- Humana (Richmond, VA)
- **Become a part of our caring community and help us put health first** The Care Manager, Telephonic Behavioral Health 2 , in a telephonic ... resources appropriate for the care and wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work assignments are varied and frequently… more
- Sharecare (Richmond, VA)
- …coordinates with the Primary Care Provider and all other members of the health care team to support appropriate total healthcare management and ensure cost ... in the appropriate stratification level. + Identifies participant barriers to accessing health care services. Coordinates with Provider Service Managers and/or… more
- Sharecare (Richmond, VA)
- … team by collaborating with PCPs, specialists, other clinicians, and member to meet health care goals through development and implementation of Care Plans. ... in an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst...ineligible to perform work directly or indirectly on Federal health care programs._ Sharecare and its subsidiaries… more
- Sharecare (Richmond, VA)
- …are committed to supporting each individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. ... **Job Description:** Sharecare is the leading digital health company that helps people - no matter...communities optimize individual and population-wide well-being by driving positive behavior change. Driven by our philosophy that we are… more
- Sharecare (Richmond, VA)
- …are committed to supporting each individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. ... communities optimize individual and population-wide well-being by driving positive behavior change. Driven by our philosophy that we are...is an integral part of an overall client specific Health and Care Support Team that engages… more
- University of Virginia (Haymarket, VA)
- …is consistently demonstrated as to when to involve physician or other health care professionals in the pre-certification/authorization or denial process. + ... and communicate routinely with our contracting department where payor behavior is inconsistent with our agreements. The ability to...is exclusively available for team members transitioning from Community Health to UVA Health . Only those within… more
- University of Virginia (Charlottesville, VA)
- …insights and overall level of care information to physicians 9.) Provides health care access through the accurate gathering of demographic, sponsorship or ... liaison between outside referring facility customers and the UVA Health System for all non-intensive care and...environment 4.) Identifies potential areas for improved operations and care 5.) Performs telephonic patient triage and… more
- Somatus (Mclean, VA)
- …the appropriate resources within the parameters of established contracts and patients' health plan benefits. Facilitates continuum of patients' care utilizing ... families. + Assist member to maximize benefits according to health plan. + Participates actively in assigned Care...* Diabetic educator experience * ICU, Cardiology or Critical Care experience * Telephonic case management experience… more
- Somatus (Mclean, VA)
- …the appropriate resources within the parameters of established contracts and patients' health plan benefits. Facilitates continuum of patients' care utilizing ... Management Coordination Committee (CMCC) meetings. + Documents pertinent patient information and Care Management Plan in Electronic Health Record and Care … more
- General Dynamics Information Technology (Fairfax, VA)
- …3 + years of related experience **Job Description:** **Marketplace Investigator** **The Affordable Care Act (ACA) requires every state to establish a health ... (also called Health Insurance Marketplace) to facilitate the purchase of health insurance for individuals and small businesses. Through the Center of Program… more