- 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
- CVS Health (Richmond, VA)
- …Church, Arlington, Alexandra, Fairfax City, Fairfax, Manassas, Prince William, and surrounding areas. The Case Manager RN (CM RN ) is responsible for ... * Effective communication skills, both verbal and written. **Required Qualifications** * Registered Nurse with current unrestricted Virginia (VA) license or VA… more
- Molina Healthcare (Midlothian, VA)
- …a 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...health settings. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
- 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
- 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 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
- Sedgwick (Richmond, VA)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer 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… more
- 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) ... help us put health first** Humana Healthy Horizons in Virginia is seeking a Manager , Care Management (LTSS-ABD) who will lead teams of nurses and behavior health… 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 ... **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based...a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence… more
- Elevance Health (Richmond, VA)
- ** Nurse Care Manager Senior - LGBTIA+/ Transgender...or BS in nursing preferred. + Certification as a Case Manager is preferred. + Certification in the ... work **12:30 PM** **to 9 PM EST** **.** The ** Nurse Care Manager Senior** is responsible for...activities within the scope of licensure for members with complex and chronic care needs. **How you will make… 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...Clinicians. **How you'll make a difference:** + Responsible for complex cases that may require evaluation of multiple variables… more
- Elevance Health (Richmond, VA)
- …and substance abuse or substance abuse disorder assessment coordination implementation case planning monitoring and evaluating to promote quality member outcomes to ... to other BH Care Managers. + Assists with more complex cases and may participate in inter and intradepartmental...equivalent background. + Current active unrestricted license such as RN LCSW LMSW LMHC LPC LBA (as allowed by… more
- Elevance Health (Richmond, VA)
- …10 am - 7 pm (EST) shift rotation twice a month.** The **Medical Management Nurse ** is responsible for reviewing the most complex or challenging cases that ... consultation to the Medical Director on particularly peculiar or complex cases as the nurse deems appropriate....skills and nursing judgment and experience. + Collaborates with case management nurses on discharge planning, ensuring the patient… more