• Telephonic Nurse Case Manager…

    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 ... therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II ** is responsible...as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of… more
    Elevance Health (05/22/25)
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  • Nurse Case Manager II

    Elevance Health (Norfolk, VA)
    **Nurse Case Manager II ** **Hours:...as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of ... integration, and ensures essential face-to-face onboarding and skill development. The **Nurse Case Manager II ** is responsible for care management within the… more
    Elevance Health (05/22/25)
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  • Healthcare Consultant II

    US Tech Solutions (Chesapeake, VA)
    …all levels to enable decision making at most appropriate level **Duties:** + Nurse Case Manager is responsible for face to face and telephonically assessing, ... and multiple diagnoses that impact functionality. + Reviews prior claims to address potential impact on current case... claims to address potential impact on current case management and eligibility. Assessments include the member's level… more
    US Tech Solutions (04/18/25)
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  • Coding Auditor Educator

    Highmark Health (Richmond, VA)
    …coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure ... + Validates the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems, missed secondary diagnoses and...works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs… more
    Highmark Health (05/09/25)
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