- ACI Federal (Petersburg, VA)
- Non Medical Case Worker EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment ... solutions in healthcare transformation. Description Provides linkage to care and non - medical case management services to individuals who are newly… more
- ChenMed (Richmond, VA)
- …We're rapidly expanding and we need great people to join our team. The Case Manager is responsible for enhancing the quality of patient management and satisfaction, ... of care and cost effectiveness through the integrating and functions of case management, utilization review and discharge planning. The incumbent in this role… more
- Sedgwick (Richmond, VA)
- …PURPOSE OF THE ROLE:** While partnering with the injured worker , employer, and medical providers, create a case management strategy to facilitate medical ... path while advocating for the most effective and efficient medical treatment for injured employees in a non...clinical assessment via telephone calls to evaluate the injured worker 's injury, medical treatment, psychosocial needs, cultural… more
- Elevance Health (Richmond, VA)
- …am - 5:00 pm.** **The Transplant Nurse II** is responsible for providing case management and/or medical management (UM/UR) for members receiving transplant ... ICU, Med/Surg, and ER experience is extremely helpful for this position. + Both Case Management and/or Medical Management (UM/UR) is highly desired. + Within the… more
- Elevance Health (Richmond, VA)
- **Anticipated End Date:** 2024-09-13 **Position Title:** Telephonic Nurse Case Manager II **Job Description:** **Telephonic Nurse Case Manager II** **Location: ... cannot start earlier than 8am EST.** The **Telephonic Nurse Case Manager II** is responsible for the Case...management plan and modifies as necessary. + Interfaces with Medical Directors and Physician Advisors on the development of… more
- Elevance Health (Richmond, VA)
- **Anticipated End Date:** 2024-11-01 **Position Title:** Social Work Case Manager (US) **Job Description:** The Social Work Case Manager is responsible for ... strategies to support healthcare needs and implements plans in support of case decisions. + Facilitates and coordinates behavioral health resources as individual… more
- Elevance Health (Richmond, VA)
- **Anticipated End Date:** 2024-09-13 **Position Title:** Telephonic Nurse Case Manager II **Job Description:** **Telephonic Nurse Case Manager II** **Location: ... different states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope… more
- Elevance Health (Richmond, VA)
- **Anticipated End Date:** 2024-09-09 **Position Title:** RN Nurse Case Mgr I **Job Description:** **LOCATION** **: This is a remote position for our Central region. ... effectiveness of the care plan and modifies as necessary. + Interfaces with Medical Directors and Physician Advisors on the development of care management treatment… more
- Elevance Health (Richmond, VA)
- **Anticipated End Date:** 2024-09-15 **Position Title:** Behavioral Health Medical Director - Child & Adolescent Psychiatry **Job Description:** Wellpoint, formerly ... appeals reviews within our Medicaid and Medicare programs.** The **Behavioral Health Medical Director** is responsible for the administration of behavioral health … more
- Elevance Health (Richmond, VA)
- **Anticipated End Date:** 2024-10-04 **Position Title:** UM Medical Director - Cardiology **Job Description:** **This position will work a hybrid model (remote and ... must live within 50 miles of one of our Elevance Health locations.** The Medical Director is responsible for the administration of physical and/or behavioral health … more
- Elevance Health (Richmond, VA)
- **Anticipated End Date:** 2024-12-27 **Position Title:** Nurse Medical Management II **Job Description:** **Location** : This position can be located anywhere within ... 50 miles of our Elevance PulsePoints. **The Nurse Medical Management II** is responsible to collaborate with healthcare providers and members to promote quality… more
- ChenMed (Richmond, VA)
- …conditions to the PCP, Clinician, Specialist and/or other clinical personnel. + Perform non -critical medical and therapeutic procedures based on medical ... join our team. The Care Promoter 1, Early Embrace is an unlicensed medical professional cross-trained to perform routine administrative and clinical tasks to keep… more
- ChenMed (Richmond, VA)
- …conditions to the PCP, Clinician, Specialist and/or other clinical personnel. + Perform non -critical medical and therapeutic procedures based on medical ... people to join our team. The Care Promoter 1 is an unlicensed medical professional cross-trained to perform routine administrative and clinical tasks to keep the… more
- Elevance Health (Richmond, VA)
- … case within the scope of licensure; provides supervision and direction to non -RN clinicians participating in the member's case in accordance with applicable ... or through extra-contractual arrangements, as permissible. + Interfaces with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on the development… more
- Elevance Health (Richmond, VA)
- …knowledge base of disease processes strongly preferred. + Prior managed care and case management experience preferred. + Knowledge of medical management process ... medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient admissions, outpatient services, out of network… more
- Elevance Health (Richmond, VA)
- …members in enrolling in Medicare when they are entitled. + Determines primacy on each case using a complex set of Primacy Rules as mandated by State and Federal ... pursuant to State and Federal Guidelines. + Handles complex case research and resolution. + May assist with training...specific position is based on a number of legitimate, non -discriminatory factors set by the Company. The Company is… more
- Elevance Health (Richmond, VA)
- …areas of Medicare part A reimbursement such as Medicare DSH, Bad Debts, Medical Education, Nursing and Allied Health, Organ Acquisition, Wage Index and all cost ... caseload + Maintaining accurate records by updating all logs, case files, tracking systems **Minimum Requirements:** + Requires a...specific position is based on a number of legitimate, non -discriminatory factors set by the company. The company is… more
- ACI Federal (Petersburg, VA)
- …Our experienced team of Talent Acquisition Specialists and clinicians excels in medical staff augmentation for almost any healthcare setting. Engage the Tried and ... training, outreach, and higher- level community technical assistance to non -traditional multi-sector groups not yet addressing substance use. Priority populations… more
- Elevance Health (Richmond, VA)
- …papers + Jurisdictional Reviews + Maintaining accurate records by updating all logs, case files, tracking systems + Participate in all team meetings, staff meetings, ... offered for this specific position is based on a number of legitimate, non -discriminatory factors set by the Company. The Company is fully committed to ensuring… more
- Elevance Health (Richmond, VA)
- …papers + Jurisdictional Reviews + Maintaining accurate records by updating all logs, case files, tracking systems + Participate in all team meetings, staff meetings, ... offered for this specific position is based on a number of legitimate, non -discriminatory factors set by the company. The company is fully committed to ensuring… more