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

Apply

Vacancy posted 1 day ago

Similar jobs that could be interesting for youBased on the RN Complex Case Manager: Care Coordination & Outcomes in Richmond, VA vacancy

RN Complex Case Manager: Care & Outcomes Leader
$72.7k - $116.6k
...organization in Virginia seeks a Case Manager to oversee a panel of... ...management needs, developing care plans, and coordinating with multidisciplinary... ...to ensure positive health outcomes. Candidates should have at... ...relevant experience, appropriate RN licensure, and strong...
Suggested
Highmark Health
Richmond, VA
4 days ago
Complex Case Manager RN - Specialty Pediatrics (Remote)
$72.7k
...incumbent assesses health management needs of the... ...manages an active case load of members... ...outreach, develops care plans, encourages... ...removes barriers, coordinates care, and identifies... ...maintains quality outcomes (clinical,... ...Current State of PA RN licensure or current...
Suggested
Temporary work
Work at office
Local area
Remote work
Highmark Health
Richmond, VA
16 hours ago
Complex Case Manager RN - (Remote)
$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
Temporary work
For contractors
Work at office
Local area
Remote work
Highmark Health
Richmond, VA
4 days ago
Sr. Coordinator, Patient Access (Case Manager)
$21.4 - $30.6 per hour
...manufacturers remove barriers to care so that patients can... ...-call resolution Manage the entire care... ...companies, to ensure seamless coordination of patient care and... ...requirements and outcomes Help patients understand... ...skills to resolve complex problems independently...
Suggested
Hourly pay
Full time
Temporary work
Local area
Immediate start
Remote work
Monday to Friday
Flexible hours
Shift work
Cardinal Health
Richmond, VA
4 days ago
Nurse Case Manager I
...Title: Nurse Case Manager I Job Description... ...for performing care management within... ...for members with complex and chronic care needs... ..., implementing, coordinating, monitoring, and evaluating... ..., unrestricted RN license in... ...power our business outcomes and drive our shared...
Suggested
Full time
Temporary work
Work at office
Local area
Day shift
1 day per week
Elevance Health
Richmond, VA
3 days ago
Nurse Case Manager II
...and unrestricted RN license in the state... ...license. The Case Manager utilizes a collaborative... ..., cost-effective outcomes. Requires an RN... ...and address complex clinical indicators which impact care planning and resolution... ...assess, plan, and coordinate care. Skilled in conducting...
Work at office
Integrated Resources
Richmond, VA
2 days ago
Integrated Case Manager - Registered Nurse
...Registered Nurse – Integrated Care Manager (ICM) for a temporary... ...to this area. The RN ICM works... ...team to optimize health outcomes, coordinate services, and support... ...Experience Experience in case management, care coordination... ..., disabilities, or complex care needs Strong communication...
Temporary work
Sentara Healthcare
Richmond, VA
1 day ago
Telephonic Nurse Case Manager II
$75.68k - $119.2k
...Telephonic Nurse Case Manager II Location: This... ...responsible for care management within... ...for members with complex and chronic care needs... ..., implementing, coordinating, monitoring, and evaluating... ..., unrestricted RN license in... ...power our business outcomes and drive our shared...
Full time
Temporary work
Work experience placement
Work at office
Local area
Monday to Friday
Afternoon shift
1 day per week
Elevance Health
Richmond, VA
3 days ago
Integrated Case Manager - Registered Nurse
...Registered Nurse – Integrated Care Manager (ICM) Location:... ...to this area. The RN ICM works... ...team to optimize health outcomes, coordinate services, and support... ...: Experience in case management, care coordination... ...morbidities, disabilities, or complex care needs Strong...
Temporary work
Remote work
Shift work
Sentara Healthcare
Richmond, VA
1 day ago
Nurse Case Manager II
$44.14 - $48 per hour
...determines approach to case resolution and/... ...case management plans, policies... ...factors and address complex clinical... ...indicators which impact care planning and... ...optimal outcomes • Identifies... ...assess, plan, and coordinate care. Skilled in... ...Education: RN in VA with current...
Permanent employment
Full time
Apprenticeship
Work at office
Local area
LanceSoft
Richmond, VA
1 day ago
Field Nurse Case Manager - Norfolk, VA
...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
RN Field Case Manager
...career with us, experience our caring culture, and enjoy work-... ...Services & Insurance RN Field Case Manager We are growing all across... ...assist in the management of complex medical conditions, treatment... ...to support, guide and coordinate care for injured workers, families...
Work at office
Remote work
Work from home
Relocation package
Flexible hours
Sedgwick
Richmond, VA
3 days ago
RN - Telephonic Case Manager
...Organizational Overview Ponos Care is a physician-led,... ...to improving outcomes for individuals... ...hospitalizations. The RN Telephonic Case Manager supports Medicaid... ...management and care coordination services that... ...Case Manager manages complex member caseloads requiring...
Local area
Remote work
PONOS MGMT INC
Richmond, VA
10 days ago
Senior Case Manager
...Senior Case Manager Integrated Resources, Inc is a premier... ...is responsible for coordinating behavioral health... ...and manage medically complex members' cases based on... ...providers, and primary care physicians (PCPs); contributes... ..., etc.) to maximize outcomes. Administers survey...
