Medical Management Nurse Elevance Health IncMedical Management NurseRichmond, VA$75,772–$113,658 / yearHow you will make an impact: Utilizes nursing judgment and reasoning to analyze members' clinical information, interface with healthcare providers, make assessments based on clinical presentation, and apply clinical guidelines and/or policies to evaluate medical necessity. The Medical Management Nurse is responsible for review of the most complex or challenging cases that require nursing judgment, critical thinking, and holistic assessment of member's clinical presentation to determine whether to approve requested service(s) as medically necessary.
NewSenior Manager (M2), Partner Resolution Management Intuit IncSenior Manager (M2), Partner Resolution ManagementRichmond, VAAs Senior Manager, Partner Resolution Management, you will lead the team accountable for resolving the most complex, high-visibility escalations from our highest-value partners - protecting trust, minimizing business and reputational risk, and driving the root-cause fixes needed to prevent issues from recurring. You will build and coach a team of resolution managers and specialists, own escalation governance end-to-end, and partner across Product, Support Operations, Legal, Risk, and Finance to resolve issues quickly while influencing the upstream changes that reduce escalation volume over time.
Benefit Programs Supervisor - Training Richmond City Council VirginiaBenefit Programs Supervisor - TrainingRichmond, VA$68,830–$108,291 / year5-point veterans must have been discharged under honorable conditions and had one of the following: Active duty in the Armed Forces of the United States, in a war, or during the period 4/28/52-7/1/55 or active duty for more than 180 consecutive days other than for training, any part of which occurred during the period beginning 2/1/55 and 10/14/76 or active duty during the Gulf War sometime between 8/2/90 - 1/2/92 or active duty in a campaign or expedition for which a campaign badge has been authorized or active duty for which more than 180 consecutive days other than for training, any part of which occurred during the period beginning 9/11/2001 and ending on the date prescribed by the Presidential proclamation or by the law as the last date of operation Iraqi Freedom. Providing supervision and ongoing training to a team of Benefit Programs Specialists who provide face-to-face eligibility determination and ongoing case management to City of Richmond residents applying for federal/state programs such as Supplemental Nutrition Assistance Program (SNAP); Medicaid, General Relief; Emergency Assistance; Long-Term Care; Temporary Assistance to Needy Families (TANF) and Aged, Blind & Disabled (ABD) etc.
Intensive Community Manager, Complex Care RN ChenMedIntensive Community Manager, Complex Care RNPetersburg, VirginiaThe Intensive Community Care Manager (ICCM) is a Registered Nurse (RN) who works with our highest complexity patients, their primary care physicians, and other members of the care team that provides hyperfocus case management and field nursing interventions to prevent unnecessary hospital arrivals, keep patients engaged in our intensive primary care model and maximize their healthy time at home. They will assess, evaluate, and coordinate the team’s efforts to stabilize our highest risk patients, with special areas of focus including safe transitions of care from facilities back to our primary care teams, stabilization of our highest risk ambulatory patients and outreach to patients who are assigned to us but are not engaged in care.
Benefit Programs Supervisor - Intake Richmond City Council VirginiaBenefit Programs Supervisor - IntakeRichmond, VA$68,830–$108,291 / year5-point veterans must have been discharged under honorable conditions and had one of the following: Active duty in the Armed Forces of the United States, in a war, or during the period 4/28/52-7/1/55 or active duty for more than 180 consecutive days other than for training, any part of which occurred during the period beginning 2/1/55 and 10/14/76 or active duty during the Gulf War sometime between 8/2/90 - 1/2/92 or active duty in a campaign or expedition for which a campaign badge has been authorized or active duty for which more than 180 consecutive days other than for training, any part of which occurred during the period beginning 9/11/2001 and ending on the date prescribed by the Presidential proclamation or by the law as the last date of operation Iraqi Freedom. Providing supervision and ongoing training to a team of Benefit Programs Specialists who provide face-to-face eligibility determination and ongoing case management to City of Richmond residents applying for federal/state programs such as Supplemental Nutrition Assistance Program (SNAP); Medicaid, General Relief; Emergency Assistance; Long-Term Care; Temporary Assistance to Needy Families (TANF) and Aged, Blind & Disabled (ABD) etc.
Social Worker Care Manager - Memorial Regional Medical Center Bon Secours Mercy HealthSocial Worker Care Manager - Memorial Regional Medical CenterMechanicsville, VirginiaThe Social Worker Care Manager is responsible for providing appropriate interventions and discharge planning services to patients and families and facilitates a smooth transition for the patient throughout the continuum of care by accessing hospital, community, and governmental resources. Bon Secours seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive.
Social Worker Care Manager - Memorial Regional Medical Center Bon Secours Mercy Health IncSocial Worker Care Manager - Memorial Regional Medical CenterMechanicsville, VAJob Summary: The Social Worker Care Manager is responsible for providing appropriate interventions and discharge planning services to patients and families and facilitates a smooth transition for the patient throughout the continuum of care by accessing hospital, community, and governmental resources. Essential Functions: Identifies and prioritizes patients in need of social services, using a holistic approach inclusive of biopsychosocial, functional, cultural, spiritual, and financial factors.
