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  • Roanoke, United States Compassus Full time

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  • Roanoke, United States Compassus Full time

    Company:Have you got the right qualifications and skills for this job Find out below, and hit apply to be considered.CompassusAt Compassus, we know that caring for our teammates is the first step in caring for our patients. We are committed to providing Care for Who You Are and What You Need to balance work and life including flexible scheduling, a...

  • Case Administrator I

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    Roanoke, United States Virginia Western Bankruptcy Court Full time

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  • RN Case Manager

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    Roanoke, Virginia, United States Carilion Clinic Full time

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  • RN - Case Manager

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  • RN Case Manager

    1 day ago


    Roanoke, Virginia, United States Carilion Clinic Full time

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  • Roanoke, United States Virginia Lutheran HomesBrandon Oaks Full time

    We are currently taking applications for a Home Health RN Case Manager. The Home Health RN Case Manager works independently with groups of clients to provide initial and on-going assessment of the client's skilled needs, implements individual plans of care and make referrals to others disciplines and /or revise the plan as necessary. Requires Virginia RN...


  • Roanoke, United States Virginia Lutheran HomesBrandon Oaks, Inc Full time

    Job DescriptionJob DescriptionWe are currently taking applications for a Home Health RN Case Manager. The Home Health RN Case Manager works independently with groups of clients to provide initial and on-going assessment of the client’s skilled needs, implements individual plans of care and make referrals to others disciplines and /or revise the plan as...

  • RN Case Manager

    1 month ago


    Roanoke, United States Carilion Clinic Full time

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    Roanoke, United States Molina Healthcare Full time

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  • RN Case Manager

    4 weeks ago


    Roanoke, Virginia, United States Carilion Clinic Full time

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  • Roanoke, United States Prime Source Full time

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  • Travel Nurse RN

    1 month ago


    Roanoke, VA, United States TotalMed Case Management Staffing Full time

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  • Travel Nurse RN

    1 month ago


    Roanoke, VA, United States TotalMed Case Management Staffing Full time

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  • Travel Nurse RN

    3 weeks ago


    Roanoke, VA, United States TotalMed Case Management Staffing Full time

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RN Nurse Case Manager I

2 months ago


Roanoke, United States Elevance Health Full time

LOCATION: This is a remote position for the Tidewater region. Residency in this area is very strongly preferred and Virginia residency is required. HOURS: General business hours, Monday through Friday. TRAVEL: Some visits to a member or provider may be required. The Nurse Case Manager I (Transition of Care) is responsible for performing care management within the scope of licensure for members with complex and chronic care. Responsible for those members at highest risk for a rapid readmission, thus promptly engaging them to assess and address red flags, improve the quality of care, and allow for real-time oversight. Performs duties telephonically or on-site such as at hospitals for discharge planning. Primary duties may include, but are not limited to: Ensures member access to services appropriate to their health needs. Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment. Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements. Coordinates internal and external resources to meet identified needs. Monitors and evaluates effectiveness of the care management plan and modifies as necessary. Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans. Negotiates rates of reimbursement, as applicable. Assists in problem solving with providers, claims or service issues. Required Qualifications Requires BA/BS in a health related field and minimum of 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. Current, unrestricted RN license from the Commonwealth of Virginia is required. Preferred Qualifications Utilization Management; discharge planning in an inpatient setting, home health and/or a skilled/long-term nursing facility is a must for this position. Familiarity with the admission process to a nursing home is strongly preferred. Certification as a Case Manager is preferred.