• Complex Case Manager

    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...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
    Highmark Health (03/13/25)
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  • Manager , Utilization Management…

    Humana (Richmond, VA)
    …**Use your skills to make an impact** **Required Qualifications** + Active Licensed Registered Nurse ( RN ) in Virginia or enhanced compact license, ... part of our caring community and help us put health first** The Manager , Utilization Management Nursing utilizes clinical nursing skills to support the coordination,… more
    Humana (03/12/25)
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  • Care Manager , Registered

    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
    Sharecare (02/17/25)
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  • Registered Nurse - 4B/C Med/Surg…

    Veterans Affairs, Veterans Health Administration (Richmond, VA)
    Summary This Registered Nurse - 4B/C Med/Surg (OCA)...staff nurse reports to the Unit 4B/C nurse manager . has a maximum capacity of ... policy regarding the administration of medications by a licensed registered nurse Maintains proper supplies and appropriate...(may be extended up to two years on a case -by- case -basis.) NOTE: Grandfathering Provision - All persons… more
    Veterans Affairs, Veterans Health Administration (01/30/25)
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  • Case Manager , RN

    CAI (Richmond, VA)
    …Type** Full time **Worksite Flexibility** Remote **Job Summary** We are looking for a motivated Case Manager , RN ready to take us to the next level! ... apply now. **Job Description** We are looking for a Case Manager , RN to provide...duties as assigned/requested **What You'll Need** Required: + Current Registered Nurse , licensed in the state of… more
    CAI (02/01/25)
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  • 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. ... travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who… more
    Molina Healthcare (01/05/25)
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  • Nurse Case Manager

    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
    US Tech Solutions (01/17/25)
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  • Nurse Case Manager II

    Elevance Health (Richmond, VA)
    ** Nurse Case Manager II** **Location:** This position will work a virtual model. **Our Ideal candidate will live within a 50-mile radius and a 1-hour commute ... a month an evening shift will be required. The ** 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 (03/18/25)
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  • Telephonic Nurse Case Manager

    Elevance Health (Richmond, VA)
    **Telephonic Nurse Case Manager II** **Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point ... 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 (03/18/25)
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  • Behavioral Health Case Manager II

    Elevance Health (Richmond, VA)
    …- Friday** **Travel:** **Field Based** **Position Overview:** Responsible for performing case management telephonically and/or by home visits within the scope of ... You Will Make an Impact:** + Responds to more complex cases and account specific requests + Uses appropriate...providers + Serves as a resource to other BH Case Mgrs + Participates in cross-functional teams projects and… more
    Elevance Health (03/05/25)
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  • Analyst, Case Management (Field - Must…

    CVS Health (Richmond, VA)
    …solutions 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 needs of the member to… more
    CVS Health (03/04/25)
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  • Licensed Case Mgr I, Virginia Foster Care…

    Elevance Health (Richmond, VA)
    …visits) is expected.** **This position is** **sign-on bonus** **eligible!!** The Special Programs Case Manager I is responsible for performing case ... as an LCSW, LMSW, LPC, LAPC, LMFT LMHC, or RN issued by the Commonwealth of Virginia. + Requires...provide an equivalent background is required. **Preferred Qualifications** + Case management with a broad range of complex more
    Elevance Health (03/13/25)
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  • Manager , Utilization Management Behavioral…

    Humana (Richmond, VA)
    …**Required Qualifications:** **Must meet** **one** **of the following:** + Active unrestricted registered nurse license in the state of Virginia or reside ... coaching, performance review, up to termination. + Certified or certified-eligible case manager required. **Additional Information:** **Workstyle:** Remote work… more
    Humana (03/12/25)
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  • Manager , Transition Care Management

    Humana (Richmond, VA)
    …a bordering state/district (Washington DC, MD, WV, KY, TN & NC).** + Active Registered Nurse ( RN ) license, **OR** Licensed Mental Health Practitioner (LHMP) ... help us put health first** Humana Healthy Horizons in Virginia is looking for a Manager , Transition Care Management ( Manager , Care Coaching) who will lead a team… more
    Humana (03/04/25)
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  • Field Care Manager Nurse - BH

    Humana (Richmond, VA)
    …part of our caring community and help us put health first** The Field Care Manager Nurse (BH) assesses and evaluates member's needs and requirements to achieve ... the care and wellbeing of members. The Field Care Manager Nurse 2 work assignments are varied...of post-degree clinical experience in behavioral health setting + Case management experience working with complex SMI… more
    Humana (03/11/25)
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  • Transition Coordinator

    Humana (Richmond, VA)
    …2) shall meet **one (1)** of the following qualifications: + An active, unrestricted Registered Nurse ( RN ) license in the Commonwealth of Virginia **OR** ... transitions are completed. + Works with the Primary Care Manager (PCM) and/or other member-focused departments of the plan...such as prevention and wellness programs(s), care management and complex case management notes. + Assists with… more
    Humana (03/04/25)
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  • Nurse Practitioner

    ChenMed (Colonial Heights, VA)
    …may require 50-75% of local travel. EDUCATION / SPECIALIZED KNOWLEDGE REQUIREMENTS: Current RN licensure and Nurse Practitioner Certification in the State of ... may require 50-75% of local travel. EDUCATION / SPECIALIZED KNOWLEDGE REQUIREMENTS: Current RN licensure and Nurse Practitioner Certification in the State of… more
    ChenMed (02/08/25)
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  • Licensed Family Preservation Specialist, VA Foster…

    Elevance Health (Richmond, VA)
    …position is Sign-on Bonus Eligible!!** The Family Preservation Specialist (Special Programs Case Mgr I) provides support to families connected with our foster care ... as an LCSW, LMSW, LPC, LAPC, LMFT LMHC, or RN issued by the Commonwealth of Virginia. + Requires...social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder… more
    Elevance Health (03/15/25)
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