Social Services Supervisor InnovAgeSocial Services SupervisorRichmond, Virginia$72,000–$90,000 / yearFull timeThis role supports participant safety, aging in place, and social determinants of health (SDOH) interventions; oversees grievances, service delivery requests, and incident investigations; guides staff through complex cases including housing instability, facility placement, eligibility barriers, and transitions of care; and serves as a key liaison among the IDT, Center Triad (Center Medical Director, Center Director, and Director of Nursing), and community partners. REQUIRED LICENSURE for NEW MEXICO: Licensed Master Social Worker (LMSW) or Licensed Clinical Social Worker (LCSW) from The New Mexico Board of Social Work-LMSW License.
Social Services Supervisor InnovAge Holding CorpSocial Services SupervisorRichmond, VA$72,000–$90,000 / yearThis role supports participant safety, aging in place, and social determinants of health (SDOH) interventions; oversees grievances, service delivery requests, and incident investigations; guides staff through complex cases including housing instability, facility placement, eligibility barriers, and transitions of care; and serves as a key liaison among the IDT, Center Triad (Center Medical Director, Center Director, and Director of Nursing), and community partners. REQUIRED LICENSURE for NEW MEXICO: Licensed Master Social Worker (LMSW) or Licensed Clinical Social Worker (LCSW) from The New Mexico Board of Social Work-LMSW License.
Family Services Supervisor Commonwealth of VirginiaFamily Services SupervisorVA$55,000–$65,000 / yearAbilities- Demonstrated ability to: plan and manage work activities and assist others in their planning and management; develop programs and procedures; make decisions in difficult situations; communicate effectively both orally and in writing; apply treatment and intervention approaches; interpret laws, policies and regulations regarding human services, ensure compliance and recommend needed changes; supervise others working with clients; analyze situations to make sound judgments within the framework of existing laws, policies, and regulations; and train, evaluate, lead, and develop subordinate staff. Supervises social workers, assistants and others; Sets and enforces objectives for quality and quantity of work performed by unit; Evaluates social service programs and program budgets; Applies appropriate human resource practices in the supervision of staff; Establishes and maintains good working relationships with others; Recommends policy changes based on evaluation of program effectiveness; Deals with difficult or dangerous cases; Interprets the program to other agencies and to the public; and.
Social Worker Care Coordination - Population Health Bon Secours Mercy Health IncSocial Worker Care Coordination - Population HealthVARemoteIn the capacity of a Social Worker, provide clinical care management services to identified eligible patients, coordinating care to obtain desired health outcomes, improve self-care abilities, and decrease unnecessary cost of care. Work as a member of Interdisciplinary Team (IDT) along with the Ambulatory Care Manager (ACM) and Care Coordinator to ensure the assigned patient's individual needs are identified and addressed in a timely manner.
NewDevelopmental Services Lead Support Coordinator Rappahannock Area Community Services BoardDevelopmental Services Lead Support CoordinatorRuther Glen, VAFull timeSkills in:(1) Interviewing;(2) Negotiating with individuals and service providers;(3) Observing recording, and reporting and documenting an individual's behaviors;(4) Identifying and documenting an individual's needs for resources, services, and other assistance;(5) Identifying services within the established service system to meet the individual's needs and preferences;(6) Coordinating the provision of services by diverse public and private providers and generic and natural supports;(7) Analyzing and planning for the service needs of individuals with developmental disability;(8) Formulating, writing, and implementing individual-specific support plans promote goal attainment for recipients with developmental disabilities designed to facilitate attainment of the individual's unique goals for a meaningful, quality life; and(9) Using information from assessments, evaluations, observations, and interviews to develop and revise as needed individual support plans tools (e.g., to ensure the ISP is implemented appropriately, identify change in status, or to determine risk of crisis/hospitalization). TYPICAL EDUCATION, TRAINING AND WORK EXPERIENCEREQUIREDBachelor's Degree in a behavioral health field or equivalent combination of education and experienceOne year experience providing services for individuals with a diagnosis of intellectual or developmental disabilityPREFERREDSome program management experienceSupervisory experienceTwo years of experience as a developmental services support coordinatorLICENSURE AND CERTIFICATIONSREQUIREDValid Virginia driver's licensePREFERREDNoneENVIRONMENTAL AND PHYSICAL EXPOSUREWork involves considerable exposure to disagreeable environmental conditions such as the requirement to provide services and transport participants inclement, if not severe weather; unsanitary spaces, poor hygiene and contagious illness of program participants/family members and interacting with potential hostile individuals and their families; may be required to physically assist program participants; is occasionally interrupted during off-hours with stressful or emergent calls.
