- CVS Health (Chatham, VA)
- …each and every day. **Position Summary** This Case Manager RN/LPN position is with Aetna 's Long-Term Services & Support (LTSS) team and is a Field Based role out ... to hold a current unrestricted Virginia state RN, LPN, or BH licensure. Nurse Case Manager is responsible for assessing, planning, implementing and coordinating all… more
- CVS Health (Richmond, VA)
- …Holding, Inc (AHH) is a medical management company that is a division within Aetna /CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease ... medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse (RN) with at least 1 year of experience in a hospital setting.… more
- CVS Health (Richmond, VA)
- …Holding, Inc (AHH) is a medical management company that is a division within Aetna /CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease ... **Required Qualifications** - 5+ years' experience as a Registered Nurse (RN) with at least 1 year of experience...Spanish preferred **Education** - Diploma or Associates Degree in Nursing required - BSN preferred **Anticipated Weekly Hours** 40… more
- CVS Health (Alexandria, VA)
- …Church, Alexandria Virginia or surrounding areas. **Position Summary** + Nurse Case Manager is responsible forassessing, planning, implementingand coordinating all ... plan 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 (Richmond, VA)
- …and every day. **Position Summary** Customer Service Representative is the face of Aetna and impacts members' service experience by manner of how customer service ... and educates members based upon the member's unique needs, preferences and understanding of Aetna plans, tools and resources to help guide the members along a clear… more
- CVS Health (Richmond, VA)
- …we do it all with heart, each and every day. **Position Summary** This UM Nurse Associate position is with Aetna 's Long-Term Services and Supports (LTSS) team ... The requirement is for this candidate to hold a Virginia Licensed Practical Nurse license. Scheduled work hours will be Monday-Friday, 8:00am-5:00pm. Nurse Case… more
- 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
- Robert Half Accountemps (Richmond, VA)
- …Responsibilities: * Manage Medicaid and home health billing, including claims for Aetna , Anthem, Sentara, United, and other insurers. * Handle denials and appeals, ... and performance standards. * Support home health agencies and skilled nursing facilities with billing and administrative tasks. Requirements * Proven experience… more
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