- CVS Health (Richmond, VA)
- …opportunities to develop training programs for the clinical case manager to ensure a thorough understanding of behavioral health practices. + implements ... record to monitor the input and output of the clinical case department. **Required Qualifications** + 3+... case department. **Required Qualifications** + 3+ years clinical behavioral health experience + LCSW or… 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
- Molina Healthcare (Richmond, 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...per regulated timelines and determines who may qualify for case management based on clinical judgment, changes… more
- Evolent (Richmond, VA)
- …to providing better health outcomes for this population. **What You'll Be Doing:** + The Behavioral Health Case Manager (LCSW or LMHC) will connect with the ... Behavioral Health experience + Experience with long term case planning and developing care plans + Experience working...in a collaborative, team-oriented system. + CCMC (Commission for Case Manager Certification) + Knowledge and experience… more
- Elevance Health (Richmond, VA)
- …Standard Hours. Must have a Clinical License Or BCBA certification The ** Behavioral Health Care Manager II** is responsible for managing psychiatric and ... member of the Elevance Health family of companies, Carelon Behavioral Health, offers superior clinical mental health...and insightful analytics to improve the delivery of care._ ** Behavioral Health Care Manager II - Applied… more
- Humana (Richmond, VA)
- …us 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 and ... the care and wellbeing of members. The Field Care Manager , Behavioral Health 2 work assignments are...license with a minimum of 1 year of post-degree clinical experience in behavioral health **OR** an… more
- Highmark Health (Richmond, VA)
- …+ 3 - 5 years of post licensure experience in a combination of Behavioral Health Clinical , Case Management and/or Condition Management + Experience ... resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors… 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
- Molina Healthcare (Richmond, VA)
- …Nurse who lives in VIRGINIA and must be licensed for the state of VIRGINIA. Case Manager will work in remote and field setting supporting our Medicaid Population ... with. Case Manager will be required to physically...an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high… 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...by location._** We are seeking a Social Worker SW Case Manager PRN for our team to… more
- 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 telemedicine services...Doctors' Hospital Forest! **Job Summary and Qualifications** As a Case Manager Registered Nurse (RN), you will… more
- Elevance Health (Richmond, VA)
- …Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee ... impact:** + Determines the medical necessity of requests using clinical criteria. + Performs physician-level case review...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- HCA Healthcare (Hopewell, VA)
- …the patient's medical record congruent with departmental policies.** **.In consultation with RN Case Manager , apply the rules of Severity of Illness, Intensity ... at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical… more
- CVS Health (Richmond, VA)
- …management activities with members across the continuum of care. The RN Care Manager utilizes advanced clinical judgement and critical thinking skills to ... Fredericksburg, Virginia area.** The CVS Accountable Care RN Care Manager will be the primary care manager ...visits and acute admissions, and ensuring the members physical, behavioral , and social needs are being appropriately addressed by… more
- Elevance Health (Richmond, VA)
- …office visits with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering ... will be responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and...manager . + May be responsible for an entire clinical program and/or independently performs clinical reviews.… more
- Elevance Health (Richmond, VA)
- …and providers. **How you will make an impact:** + Ensures timely completion of clinical case reviews for their board-certified specialty. + Makes physician to ... Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee… 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)
- …Service Coordinator RN Clinician** is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to non-RN ... clinicians participating in the member's case in accordance with applicable state law and contract; develops, monitors, evaluates, and revises the member's care plan… more