- CVS Health (Richmond, VA)
- …utilization of available resources and optimal, cost-effective outcomes. * Telephonic clinical case management with Medicare population. * Uses Motivational ... 3+ years of direct clinical practice experience - An active and unrestricted clinical behavioral health license in state of residence is required (ex: LPC,… more
- Molina Healthcare (Richmond, VA)
- **JOB DESCRIPTION** For this position we are seeking a Case Manager who lives in VIRGINIA and must be licensed for the state of VIRGINIA. Case Manager ... setting supporting our SMI (Severe Mental Illness) Medicaid Population. Case Manager will be required to physically...per regulated timelines and determines who may qualify for case management based on clinical judgment, changes… more
- CVS Health (Richmond, VA)
- …opportunities to develop training programs for the clinical case manager to ensure a thorough understanding of behavioral health practices. . implements ... enhance overall well-being. **What you will do** . Coordinates behavioral health assessments to gain information on substance abuse...record to monitor the input and output of the clinical case department. **Required Qualifications** . 3+… more
- Humana (Richmond, VA)
- …resources, schedules and goals. The Manager , Utilization Management Behavioral Health uses clinical knowledge, communication skills, and independent ... case management and/or rehabilitative counseling experience required. Certified or certified-eligible case manager required. + 1 or more years of clinical… more
- Elevance Health (Richmond, VA)
- …you will make an impact:** + Uses appropriate screening criteria knowledge and clinical judgment to assess member needs to ensure access to medically necessary ... quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract. + Refers cases to Peer Reviewers as… more
- Highmark Health (Richmond, VA)
- …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Pediatric Complex Case Management** This job owns and conducts oversight over a specified panel… more
- HCA Healthcare (Richmond, VA)
- …purpose and integrity. We care like family! Jump-start your career as a(an) Case Manager Behavioral Utilization Management today with Chippenham Hospital. ... Eligibility for benefits may vary by location._** Come join our team as a(an) Case Manager Behavioral Utilization Management. We care for our community!… more
- International Rescue Committee (Richmond, VA)
- Requisition ID: req52690 Job Title: Crisis Case Manager , HSPRS Sector: Social Work Employment Category: Fixed Term Employment Type: Full-Time Compensation: USD ... resources in the community (Post Release Services). The Crisis Case Manager (Level 3) conducts Home Studies...Master's degree in social work, psychology, or other relevant behavioral science in which direct clinical experience… more
- 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 services and...you want to work as a **Social Worker SW Case Manager PRN** where your passion for… more
- HCA Healthcare (Richmond, VA)
- …**Are you passionate about delivering patient-centered care?** Submit your application for Case Manager Registered Nurse RN position and spend more time ... clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at...Doctors' Hospital Forest! **Job Summary and Qualifications** As a Case Manager Registered Nurse (RN), you will… more
- HCA Healthcare (Richmond, VA)
- **Description** **Introduction** Do you have the PRN career opportunities as a(an) Social Worker 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 services and...Do you want to work as a(an) Social Worker Case Manager PRN where your passion for… more
- HCA Healthcare (Richmond, VA)
- …invested over 156,000 hours volunteering in our communities. As a(an) Social Worker BSW Case Manager with Henrico Doctors' Hospital Forest you can be a part ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...We are looking for an enthusiastic Social Worker BSW Case Manager to help us reach our… more
- Highmark Health (Richmond, VA)
- …Degree in Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical and case management + 3 years of management/supervisory or leading/working ... job will lead a team of Registered Nurse Complex Case Managers that deliver case management services...the Organization's members that range in health status/severity and clinical needs. Accountable for daily operation of unit including… more
- Elevance Health (Richmond, VA)
- …**TRAVEL** **: Some visits to a provider or member may be required.** **The Nurse Case Manager I** is responsible for performing care management within the scope ... RN license from the Commonwealth of Virginia. **Preferred Qualifications** + Previous case management experience is preferred. + Behavioral Health and/or… more
- 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
- Elevance Health (Richmond, VA)
- …programs for chronic diseases. **How you will make an Impact:** + Conducts behavioral or clinical assessments to identify individual member knowledge, skills, ... and behavioral needs. + Identifies and/or coordinates specific health coaching...coordinates coaching and/or care plans by educating members regarding clinical needs and facilitating referrals to health professionals for… more
- HCA Healthcare (Richmond, VA)
- …care. Performs in accordance with physician's orders and under the supervision of the Clinical Manager . **What you will do in this role:** + Assesses home ... and patient/family/caregiver. + Communicates significant findings, problems and changes to Clinical Manager and physician, and documents all findings,… more
- HCA Healthcare (Richmond, VA)
- …care. Performs in accordance with physician's orders and under the supervision of the Clinical Manager . **What you will do in this role:** + Assesses home ... and patient/family/caregiver. + Communicates significant findings, problems and changes to Clinical Manager and physician, and documents all findings,… more
- HCA Healthcare (Richmond, VA)
- …care. Performs in accordance with physician's orders and under the supervision of the Clinical Manager . **What you will do in this role:** + Assesses home ... and patient/family/caregiver. + Communicates significant findings, problems and changes to Clinical Manager and physician, and documents all findings,… more
- Elevance Health (Richmond, VA)
- …+ Using tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for high ... risk complications) and coordinates those member's cases with the clinical healthcare management and interdisciplinary team in order to provide care coordination… more