- Humana (Richmond, VA)
- …community and help us put health first** Humana Healthy Horizons in Virginia is seeking a Manager , Care Management ( LTSS -ABD) who will lead a team of ... support compliance with contractual requirements and industry best practices. The Manager , Care Management ( LTSS -ABD) works within specific guidelines… more
- CVS Health (Richmond, VA)
- …with the State as needed **Required Qualifications** + 5+ years LTSS leadership + Management of field-based care management teams + 10+ years managed ... in local communities and leading the way in health care . The LTSS Director, Clinical Health Services...Ability to successfully motivate, drive and lead colleagues in Manager , Supervisory and field level positions. + Ability to… more
- Elevance Health (Roanoke, VA)
- ** LTSS Service Coordinator - Auditor (Remote)** **Location:** While remote, candidates will ideally be located within 50 miles of one of our Elevance Health ... PulsePoints. The ** LTSS Service Coordinator-Auditor** is responsible for auditing member individual...Audits to determine whether members with potential clinical health care needs (including, but not limited to, potential for… more
- Elevance Health (Norfolk, VA)
- …member's case, as required by applicable state law and contract, contributes to the LTSS care coordination process by performing activities within the scope of ... candidate should reside in Virginia Beach, Chesapeake, or Norfolk, VA. The ** LTSS Service Coordinator - Clinician** working under the direction/supervision of an RN,… more
- Elevance Health (Richmond, VA)
- …with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on the development of care management treatment plans. + May also assist in problem ... the candidate should reside in Dinwiddie, Chesterfield, or Colonial Heights. The ** LTSS Service Coordinator RN Clinician** is responsible for overall management … more
- Molina Healthcare (Suffolk, VA)
- …disabilities/chronic conditions and Long Term Services & Supports. + 1-3 years in case management , disease management , managed care or medical or behavioral ... must be licensed for the state of VIRGINIA. Case Manager will work in remote and field setting supporting...in Nursing **Preferred Experience** + 3-5 years in case management , disease management , managed care … more
- Molina Healthcare (White Hall, VA)
- …We are looking for Registered Nurses who have experience working with manage care population and/or case management role. Excellent computer skills and diligence ... Term Services & Supports. + 1-3 years in case management , disease management , managed care ...**Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If you… more
- CAI (Richmond, VA)
- …career move, apply now. **Job Description** We are looking for a RN Case Manager to provide community-based care coordination/ management for our client's ... Summary** We are looking for a motivated RN Case Manager ready to take us to the next level!...Condition Management , Behavioral Health, and Complex Case Management . + Collaborate with the member's health care… more
- Public Consulting Group (Richmond, VA)
- … facilities for individuals with intellectual disabilities (ICF-IID) + Serves as project manager and subject matter expert on community LTSS programs within the ... regulations and requirements for community long-term services and supports ( LTSS ) programs, including home and community-based services (HCBS) waivers, Program… more
- Elevance Health (VA)
- **Training Specialist,** ** LTSS Service Coordination Content Creator** **Location** : This is a hybrid role with 1 - 2 days per week required in-office. The ideal ... to worksite and other locations as necessary. The **Training Specialist, LTSS Service Coordination Content Creator** is responsible for facilitating a variety… more
- Elevance Health (Roanoke, VA)
- **Training Specialist, LTSS Service Coordination** **Location** : Virginia. This is a hybrid role with 1 - 2 days per week required in-office. The ideal candidate ... to worksite and other locations as necessary. The **Training Specialist, LTSS Service** **Coordination** is responsible for facilitating a variety of… more
- University of Virginia (Charlottesville, VA)
- …party payer requirements. + Places referrals to multiple agencies reflecting the recommended level of care from the Care Management team. + Assists with a ... rounds, and responds to patients needs. Assists the case manager and/or social worker with implementing continuing care...community members to ensure continuity of services after an LTSS (UAI) screening has been completed + Determine financial… more
- ACI Federal (Petersburg, VA)
- …team for unparalleled solutions in healthcare transformation. Description a. Provide care to assigned ill or injured students following established FCPS protocol ... oxygen administration 6. catheterization 7. IV infusion 8. diabetic care including insulin pumps d. Notify public health nurse...an emergency. (ie Fire Drills, Lockdown). Notify assistant nurse manager of EMS calls. g. Perform other duties as… more