- Highmark Health (Richmond, VA)
- …manage an active case load of members in his/her panel that are enrolled in case management . The incumbent conducts outreach to members enrolled in case ... local, and regulatory agency requirements and applicable standards of practice for case management including those published by CMSA and/or ACMA, as required by… more
- KBR (Arlington, VA)
- …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 Case Manager Association, or American Nurse Credentialing Center, or shall obtain the certification within the first year… more
- 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
- Elevance Health (Arlington, VA)
- …**Behavioral Health Case Manager II** is responsible for performing case management telephonically and/or by home visits within the scope of licensure ... **Behavioral Health Case Manager II** **Location:** This field-based...of the United States required. + Previous experience in case management and telephonic and/or in person… 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 ... cases at case conferences for multidisciplinary focus to benefit overall claim management . + Utilizes case management processes in compliance with… more
- Elevance Health (VA)
- …**Behavioral Health Case Manager I** is responsible for performing case management telephonically within the scope of licensure for members with ... **Behavioral Health Case Manager I** **Location** : This...required. **Preferred Skills, Capabilities and Experiences:** + Experience in case management and telephonic and/or in person… more
- Childrens Hospital of The King's Daughters (Norfolk, VA)
- + GENERAL SUMMARY + The Case Manager is responsible for assisting patients and families within our Mental Health Service Line Outpatient Program. Provides ... support, resources, and case management services. Collaborates with multidisciplinary teams...of treatment and provides follow up as necessary. The Case Manager works directly with patients and… more
- CVS Health (Danville, 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...designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning… more
- CVS Health (Front Royal, 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
- Elevance Health (Norfolk, VA)
- …states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of ... licensure for members with complex and chronic care needs by assessing, developing, implementing,... Management experience. + Certification as a Case Manager . + Minimum 2 years' experience… more