- Elevance Health (Norfolk, VA)
- …integration, and ensures essential face-to-face onboarding and skill development._ The Managed Care Coordinator Clinician Non-RN is responsible for contributing ... to the care coordination process by performing activities within the scope...This position operates with overall responsibility for the member's case , as required by applicable state law and contract.… more
- Healthfirst (VA)
- The Case Manager , Utilization Management coordinates the care plan for assigned members and conducts pre-certification, concurrent review, discharge ... Masters degree in a related discipline + Experience in managed care , case management, identifying... care options, and discharge planning + Certified Case Manager + Interqual and/or Milliman knowledge… more
- KBR (Arlington, VA)
- …in order to develop time sensitive treatment plans which delineate the expected process of care delivery for selected case managed patients or populations. + ... Title: Special Operations Nurse Case Manager / Case ...Title: Special Operations Nurse Case Manager / Case Manager .... We maintain a highly qualified workforce to help care for service people and astronauts across the world… more
- Elevance Health (Norfolk, VA)
- …therefore Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for performing care management within the scope ... **Telephonic Nurse Case Manager II** **Location: Virtual: This...years "telephonic" Case Management experience with a Managed Care Company. + Managed … more
- CVS Health (Falls Church, VA)
- …+ Effective communication skills, both verbal and written. **Preferred Qualifications** + Managed Care and Integrated model Case Management experience. ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...with heart, each and every day. **Position Summary** This Case Manager RN/LPN position is a field-based… more
- CVS Health (Chatham, VA)
- …computer skills which includes navigating multiple systems and keyboarding. **Preferred Qualifications** - Managed Care experience - Case Management in an ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...with heart, each and every day. **Position Summary** This Case Manager RN/LPN position is with Aetna's… more
- CVS Health (Richmond, VA)
- …- Case Management and Discharge planning experience preferred - Managed Care experience preferred - Microsoft Office experience preferred **Education** ... reimbursed per our company expense reimbursement policy. The Clinical Case Manager utilizes advanced clinical judgment and...care to meet the member's goals. o Utilizes case management and quality management processes in compliance with… more
- Elevance Health (Norfolk, VA)
- …48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for ... **Telephonic Nurse Case Manager II** **Location: Virtual: This...Manager . + Minimum 2 years' experience in acute care setting. + Managed Care … more
- Childrens Hospital of The King's Daughters (Norfolk, VA)
- …SUMMARY + The Case Manager is responsible for coordinating the case management care plan to meet the individual/caregiver needs, promoting quality, and ... to a safe discharge in a timely manner. The Case Manager is responsible for the facilitation...of resources and progress of the patient through their care . + Interfaces with managed care… more
- Elevance Health (Arlington, VA)
- **Behavioral Health Case Manager II** **Location:** This field-based role enables associates to primarily operate in the field, traveling to client sites or ... 8:00a-5:00p in local time zone, Virtual with ~50% local fieldwork.** The **Behavioral Health Case Manager II** is responsible for performing case management… more