Nurse Case Mgr II
4 weeks ago
Location: This position will take part in Elevance Health's hybrid workforce strategy which includes virtual-based work and onsite requirements as needed by the department only. Although this position is virtual-eligible our ideal candidate will still live within a reasonable proximity (1-hour commute and a 50-mile radius) to an Elevance Health Pulsepoint. The Nurse Case Manager II is responsible for care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. 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. Assists with development of utilization/care management policies and procedures. Minimum Requirements Requires BA/BS in a health related field and minimum of 5 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. Current, unrestricted RN license in applicable state(s) required. Multi-state licensure is required if this individual is providing services in multiple states. Preferred Experience Certification as a Case Manager is preferred. Discharge planning experience is a strong plus For URAC accredited areas the following applies: Requires a BA/BS and minimum of 5 years of clinical care experience; or any combination of education and experience, which would provide an equivalent background. Current and active RN license required in applicable state(s). Certification as a Case Manager and a BS in a health or human services related field preferred.
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Nurse Case Mgr II
2 days ago
Norfolk, United States Elevance Health Full timeLocation: This position will take part in Elevance Health's hybrid workforce strategy which includes virtual-based work and onsite requirements as needed by the department only. Although this position is virtual-eligible our ideal candidate will still live within a reasonable proximity (1-hour commute and a 50-mile radius) to an Elevance Health...
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Behavioral Health Case Manger II
4 weeks ago
Norfolk, United States Elevance Health Full timeHours: Thursday-Monday or Friday-Tuesday 4:00 pm-12:30 am EST with 15% shift differential. Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles or a 1-hour commute each way of one of our Elevance Health PulsePoint locations. The Behavioral Health Case Manager II position is primarily member...
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Travel Nurse RN
3 days ago
Norfolk, United States TravelNurseSource Full timeTravelNurseSource is working with Amare Medical Network to find a qualified Case Manager RN in Charlottesville, Virginia, 22903!Pay Information$2,380 per weekAbout The PositionCase managers work to facilitate patient care by assessing patient needs, evaluating treatment options, creating treatment plans, coordinating care, and gauging progress. The overall...
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Registered Nurse
2 months ago
Norfolk, United States Wings Over Virginia Hospice Full timeWe are growing and looking for caring RN's, and Case Mgr's like you! We are a home care hospice operating in the in and around the Hampton Roads/Virginia Beach area. MUST have Hospice experience• Prepare clinical and progress notes that demonstrate progress toward established goals. Ensure continuity of quality patient care delivered with appropriate...
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Travel Nurse RN
7 days ago
Norfolk, United States TravelNurseSource Full timeTravelNurseSource is working with Coast Medical Service to find a qualified Case Manager RN in Charlottesville, Virginia, 22903!Pay Information$2,214 per weekAbout The PositionCoast Medical Service is a nationwide travel nursing & allied healthcare staffing agency dedicated to providing an elite traveler experience for the experienced or first-time traveler....
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Travel Nurse RN
3 days ago
Norfolk, United States TravelNurseSource Full timeTravelNurseSource is working with Coast Medical Service to find a qualified Case Manager RN in Warsaw, Virginia, 22572!Pay Information$2,242 per weekAbout The PositionCoast Medical Service is a nationwide travel nursing & allied healthcare staffing agency dedicated to providing an elite traveler experience for the experienced or first-time traveler. Coast is...
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Software Engineer II
3 days ago
Norfolk, United States HyerTek Inc. Full timeHyerTek is a Washington D.C area company, specializing in providing innovative and customized technology solutions to both federal government clients and commercial enterprises. Our expertise includes data analytics, cloud, collaboration, human-centered design, and training. Job Title: Software Engineer II Classification Requirement: Secret (S)/IA Technical...
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Assistant Commonwealth Attorney I, II, and III
4 weeks ago
Norfolk, United States City of Norfolk, VA Full timeNorfolk Commonwealth's Attorney Office seeks prosecutors dedicated to the principles of public safety, equity, honesty, and fairness. Norfolk is a busy jurisdiction of 40 prosecutors and 45 staff, with ample opportunity for gaining experience early and for working on interesting and advanced cases. The office prosecutes all felony cases and selected...
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Norfolk, United States City of Norfolk, VA Full timeNorfolk Commonwealth's Attorney Office seeks prosecutors dedicated to the principles of public safety, equity, honesty, and fairness. Norfolk is a busy jurisdiction of 40 prosecutors and 45 staff, with ample opportunity for gaining experience early and for working on interesting and advanced cases. The office prosecutes all felony cases and selected...
