- CVS Health (Richmond, VA)
- …we do it all with heart, each and every day. **Position Summary** Nurse Case Manager is responsible for assessing, planning, implementing and coordinating all ... case management activities with members to evaluate the medical...clinical experience (med surg, behavioral health) - 2+ years Managed Care experience. - Must reside in… more
- Veterans Affairs, Veterans Health Administration (Hampton, VA)
- …Remote Patient Monitoring (RMP) Home Telehealth (HT) Registered Nurse (RN) Case Manager executes position responsibilities that demonstrates leadership, ... most cost-effective manner. HT is a program that applies care and case management principles to coordinate...and data exchange with community-based providers when there is co- managed care . The HT RN identifies patients'… more
- Erickson Living (Springfield, VA)
- Location: Greenspring Village by Erickson Senior Living Join our team as a Home Care Clinical Manager who oversees and supports our onsite Home Health and ... (certified) and Home Support (private duty) agencies, ensuring patient care is coordinated and managed appropriately. +...consultation, and joint home visits with employees. + Conduct case conferences with the clinicians and evaluate each … more
- Humana (Virginia Beach, VA)
- …part of our caring community and help us put health first** The Field Care Manager , Behavioral Health performs primarily face to face and telephonic assessments ... with members. The Field Care Manager serves as the primary point...social service agencies and additional community resources + Previous managed care experience + Bilingual preferred (Spanish,… more
- Humana (Falls Church, VA)
- …a part of our caring community and help us put health first** The Field Care Manager , ARTS assesses and evaluates member's needs and requirements to achieve ... care and wellbeing of members. The Field Care Manager , Behavioral Health 2 work assignments...additional community resources. + Knowledge of ASAM levels of care . + Managed Care Experience.… more
- Humana (Chesapeake, VA)
- …Nursing (BSN). + Certification in Case Management (CCM). + Previous managed care experience. + Motivational Interviewing Certification and/or knowledge. + ... Healthy Horizons in Virginia is seeking a RN, Field Care Manager (Field Care ...+ Two (2) years of prior experience in health care and/or case management. + One (1)… more
- CenterWell (Lynchburg, VA)
- … Case Managers and clinical staff documentation to include starts-of- care , resumption-of-cares, and re-certifications, for appropriateness of care , delivery, ... and outcomes of care analysis to determine efficiency, the efficacy of case management system as well as any other systems and process. Competently performs… more
- Genesis Healthcare (Norfolk, VA)
- …review, rehabilitation and quality assurance. 10. Establishes communication networks with Managed Care Caseworkers to assure approved appropriate care ... nursing centers, assisted and independent living facilities, outpatient clinics, and home-based care . We're proud to deliver personalized care exactly where and… more
- HCA Healthcare (Richmond, VA)
- …is incentive eligible. **Job Summary and Qualifications** The Regional Coding Operations Manager is responsible for assisting in the development and evolution of the ... Director Coding Operations Division Support in reviewing progress against business case expectations and operational metrics to ensure that financial and operational… more
- Datavant (Richmond, VA)
- …sciences companies, government agencies, and those who deliver and pay for care . By joining Datavant today, you're stepping onto a high-performing, values-driven ... DevEx. **You know data at scale. You've been a part of teams that have managed data infrastructure at scale and have seen where stress fractures form. Data modeling,… more