- Highmark Health (Richmond, VA)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN state licensure… more
- Sharecare (Richmond, VA)
- …**Monday June 16th, 2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- Sharecare (Richmond, VA)
- …support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Clinical Registered Nurse coordinates with the Primary ... the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn...management program intervention guidelines. A Clinical Registered Nurse is supervised by an Operations Manager … more
- ChenMed (Richmond, VA)
- …rapidly expanding and we need great people to join our team. The Registered Nurse , Telehealth is responsible for providing telephonic triage directional patient ... care advice for general and specific illnesses, health related...and their families. The incumbent in this role provides remote clinical advice and assessments within license and as… more
- Public Consulting Group (Richmond, VA)
- …learn more, visit www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager . The Case Manager ... Proven working experience in case management, including as a nurse , medical, mental health care manager...plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions**… more
- Highmark Health (Richmond, VA)
- …in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to ... coordinate care , and identifying various resources to assist members in...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Highmark Health (Richmond, VA)
- …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to… more
- Somatus (Mclean, VA)
- Overview As the largest and leading value-based kidney care company, Somatus is empowering patients across the country living with chronic kidney disease to ... This position is responsible for ensuring the continuity of care in both the inpatient and outpatient setting utilizing...telephonically as the need arises. **This is a fully remote role where compact licensure is strongly preferred.** **The… more
- Humana (Richmond, VA)
- …of post-degree clinical experience in behavioral health **OR** + Active, unrestricted Kentucky Registered Nurse **( RN )** license with at least three years ... Humana Healthy Horizons in Kentucky is seeking a Field Care Manager , Behavioral Health 2 who will...to troubleshoot and resolve basic technical difficulties in a remote environment. + Experience working with Severe and Persistent… more
- Humana (Richmond, VA)
- …and help us put health first** Humana Healthy Horizons in Virginia is seeking a Care Manager , Telephonic Nurse 2 (Disease Management) who will assess and ... telephonic environment. This position assists members with their health care needs and obtain the right services, skills, and...**Must reside in the Commonwealth of Virginia.** + Active Registered Nurse ( RN ) license in… more