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Integrated Nurse Case Manager
2 days ago
Norfolk, United States Sentara Full timeCity/State Norfolk, VA Overview Work Shift First (Days) (United States of America) Sentara Health is currently seeking afull-time, Nurse Case Manager Remote for candidates that live in Northern Virginia: Winchester, Fairfax, Culpeper, Manassas, Arlington, Luray, Front Royal, Leesburg and surrounding areas! This position requires telephonic assessments and...
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IT Project Manager II
2 months ago
Norfolk, United States Cybrex LLC Full timeJob DescriptionJob DescriptionCybrex is in the process of bidding a new Cyber/IT Services Proposal and is sourcing for potential staff. This position is one of many where we are accepting applications, doing interviews and making contingent employment offers with negotiated salary amounts. Upon a win the Contingent offer would become a permanent offer at the...
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IT Project Manager II
3 days ago
Norfolk, United States Cybrex LLC Full timeJob DescriptionJob DescriptionCybrex is in the process of bidding a new Cyber/IT Services Proposal and is sourcing for potential staff. This position is one of many where we are accepting applications, doing interviews and making contingent employment offers with negotiated salary amounts. Upon a win the Contingent offer would become a permanent offer at the...
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Family Support Specialist II
1 month ago
Norfolk, United States Urban Strategies, Inc. Full timeJob DescriptionJob DescriptionJob Title: Family Support Specialist II Background: For over 40 years, Urban Strategies, Inc. has assisted residents and community stakeholders to design and implement a wide range of transformative projects in distressed U.S. communities. Our mission is all children and families will be stable and thriving. Job Summary: The...
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Registered Nurse
3 weeks ago
Norfolk, VA, United States Wings Over Virginia Hospice Full timeWe are growing and looking for caring RN's, and Case Mgr's like you! We are a home care hospice operating in the in and around the Hampton Roads/Virginia Beach area. MUST have Hospice experience• Prepare clinical and progress notes that demonstrate progress toward established goals. Ensure continuity of quality patient care delivered with appropriate...
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Inpatient Case Management Rn
2 weeks ago
Norfolk, United States Sentara Healthcare Full time**Sentara Norfolk General Hospital is hiring an Inpatient Case Manager RN to work full-time rotating shifts.** Responsible and accountable for the provision and facilitation of comprehensive care management, services and quality outcomes for patients across the healthcare continuum, primary focus on patient transition to the appropriate level of care while...
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Team Coordinator, Inpatient Case Management
6 days ago
Norfolk, United States Sentara Healthcare Full timeCity/State Norfolk, VA Overview Work Shift First (Days) (United States of America) Sentara Norfolk General Hospital is hiring a Team Coordinator, Inpatient Case Management RN This position is full-time The Inpatient Case Management TC is responsible for first level leadership, supporting assignments, daily operations, onboarding, payroll, and complex patient...
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Team Coordinator, Inpatient Case Management
3 days ago
Norfolk, United States Sentara Healthcare Full timeCity/State Norfolk, VA Overview Work Shift First (Days) (United States of America) Sentara Norfolk General Hospital is hiring a Team Coordinator, Inpatient Case Management RN This position is full-time The Inpatient Case Management TC is responsible for first level leadership, supporting assignments, daily operations, onboarding, payroll, and complex patient...
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Scheduling Coordinator II
2 weeks ago
Norfolk, United States Children's Hospital of the King's Daughters Full timeFull-Time 171 Kempsville Rd. Professional /Technical Days 17.3300 Through 25.9900 * GENERAL SUMMARY * The Scheduling Coordinator II (Surgery and Procedures) coordinates schedules for surgical and/or procedural cases designated as complex and maintains processes for high-volume practices/specialties. Responsible for insurance validation and...
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Scheduling Coordinator II
3 days ago
Norfolk, United States Children's Hospital of the King's Daughters Full timeFull-Time 171 Kempsville Rd. Professional /Technical Days 17.3300 Through 25.9900 * GENERAL SUMMARY * The Scheduling Coordinator II (Surgery and Procedures) coordinates schedules for surgical and/or procedural cases designated as complex and maintains processes for high-volume practices/specialties. Responsible for insurance validation and...
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Travel Nurse RN
2 weeks ago
Norfolk, United States TravelNurseSource Full timeTravelNurseSource is working with Specialty Professional Services to find a qualified Case Manager RN in Charlottesville, Virginia, 22908!Pay Information$2,157 to $2,384 per weekAbout The PositionOur Client is currently seeking Case Management for positions in Charlottesville, VA for a 4x10 Days shift. The ideal candidate will possess a current VA license or...