Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

RN Complex Case Manager: Care Coordination & Outcomes

Highmark Health

A leading health insurer is seeking a candidate to manage a panel of members' health needs. The ideal individual will assess these needs, develop care plans, and manage clinical interventions while ensuring compliance with regulations. Candidates must have a High School Diploma (Bachelor's in Nursing preferred) and 7 years of experience in clinical or health insurance roles. This position offers competitive pay and requires strong analytic, organizational, and interpersonal skills. #J-18808-Ljbffr Highmark Health

Vacancy posted 17 hours ago
Similar jobs that could be interesting for youBased on the RN Complex Case Manager: Care Coordination & Outcomes in Richmond, VA vacancy
  • $57.7k

     ...incumbent assesses health management needs of the...  ...manage an active case load of members in...  ...to: developing a care plan, encouraging...  ...helping members to coordinate care, and identifying...  ...maintains quality outcomes (clinical,...  ...Current State of PA RN licensure OR Current... 
    Suggested
    Remote job
    Temporary work
    For contractors
    Work at office
    Local area

    Highmark Health

    Richmond, VA
    2 days ago
  •  ...career with us, experience our caring culture, and enjoy work-...  ...Workers Comp Field Case Managers! Must be an RN and have a minimum of 1.5...  ...assist in the management of complex medical conditions, treatment...  ...advocate to support, guide and coordinate care for injured workers,... 
    Suggested
    Work at office
    Remote work
    Work from home
    Relocation package

    Sedgwick

    Richmond, VA
    2 days ago
  •  ...CJW Medical Center in Richmond, Virginia, is seeking a Registered Nurse RN Case Manager to manage patient care from admission through discharge. This role involves collaborating with healthcare teams to develop treatment goals and providing patient education to ensure... 
    Suggested

    CJW Medical Center

    Richmond, VA
    4 days ago
  • $63.84k - $96.6k

     ...Position Title: Nurse Case Manager I Job...  ...approach to making care more integrated, personalized...  ...for members with complex and chronic care...  ..., implementing, coordinating, monitoring, and...  ..., unrestricted RN license in the state...  ...our business outcomes and drive our shared... 
    Suggested
    Full time
    Work experience placement
    Local area
    Monday to Friday
    1 day per week

    Elevance Health

    Richmond, VA
    3 days ago
  • $32.95 - $49.42 per hour

     ...opportunities as a Registered Nurse RN Case Manager you want with your current employer...  ...through every step of their care journey. You will coordinate services, connect resources, and develop...  ...assessments, treatment goals, interventions, outcomes, and discharge plans. You will... 
    Suggested
    Hourly pay
    Temporary work
    Flexible hours

    Mission Hospital

    Richmond, VA
    2 days ago
  •  ...Gallagher Bassett Medical Management Coordinator At Gallagher Bassett...  ...help clients navigate complexity, support recovery, and deliver outcomes that make a real...  ...outcomes drivers — people who care deeply about doing the...  ...employees, performing case management through telephonic... 
    Work experience placement
    Live out
    Work at office
    Local area
    Flexible hours

    Arthur J. Gallagher & Co.

    Richmond, VA
    4 days ago
  •  ...opportunities as a Registered Nurse RN Case Manager you want with your current employer...  ...through every step of their care journey. You will coordinate services, connect resources, and develop...  ...assessments, treatment goals, interventions, outcomes, and discharge plans. You will... 
    Temporary work
    Flexible hours

    CJW Medical Center

    Richmond, VA
    17 hours ago
  •  ...Ennoble Care is a mobile primary care, palliative...  ...monitoring, behavioral health management, and chronic care...  ...Hospice Registered Nurse Case Manager to work within...  ...interdisciplinary team, the RN Case Manager works...  ...caseload by the Patient Care Coordinator or designee Assume... 
    Full time
    Temporary work
    Work experience placement
    Work at office
    Remote work
    Visa sponsorship
    Flexible hours

    Ennoble Care

    Richmond, VA
    4 days ago
  • $44.14 per hour

     ...Description A-Line Staffing is now hiring an RN Case Manager. This will be Full Time. Schedule –  M-F 8...  ..., implement, and adjust individualized care plans based on clinical needs and ongoing evaluation Coordinate care transitions, including hospital discharge... 
    Remote job
    Weekly pay
    Full time
    Immediate start

