- Public Consulting Group (Richmond, VA)
- …+ Develops effective working relations and cooperate with medical team throughout the entire case management process + Interacts with patients to keep track of ... . PCG Health team helps our clients meet the complex financial, regulatory, and operational challenges of today's changing...and on a team. + Proven working experience in case management , including as a nurse, medical,… more
- KBR (Arlington, VA)
- …Puerto Rico or US Virgin Islands. + A minimum of two (2) years nursing experience or case management experience and must be certified as a case manager by a ... recognized certifying organization, ie Commission for Case Management Certification , American ...employment. + Demonstrated knowledge of patient education principles and management of complex medical, psychosocial, and financial… more
- US Tech Solutions (Richmond, VA)
- …impact functionality. + Reviews prior claims to address potential impact on current case management and eligibility. + Assessments include the member's level of ... designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning... conferences for multidisciplinary focus to benefit overall claim management . + Utilizes case management … more
- CVS Health (Falls Church, VA)
- … Case Manager is responsible forassessing, planning, implementingand coordinating all case management activities with members to evaluate the medical needs ... designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning...Reviews prior claims to address potential impact on current case management and eligibility. + Using a… more
- CVS Health (Chatham, VA)
- …Case Manager is responsible for assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs ... designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning...Reviews prior claims to address potential impact on current case management and eligibility. Assessments include the… more
- CVS Health (Richmond, VA)
- …and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and regulatory standards ... of strategies designed to reduce risk factors and address complex clinical indicators which impact care planning and resolution...of care to meet the member's goals. o Utilizes case management and quality management … more
- Elevance Health (Arlington, VA)
- …fieldwork.** The **Behavioral Health Case Manager II** is responsible for performing case management telephonically and/or by home visits within the scope of ... licensure for members with behavioral health, substance abuse, and/or complex medical needs. **How you will make an impact:**...of the United States required. + Previous experience in case management and telephonic and/or in person… more
- Veterans Affairs, Veterans Health Administration (Hampton, VA)
- …restrictive, most cost-effective manner. HT is a program that applies care and case management principles to coordinate care using health informatics, disease ... position responsibilities that demonstrates leadership, experience, and creative approaches to the management of complex patient care. Care will be provided in… more
- CVS Health (Richmond, VA)
- …Case Manager is responsible for assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs ... designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning...Reviews prior claims to address potential impact on current case management and eligibility. Assessments include the… more
- CVS Health (Richmond, VA)
- …is a division within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH ... designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning...overcome barriers to meeting goals and objectives. + Utilizes case management processes in compliance with regulatory… more