who will lead...Three (3) or more years of professional experience in case management, in Medicare and/or Medicaid, specifically in the… more
    Humana (01/25/25)
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  • Manager Healthcare Services - Virginia

    Molina Healthcare (Richmond, VA)
    **JOB DESCRIPTION** For this position we are seeking a ( RN ) Registered Nurse 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 program...identifying opportunities for improvement. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed… more
    Molina Healthcare (01/23/25)
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  • Medical Management Clinician Sr

    Elevance Health (Richmond, VA)
    …on relatively complex case types that require the training and skill of a registered nurse . Acts as a resource for more junior Clinicians. **How you'll make ... and/or utilization review experience. + Current active, valid and unrestricted + RN license and/or certification to practice as a health professional within the… more
    Elevance Health (01/24/25)
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