• Senior Special Investigations Coding Manager…

    CVS Health (Richmond, VA)
    …strategic initiatives, along with a team of medical coders/nurses supporting Aetna 's Special Investigations Unit. Key Responsibilities: + Leadership: Leads a team ... of coding/ nursing professionals who conduct reviews of medical records and...prioritization. + Quality Control and Compliance: Maintains oversight of coder/ nurse reviews, ensuring compliance with ICD-10, CPT and HCPCS… more
    CVS Health (05/24/25)
    - Related Jobs
  • Case Manager Registered Nurse (Field - Must…

    CVS Health (Norfolk, VA)
    …all with heart, each and every day. **Position Summary** This Case Manager Registered Nurse position is with Aetna 's Long-Term Services and Supports (LTSS) team ... extended periods, talking on the telephone, and typing on the computer Nurse Case Manager is responsible for assessing, planning, implementing and coordinating all… more
    CVS Health (06/01/25)
    - Related Jobs
  • Case Manager Registered Nurse (Field - Must…

    CVS Health (South Boston, VA)
    …all with heart, each and every day. **Position Summary** This Case Manager Registered Nurse position is with Aetna 's Long-Term Services and Supports (LTSS) team ... requirements is for candidates to hold a Virginia Registered Nurse or Behavioral Health License, and travel 50% of...facilitates integrative functions as well as smooth transition to Aetna programs and plans. Applies clinical judgment to the… more
    CVS Health (05/16/25)
    - Related Jobs
  • Case Manager Registered Nurse /Licensed…

    CVS Health (Christiansburg, VA)
    …we do it all with heart, each and every day. **Position Summary** Nurse Case Manager is responsible for assessing, planning, implementing and coordinating all case ... eligibility and facilitates integrative functions as well as smooth transition to Aetna programs and plans. Applies clinical judgment to the incorporation of… more
    CVS Health (05/17/25)
    - Related Jobs
  • Healthcare Consultant II

    US Tech Solutions (Chesapeake, VA)
    …all levels to enable decision making at most appropriate level **Duties:** + Nurse Case Manager is responsible for face to face and telephonically assessing, ... plan eligibility and facilitates integrative functions as well as smooth transition to Aetna programs and plans. + Applies clinical judgment to the incorporation of… more
    US Tech Solutions (04/18/25)
    - Related Jobs