• Behavioral Health Case

    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
    Elevance Health (03/05/25)
    - Save Job - Related Jobs - Block Source
  • Field Care Manager , Behavioral

    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
    Humana (03/09/25)
    - Save Job - Related Jobs - Block Source
  • Manager , Healthcare Services…

    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
    Molina Healthcare (02/09/25)
    - Save Job - Related Jobs - Block Source
  • Manager , Utilization Management…

    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
    Humana (03/12/25)
    - Save Job - Related Jobs - Block Source
  • Complex Case Manager RN (Remote)

    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
    Highmark Health (03/13/25)
    - Save Job - Related Jobs - Block Source
  • Case Manager , RN

    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
    CAI (02/01/25)
    - Save Job - Related Jobs - Block Source
  • Case Manager RN…

    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 (01/05/25)
    - Save Job - Related Jobs - Block Source
  • Social Worker SW Case Manager PRN

    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 (02/18/25)
    - Save Job - Related Jobs - Block Source
  • Case Manager Registered Nurse RN PRN

    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
    HCA Healthcare (03/04/25)
    - Save Job - Related Jobs - Block Source
  • Licensed Case Mgr I, Virginia Foster Care…

    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
    Elevance Health (03/13/25)
    - Save Job - Related Jobs - Block Source
  • Analyst, Case Management (Field - Must…

    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
    CVS Health (03/04/25)
    - Save Job - Related Jobs - Block Source
  • Case Coordinators

    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
    ICF (03/13/25)
    - Save Job - Related Jobs - Block Source
  • Associate Manager , Clinical Health

    CVS Health (Richmond, VA)
    …+ Minimum 5+ years post master's degree clinical experience required for Behavioral Health License; and 5+ years post-bachelor's clinical experience for ... onsite customer visits and/or presentations) **Education** + Master's Degree required for Behavioral Health License + Bachelor's Required for Registered Nurse… more
    CVS Health (03/14/25)
    - Save Job - Related Jobs - Block Source
  • Field Care Manager - Ltss/BH

    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 (03/09/25)
    - Save Job - Related Jobs - Block Source
  • Care Manager RN (Delaware) Remote

    Highmark Health (Richmond, VA)
    …appropriate resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality ... and refer members whose healthcare outcomes might be enhanced by Health Coaching/ case management interventions. + Employ collaborative interventions which… more
    Highmark Health (02/20/25)
    - Save Job - Related Jobs - Block Source
  • Field Care Manager , ARTS

    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
    Humana (03/09/25)
    - Save Job - Related Jobs - Block Source
  • Social Work Care Manager

    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
    Intermountain Health (03/15/25)
    - Save Job - Related Jobs - Block Source
  • Manager Strategic Risk Adjustment Programs

    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
    Highmark Health (03/06/25)
    - Save Job - Related Jobs - Block Source
  • Field Care Manager Nurse - BH

    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
    Humana (03/11/25)
    - Save Job - Related Jobs - Block Source
  • Nurse Disease Mgmt II (US)

    Elevance Health (Richmond, VA)
    …care plans by educating members regarding clinical needs and facilitating referrals to health professionals for behavioral health needs. + Uses motivational ... or clinical assessments to identify individual member knowledge, skills, and behavioral needs. + Identifies and/or coordinates specific health coaching plan… more
    Elevance Health (03/08/25)
    - Save Job - Related Jobs - Block Source