- Humana (Richmond, VA)
- …Typical work hours are Monday-Friday, 8 hours/day, 5 days/week. **Required Qualifications** + Registered Nurse ( RN ), holding an active and unrestricted ... part of our caring community and help us put health first** The Manager , Fraud and Waste Investigator: Nurse Audit/Review performs clinical audit/validation… more
- Humana (Richmond, VA)
- …BSN or an advanced degree in nursing or business-related field. + Certified Case Manager (CCM). + Previous MCO management/leadership experience + Previous direct ... help us put health first** Humana Healthy Horizons in Virginia is seeking a Manager , Care Management (Maternal-Child Health) who will lead teams of nurses and health… more
- Elevance Health (Richmond, VA)
- **Behavioral Health Care Manager II - Virginia** **Work location -** Virtual: This role enables associates to work virtually full-time, with the exception of ... licensure is strongly preferred but not required. The **Behavioral Health Care Manager II - Virginia** is responsible for managing psychiatric and substance abuse… more
- Fairfax County Sheriff's Office (Fairfax, VA)
- …+ Possession of current license or a multistate licensure privilege to practice as a Registered Nurse in the Commonwealth of Virginia. + Valid Driver's License + ... TB Field Public Health Nurse (Public Health Nurse II) Print...Under the supervision and direction of the TB Program Manager and the TB Physician, this position works as… more
- US Tech Solutions (Chesapeake, VA)
- …colleagues at all levels to enable decision making at most appropriate level **Duties:** + Nurse Case Manager is responsible for face to face and ... telephonically assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to… more
- Elevance Health (Norfolk, VA)
- …**Medical Management Nurse ** is responsible for review of the most complex or challenging cases that require nursing judgment, critical thinking, and holistic ... with diagnosis. + Provide consultation to Medical Director on particularly peculiar or complex cases as the nurse deems appropriate. + May make recommendations… more
- Elevance Health (Richmond, VA)
- …or NHCAA, RN or JD certification preferred. + Experience in complex , high dollar white collar and/or healthcare investigations strongly preferred. + Experience ... teams across the national SIU. + Functions within the SIU include investigations, case intake and assignment, and data analysis. + Hires, trains, coaches, counsels,… more
- ChenMed (Norfolk, VA)
- …may require 50-75% of local travel EDUCATION AND EXPERIENCE CRITERIA: + Current RN licensure and Nurse Practitioner Certification in the State of practice ... we need great people to join our team. The Nurse Practitioner (NP) acts as part of the clinical...the nursing plan of care, health education, physician referrals, case management referrals, follow-up and clear documentation according to… more