- CVS Health (Richmond, VA)
- …care. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience ... a medical management company that is a division within Aetna /CVS Health. Founded in 1993, AHH is URAC accredited...in a hospital setting. + A Registered Nurse that holds an active, unrestricted… more
- CVS Health (Richmond, VA)
- …care - Perform medical necessity reviews **Required Qualifications** - 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience in ... a medical management company that is a division within Aetna /CVS Health. Founded in 1993, AHH is URAC accredited...a hospital setting - A Registered Nurse that holds an active, unrestricted… more
- CVS Health (Chatham, VA)
- …do it all with heart, each and every day. **Position Summary** This Case Manager RN /LPN position is with Aetna 's Long-Term Services & Support (LTSS) team and is ... for candidates to hold a current unrestricted Virginia state RN , LPN, or BH licensure. Nurse Case...facilitates integrative functions as well as smooth transition to Aetna programs and plans. Applies clinical judgment to the… 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)
- …monitoring of program and quality initiatives to address the needs of Aetna members. They represent the plan and collaborate with internal partners, community ... providers to enhance the quality of services provided to Aetna members and to ensure adherence to performance targets...is required: LPC, LCSW, LMFT, BCBA, LBA, or an RN with 5+ years of behavioral health experience +… 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