    A-Line Staffing Solutions

    Richmond, VA
    1 day ago
  • $50k - $52k

     ...families involved in foster care. The Foster Care Case Manager plays a vital role in...  ...families through service coordination, advocacy, and individualized...  ...permanency, and positive outcomes. We are seeking a...  ...disturbed, and medically complex children. He or she will... 
    Full time
    Flexible hours
    Weekend work

    BrightSpring Health Services

    Richmond, VA
    4 days ago
  • $54.1k - $155.54k

     ...passionate colleagues who care deeply, innovate...  ...AHH) is a medical management company that is a...  ...accredited in Case Management,...  ...barriers and address complex health and social...  ...setting. The AHH RN Case manager position...  ...navigator or nurse care coordinator experience as well... 
    Hourly pay
    Full time
    Local area
    Remote work
    Work from home
    Flexible hours

    CVS Health

    Richmond, VA
    5 days ago
  •  ...comprehensive healthcare management services to...  ...optimal outcomes. Identifies and...  ...barriers and address complex health and...  ...indicators which impact care planning and...  ...on current case management and...  ...and coordinating all case management...  ...Education Active RN license in... 
    Temporary work

    Varite

    Richmond, VA
    4 days ago
  • $2,805 per month

     ...but are not limited to, the following: Managing the overall operation of the center under...  ...for each center department; Reviewing and coordinating the processing of all paperwork...  ...dependents Disability, Life and Long Term care insurance Employee Assistance Program, Flexible... 
    Immediate start
    Flexible hours
    Shift work

    Affinity Care of Virginia

    Richmond, VA
    3 days ago
  •  ...RN Coordinator As the nation's largest private employer of Registered...  ...safe, high-quality care for which they can practice....  ...top 5% nationally for patient outcomes through Health Grades, or are...  ...Participates in daily bed management meetings when working in the... 
    Temporary work
    Work at office
    Flexible hours

    Medical City Arlington

    Richmond, VA
    17 hours ago
  •  ...Job Description: Care Manager – Registered Nurse Monogram...  ...lives. The Care Manager RN is a key member of an...  ...positive health outcomes. Your Impact: As a Registered...  ...medications and coordinate with pharmacists and prescribers...  ...care for the most complex of patients who have... 
    Work at office
    Local area
    Remote work
    Flexible hours
    Night shift
    Weekend work

    Monogram Health Inc

    Richmond, VA
    5 days ago
  • $75.68k - $119.2k

     ...Telephonic Nurse Case Manager II Telephonic Nurse Case...  ...II is responsible for care management within the...  ...licensure for members with complex and chronic care needs...  ..., implementing, coordinating, monitoring, and evaluating...  ...Current, unrestricted RN license is required.... 
    Full time
    Work at office
    Local area
    Afternoon shift

    Elevance Health

    Richmond, VA
    4 days ago
  •  ...the Role: The Behavioral Health Care Coordinator plays a pivotal role in managing and enhancing the delivery of behavioral...  ...efforts as needed to optimize outcomes. Facilitate referrals to...  ...clinical triage skills daily to manage complex care plans and facilitate... 
    Full time
    Temporary work
    Immediate start

    Daily Planet Health Services

    Richmond, VA
    a month ago
  •  ...on evenings* The Clinical Coordinator facilitates patient flow, coordinates...  ...for patients, staff, health care providers, administration and...  ...for Hire: Current RN licensure in Virginia or eligible...  ...patient/family with specific outcomes and demonstrated use of sound... 
    Relocation package
    Monday to Thursday
    Shift work
    Afternoon shift

    VCU Health

    Richmond, VA
    12 days ago
  • $72k - $75k

     ...with us, experience our caring culture, and enjoy...  ...Insurance Telephonic Case Manager PRIMARY PURPOSE OF...  ...advocacy, communication and coordination of medical services....  ...in the management of complex medical conditions,...  ...Current unrestricted RN license(s) in a state... 
    Work experience placement
    Remote work
    Flexible hours

    Sedgwick

    Richmond, VA
    2 days ago
  •  ...Case Manager II The Case Manager II is responsible for maintaining a caseload of patients, completing all oversight related to patient care by other nurses and coordination with the Director of Nursing to ensure compliance and standards of care are met. We are looking... 

