- Insight Global (Henrico, VA)
- Job Description Insight Global is looking for a Senior Data Case Manager to join one of our clients in Richmond VA. The CIO Case Manager is a ... the entire approval process for the incoming & outgoing data requests for the Front-Line Units who have a...processing of cases. The average time frame of one case is 145 days and requires consistent follow-up to… more
- HCA Healthcare (Salem, VA)
- …**Are you passionate about delivering patient-centered care?** Submit your application for RN Case Manager position and spend more time at the bedside with ... work to deliver clinical excellence behind the scenes in data science, case management or transfer centers....an organization that invests in you as a RN Case Manager ? We are seeking an experienced… more
- KBR (Virginia Beach, VA)
- Title: Special Operations Nurse Case Manager (JEB Little Creek, VA) THIS POSITION OFFERS RELOCATION. THIS POSITION IS ELIGIBLE FOR THE KBR INTERNAL RECRUITING ... services. We are seeking a stellar Special Operations Nurse Case Manager that will provide a full...Duties & Responsibilities: + Collect, organize, record, and communicate data relevant to primary health assessments including a detailed… more
- CVS Health (Richmond, VA)
- …And we do it all with heart, each and every day. **Position Summary** This Case Manager RN/LPN position is with Aetna's Long-Term Services & Support (LTSS) team ... 50-75% of the time to meet with members. Nurse Case Manager is responsible for assessing, planning,...coverage policies. Through the use of clinical tools and information/ data review, conducts an evaluation of member's needs and… more
- Select Medical (Alexandria, VA)
- **Overview** **Critical Illness Recovery Hospital** ** Case Manager (PRN)** _Requires a current licensure in a clinical discipline either as a Nurse or a ... and doing well by doing what is right. The Case Manager is responsible for utilization reviews...would be scheduled on weekdays, from appoximately 8a.m.-5p.m. **Additional Data ** Select Medical strives to provide our employees with… more
- Highmark Health (Richmond, VA)
- …assesses health management needs of the assigned member panel and utilizing data /analytics in conjunction with professional clinical judgement to identify the right ... interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are...to interpret, evaluate and act on clinical and financial data , including analysis of statistical data +… more
- US Tech Solutions (Richmond, VA)
- …Case management and/or discharge planning experience preferred **Position Summary** + Nurse Case Manager is responsible for telephonically and/or face to face ... patient advocacy. **Duties** + Through the use of clinical tools and information/ data review, conducts an evaluation of member's needs and benefit plan eligibility… more
- Cardinal Health (Richmond, VA)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient ... accuracy and efficiency. + Track key patient metrics, analyzing data to identify trends and areas for improvement, and...effective solutions. + Provide guidance and training to junior case managers on best practices in case … more
- CVS Health (Richmond, VA)
- …it all with heart, each and every day. **Position Summary** + Nurse Case Manager is responsible forassessing, planning, implementingand coordinating all case ... policies. + Through the use of clinical tools and information/ data review, conducts an evaluation of member's needs and...Reviews prior claims to address potential impact on current case management and eligibility. + Using a holistic approach… more
- University of Virginia (Charlottesville, VA)
- …initial screening on all patients within one day of patient being available to the case manager . Begin discharge planning process on patients deemed to be high ... but not discharging) + Completes documentation on all patients being followed by Case Management at discharge + Appropriately identifies need for UAI and Level II… more