- Elevance Health (Roanoke, VA)
- The **Foster Care Managed Case Manager ** is responsible for overall management of member's individual service plan within the scope of position, as ... you will make an impact:** + Working with children within the Foster Care System + Responsible for performing telephonic or face-to-face history and program needs… more
- Molina Healthcare (Richmond, VA)
- …gerontology, public health or social work or related **REQUIRED EXPERIENCE:** 1-3 years in case management, disease management, managed care or medical or ... **JOB DESCRIPTION** For this position we are seeking a Case Manager who lives in VIRGINIA and...year of professional experience. **PREFERRED EXPERIENCE:** 3-5 years in case management, disease management, managed care… more
- Molina Healthcare (Glen Allen, VA)
- …of Nursing. Bachelor's Degree in Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or ... candidates who live in the Western region of Virginia. Case Manager RN will work in remote...Bachelor's Degree in Nursing **Preferred Experience** 3-5 years in case management, disease management, managed care… more
- Highmark Health (Richmond, VA)
- …+ One year in home clinical or case management experience + Certified Case Manager (CCM) + Licensed Bachelors Social Worker (LBSW) + Licensed Masters Social ... working with developmental disabilities population + Medicare and Medicaid experience + Managed care experience **SKILLS** + Working flexible hours to meet… more
- Molina Healthcare (Charlottesville, VA)
- …gerontology, public health or social work or related **REQUIRED EXPERIENCE:** 1-3 years in case management, disease management, managed care or medical or ... **JOB DESCRIPTION** Case Manager will work in remote...year of professional experience. **PREFERRED EXPERIENCE:** 3-5 years in case management, disease management, managed care… more
- Molina Healthcare (Jarratt, VA)
- …with disabilities/chronic conditions and Long Term Services & Supports. + 1-3 years in case management, disease management, managed care or medical or ... and must be licensed for the state of VIRGINIA. Case Manager will work in remote and...Degree in Nursing **Preferred Experience** + 3-5 years in case management, disease management, managed care… more
- ChenMed (Colonial Heights, VA)
- … Case Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) desired. We're ChenMed and we're transforming healthcare for ... we need great people to join our team. The Case Manager is responsible for enhancing the...**ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Coordinates the integration of social services/ case management functions into the patient care ,… more
- Molina Healthcare (Roanoke, VA)
- …with disabilities/chronic conditions and Long Term Services & Supports. + 1-3 years in case management, disease management, managed care or medical or ... and must be licensed for the state of VIRGINIA. Case Manager will work in remote and...behavioral health settings. **PREFERRED EXPERIENCE:** + 3-5 years in case management, disease management, managed care… more
- Elevance Health (Richmond, VA)
- …48 hours of receipt and meet the criteria._** The **"Telephonic" Nurse Case Manager II** is responsible for performing care management within the scope of ... **"Telephonic" Nurse Case Manager II** **Location: This is...years "telephonic" Case Management experience with a Managed Care Company preferred. + Managed… more
- Molina Healthcare (Norfolk, VA)
- …with disabilities/chronic conditions and Long Term Services & Supports. + 1-3 years in case management, disease management, managed care or medical or ... **Preferred Education** Bachelor's Degree in Nursing **Preferred Experience** + 3-5 years in case management, disease management, managed care or medical or… more
- CVS Health (Richmond, VA)
- …Country or surrounding areas (ie Pulaski, Christiansburg, Blacksburg) Position Summary Nurse Case Manager is responsible for telephonically and/or face to face ... - Mileage is reimbursed per our company expense reimbursement Preferred Qualifications - Managed care experience, previous work at home and field based face… more
- Bon Secours Mercy Health (Midlothian, VA)
- …for clinical and operational excellence. **Primary Function/General Purpose of Position** The Case / Care Manager is responsible for providing coordination of ... identification, and assessment of individuals in need of active Case Management services and promotes the right resources, at...be managed in the ambulatory setting, the care manager will collaborate with the physician… more
- CVS Health (Richmond, VA)
- …25-40% of the time. Preferred Qualifications: - 2+ years of managed care experience highly preferred.- 2+ years of case management experience preferred.- ... mental health and substance abuse benefits, community treatment resources, mental health managed care programs, and Aetna Behavioral Health policies and… more
- Bon Secours Mercy Health (Newport News, VA)
- …If continued treatment can potentially be managed in the ambulatory setting, the care manager will collaborate with the physician and care team offering ... for clinical and operational excellence. **Primary Function/General Purpose of Position** The Care Manager is responsible for providing coordination of care… more
- Elevance Health (Richmond, VA)
- …programs for autism and depression, and insightful analytics to improve the delivery of care .** **BH Case Manager II** Responsible for performing case ... broad range of complex psychiatric/substance abuse and/or medical disorders. + Managed care experience required. **Preferred Skills, Capabilities and… more
- Elevance Health (Roanoke, VA)
- …each way of one of our Elevance Health PulsePoint locations. The Behavioral Health Case Manager II position is primarily member facing and involves complete ... a broad range of complex psychiatric/substance abuse and/or medical disorders. Managed care experience required. **Preferred Requirements:** + Previous crisis… more
- US Tech Solutions (Arlington, VA)
- …keyboarding. * Effective communication skills, both verbal and written. Preferred Qualifications: * Managed Care experience, Case Management experience in an ... integrated model * 5 years clinical practice experience * Bilingual **Experience:** + Determines medical necessity/ appropriateness Facilitates optimal outcomes Identifies and follow through with continuous quality/ compliance opportunities . May also include… more
- ChenMed (Richmond, VA)
- … Case Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) desired. We're ChenMed and we're transforming healthcare for ... need great people to join our team. The Nurse Case Manager 1 (RN) is responsible for... givers, primary care physicians, specialists, other care providers, social workers, other case managers… more
- Centene Corporation (Arlington, VA)
- …benefits including a fresh perspective on workplace flexibility. **Centene is hiring a Care Manager LVN/LPN to cover the Silver Spring, Maryland or Woodbridge, ... information + Perform follow up with members engaged in case management + Facilitate provider contact as needed to...a hospital or home health setting or with a managed care organization. Preferred Other prior experience… more
- Humana (Richmond, VA)
- …Experience with health promotion, coaching and wellness + Previous managed care experience + Certification in Case Management + Motivational Interviewing ... community and help us put health first** The Field Care Manager Nurse 2 assesses and evaluates...of Indiana with 2 years of experience of in-home case / care management + Experience working with the… more