    Home Health Services of Virginia

    Mechanicsville, VA
    1 day ago
  •  ...Job Description MDS Coordinator Join Our Team as an MDS...  ...individualized care plans, and supporting...  ...accuracy through effective case management and documentation....  ...support quality care outcomes. Serve as a resource...  ...state Registered Nurse (RN) license. Knowledge... 

    Beaufont Health & Rehabilitation Center

    Richmond, VA
    18 days ago
  •  ...career opportunities. RN Grad Fellow Job...  ...validation from others for complex patients or unfamiliar...  ...patients' learning needs and outcomes measurement of patient...  ...patient outcomes. Coordinates healthcare and alternate...  ...throughout the continuum of care to include patient and... 
    Remote work
    All shifts
    Flexible hours
    Shift work
    Night shift
    Day shift

    Inova Health System

    Richmond, VA
    2 days ago
  •  ...RN-Charge, Critical Care Schedule: Day Shift. 36 Hours Weekly...  ...is responsible for coordinating all administrative,...  ...and assists the Unit Manager with developing educational...  ...encountered in the complex health care...  ...ensure optimal patient outcomes and safety. Fundamental... 
    All shifts
    Flexible hours
    Shift work
    Day shift

    Reid Home Health

    Richmond, VA
    4 days ago
  •  ...Nurse Case Manager II Job Duration: 3+ months (Possibilities of extension...  ...an active and unrestricted RN license in the state of Virginia...  ...optimal, cost-effective outcomes. Requires an RN with unrestricted...  ...hospital setting, alternative care setting such as home health or... 
    Shift work

    Careers Integrated Resources Inc

    Richmond, VA
    2 days ago
  • $33.74 - $50.62 per hour

     ...safe, high-quality care—so you can focus...  ...Registered Nurse coordinates and delivers high...  ...the care team, the RN provides individualized...  ..., Teach, and Manage." The RN serves as...  ...experience and clinical outcomes that contribute to...  .... Translates complex medical terminology... 
    Hourly pay
    Temporary work
    Flexible hours

    HCA Florida West Hospital

    Richmond, VA
    1 day ago
  •  ...Job Description Job Description Case Manager At Prestige Healthcare Services , we are committed to delivering exceptional care and support to our patients and their families...  ...therapy, social services, dietary) • Coordinate and communicate with insurance... 
    Daily paid
    Temporary work
    Remote work
    Flexible hours

    Prestige

    Richmond, VA
    1 day ago
  • $49 - $69 per hour

     ...Become a part of our caring community As a CenterWell Home Health nurse, reporting to the Clinical Manager, you will provide personalized, one-on-one care that helps patients...  ...accurate records of patient care and coordinate with other healthcare professionals. Report... 
    Full time
    Temporary work
    Apprenticeship

    CenterWell

    Richmond, VA
    3 days ago
  • $49 - $69 per hour

     ...Join Our Caring Community As a CenterWell Home Health nurse, reporting to the Clinical Manager, you will provide personalized, one-on-one care that helps patients regain...  ...Maintain accurate records of patient care and coordinate with other healthcare professionals.... 

    CenterWell Senior Primary Care

    Richmond, VA
    4 days ago
  •  ...Patient Care Coordinator II Richmond VA - Richmond, VA 23226 Overview...  ...by attracting new patients, managing the administrative and...  ...demographics, insurance and case information Collects and...  ...and problems and refers more complex issues to higher-level staff... 
    Part time
    Casual work
    Flexible hours

    Phoenix Physical Therapy

    Richmond, VA
    2 days ago
  •  ...groundbreaking Comprehensive Liver Care Unit - Intermediate Care....  ...*Patient Care Ratios: Enjoy manageable nurse to patient ratios of 1:3 and 1:4, tailored to the complexity of patient assignments, ensuring...  ...Requirements for Hire: Current RN licensure in Virginia or... 

    Virginia Commonwealth University Health Systems

    Richmond, VA
    3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to RN Complex Case Manager: Care Coordination & Outcomes. Be the first to apply!