- CVS Health (VA)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... + This position consists of working intensely as a telephonic case manager with patients and their...setting. + A Registered Nurse that holds an active, unrestricted… more
- Elevance Health (Norfolk, VA)
- ** Telephonic Nurse Case Manager II** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... service members in different states; therefore Multi-State Licensure will be required.** The ** Telephonic Nurse Case Manager II** is responsible for care… more
- ChenMed (Richmond, VA)
- …providers. We're rapidly expanding and we need great people to join our team. The Nurse Case Manager 1 ( RN ) is responsible for achieving positive patient ... post-acute facilities, as well as, their home environments. The Nurse Case Manager 1 ( RN )...above "Core" duties/responsibilities plus the following: + Community Case Manager role as above. + CM telephonic … more
- Somatus (Mclean, VA)
- …utilizing basic nursing knowledge, experience and skills to ensure appropriate utilization of resources and patient quality outcomes. Performs care management ... the Medical Director (OMD) Quality Committee. Qualifications Required Qualifications: + Active RN license in current state of residence with the ability to qualify… more
- Elevance Health (Norfolk, VA)
- **Behavioral Health - Care Manager II** **Location** : _Virtual:_ This role enables associate to work virtually full-time, with the exception of required in-person ... accommodation is granted as required by law. The **Behavioral Health - Care Manager II** is responsible for managing psychiatric and substance abuse or substance… more
- Elevance Health (Palmyra, VA)
- …within the scope of licensure including, for example, assisting the responsible RN with telephonic or face-to-face assessments for the identification, ... is responsible for working under the direction/supervision of an RN , with overall responsibility for the member's case. As...health care team, to ensure cost effective and efficient utilization of health benefits. + Decision making skills will… more
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