Registered Nurse (RN) - Care Manager - Memorial Regional Medical Center Bon Secours Mercy Health IncRegistered Nurse (RN) - Care Manager - Memorial Regional Medical CenterMechanicsville, VAThis role utilizes a collaborative process, the RN Care Manager identifies (using quantitative and qualitative methods), assesses, plans, implements and evaluates the options and services required to meet an individual's health and health related needs, including social- determinants that affect ones' overall wellbeing. Accredited Case Manager Certification (ACM) from American Case Management Association or Certified Case Manager (CCM) from Commission for Case Manager Certification or American Nurses Credentialing Center (ANCC) Nursing Case Management board certification (preferred).
NewRegistered Nurse (RN) - Care Manager - St. Mary's Hospital Bon Secours Mercy HealthRegistered Nurse (RN) - Care Manager - St. Mary's HospitalRichmond, VirginiaAccredited Case Manager Certification (ACM) from American Case Management Association or Certified Case Manager (CCM) from Commission for Case Manager Certification or American Nurses Credentialing Center (ANCC) Nursing Case Management board certification (preferred) . This role utilizes a collaborative process, the RN Care Manager identifies (using quantitative and qualitative methods), assesses, plans, implements and evaluates the options and services to meet an individual’s health and health related needs, including social- determinants that affect ones’ overall wellbeing.
NewRegistered Nurse (RN) Care Manager - Richmond Community Hospital - PRN Bon Secours Mercy HealthRegistered Nurse (RN) Care Manager - Richmond Community Hospital - PRNRichmond, VirginiaAccredited Case Manager Certification (ACM) from American Case Management Association or Certified Case Manager (CCM) from Commission for Case Manager Certification or American Nurses Credentialing Center (ANCC) Nursing Case Management board certification (preferred) . This role utilizes a collaborative process, the RN Care Manager identifies (using quantitative and qualitative methods), assesses, plans, implements and evaluates the options and services to meet an individual’s health and health related needs, including social- determinants that affect ones’ overall wellbeing.
NewRegistered Nurse (RN) - Care Manager - St. Mary's Hospital Bon Secours Mercy Health IncRegistered Nurse (RN) - Care Manager - St. Mary's HospitalRichmond, VAThis role utilizes a collaborative process, the RN Care Manager identifies (using quantitative and qualitative methods), assesses, plans, implements and evaluates the options and services required to meet an individual's health and health related needs, including social- determinants that affect ones' overall wellbeing. Accredited Case Manager Certification (ACM) from American Case Management Association or Certified Case Manager (CCM) from Commission for Case Manager Certification or American Nurses Credentialing Center (ANCC) Nursing Case Management board certification (preferred).
NewRegistered Nurse (RN) - Care Manager - St. Mary's Hospital - PRN Bon Secours Mercy Health IncRegistered Nurse (RN) - Care Manager - St. Mary's Hospital - PRNRichmond, VAThis role utilizes a collaborative process, the RN Care Manager identifies (using quantitative and qualitative methods), assesses, plans, implements and evaluates the options and services required to meet an individual's health and health related needs, including social- determinants that affect ones' overall wellbeing. Accredited Case Manager Certification (ACM) from American Case Management Association or Certified Case Manager (CCM) from Commission for Case Manager Certification or American Nurses Credentialing Center (ANCC) Nursing Case Management board certification (preferred).
Registered Nurse (RN) Care Manager - St. Francis Medical Center - Richmond - PRN Bon Secours Mercy Health IncRegistered Nurse (RN) Care Manager - St. Francis Medical Center - Richmond - PRNMidlothian, VAThis role utilizes a collaborative process, the RN Care Manager identifies (using quantitative and qualitative methods), assesses, plans, implements and evaluates the options and services required to meet an individual's health and health related needs, including social- determinants that affect ones' overall wellbeing. Accredited Case Manager Certification (ACM) from American Case Management Association or Certified Case Manager (CCM) from Commission for Case Manager Certification or American Nurses Credentialing Center (ANCC) Nursing Case Management board certification (preferred).
NewRegistered Nurse (RN) Care Manager - Richmond Community Hospital - PRN Bon Secours Mercy Health IncRegistered Nurse (RN) Care Manager - Richmond Community Hospital - PRNRichmond, VAThis role utilizes a collaborative process, the RN Care Manager identifies (using quantitative and qualitative methods), assesses, plans, implements and evaluates the options and services required to meet an individual's health and health related needs, including social- determinants that affect ones' overall wellbeing. Accredited Case Manager Certification (ACM) from American Case Management Association or Certified Case Manager (CCM) from Commission for Case Manager Certification or American Nurses Credentialing Center (ANCC) Nursing Case Management board certification (preferred).
Registered Nurse (RN) - Care Manager - Memorial Regional Medical Center Bon Secours Mercy HealthRegistered Nurse (RN) - Care Manager - Memorial Regional Medical CenterMechanicsville, VirginiaAccredited Case Manager Certification (ACM) from American Case Management Association or Certified Case Manager (CCM) from Commission for Case Manager Certification or American Nurses Credentialing Center (ANCC) Nursing Case Management board certification (preferred) . This role utilizes a collaborative process, the RN Care Manager identifies (using quantitative and qualitative methods), assesses, plans, implements and evaluates the options and services to meet an individual’s health and health related needs, including social- determinants that affect ones’ overall wellbeing.