Part time
Careers Integrated Resources Inc
Glen Allen, VA
4 days ago
RN Case Manager
$80k - $90k
...Hospice Registered Nurse Case Manager (RNCM) Make a lasting difference... ...Registered Nurse (RN) who finds purpose in supporting... ...through meaningful moments of care? Legacy Hospice is seeking a... ...hands-on hospice nursing care, coordinate services, and guide patients...
Full time
Monday to Friday
Legacy Hospice
Richmond, VA
1 day ago
RN Case Manager II
...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
RN Case Manager
$80k - $90k
...as a Hospice Registered Nurse Case Manager (RNCM)! Are you a compassionate Registered Nurse (RN) who finds purpose in supporting... ...through meaningful moments of care? Legacy Hospiceis seeking a Full... ...hands-on hospice nursing care, coordinate services, and guide patients and...
Full time
Monday to Friday
Legacy Hospice
Richmond, VA
3 days ago
Case Manager Supervisor
...Case Manager Supervisor Mountain Youth Academy (a UHS company)... ...ensures high-quality patient care coordination, discharge planning, utilization... ...support positive patient outcomes, continuity of care, and... ...guidance and support regarding complex patient cases, community...
Work at office
Local area
Universal Health Services
Richmond, VA
3 days ago
Hospice RN Case Manager
...Hospice RN Case Manager Richmond, VA Ennoble Care is a mobile primary care, palliative care, and hospice service provider with patients in New York... ...be assigned patient caseload by the Patient Care Coordinator or designee Assume primary responsibility for a patient...
Full time
Temporary work
Work experience placement
Work at office
Remote work
Visa sponsorship
Flexible hours
Ennoble Care
Richmond, VA
16 hours ago
Travel Nurse RN - Case Manager - $40 to $45 per hour in Richmond, VA
$40 - $45 per hour
...Registered Nurse (RN) | Case Manager Location: Richmond, VA Agency: Conflux Systems Inc Pay: $40 to $45 per hour... ...comprehensive member assessments Develop and monitor care plans Coordinate care with providers and community resources Perform telephonic...
Hourly pay
Full time
Contract work
Immediate start
Home office
Monday to Friday
Shift work
TravelNurseSource
Richmond, VA
14 days ago
Nurse Case Manager
...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
Nurse Case Manager I
...Nurse Case Manager I Location: Must reside in Virginia.... ...responsible for performing care management within the... ...for members with complex and chronic care needs... ...developing, implementing, coordinating, monitoring, and... ...Current, unrestricted RN license in applicable...
Full time
Temporary work
Local area
1 day per week
Elevance Health
Richmond, VA
16 hours ago
Registered Nurse - Case Manager
$44.12 per hour
...Registered Nurse-Case Manager Job ID #2042620... ...connection between exceptional care and the positive effect... ...the highest quality outcomes and patient experiences Coordinate and advocate for the patient... ...Qualifications RN License, BSN Preferred...
TotalMed Staffing
Richmond, VA
1 day ago
RN Case Manager(part time-full time)
...RN Case Manager RN Case Managers are a critical part of the agency and must have experience working in the home health setting. We are looking... ...Board of Nursing. Must have experience working in a home care agency. Job Duties: Complete initial and ongoing...
Full time
Contract work
Part time
Monday to Friday
Weekend work
Home Health Services of Virginia
Mechanicsville, VA
4 days ago
Healthcare - Case Manager II
...Case Manager Below are the adjusted needs for each department... ...in interdisciplinary care team meetings for our... ...care, provides care coordination and assistance to... ...Collaborates with RN case managers/supervisors... ...required, depending on the complexity level of the assigned...
Contract work
Local area
Remote work
Home office
Monday to Friday
Saviance
Richmond, VA
1 day ago
Case Manager II
...Case Manager Career Opportunity Recognized for your abilities... ...between exceptional care and the transformative... .... Manage resources, coordinate patient care from... ...for truly meaningful outcomes. A Glimpse into Our... ...discipline (for example, RN, SW, OT, PT, ST, and...
Full time
Contract work
Part time
Flexible hours
Encompass Health Rehabilitation Hospital of Petersburg
Mechanicsville, VA
3 days ago
Telephonic Case Manager
$73k - $75k
...with us, experience our caring culture, and enjoy... ...Insurance Telephonic Case Manager PRIMARY PURPOSE OF THE... ...advocacy, communication and coordination of medical services.... ...in the management of complex medical conditions, treatment... ...Current unrestricted RN license(s) in a state...
Work experience placement
Remote work
Flexible hours
Sedgwick Law
Richmond, VA
7 days ago
Case Manager (skilled LPN/RN)-Henrico
...Case Manager Case Managers are a critical part of the agency and must have experience working in the home health setting. Case Managers facilitate direct patient care and skilled nursing visits. Case Managers perform tasks such as medication management, wound care,...
Shift work
Home Health Services of Virginia
Henrico, VA
16 hours ago
Remote Telephonic Nurse Case Manager II
$79.46k - $119.2k
...Elevance Health is seeking a Telephonic Nurse Case Manager II who will work virtually while managing care for members with complex and chronic needs. This role involves... ...in a health-related field and be a licensed RN with at least 5 years of clinical experience....
Remote work
Elevance Health
Richmond, VA
1 day ago
Nurse Case Manager
...currently hiring an Integrated Nurse Case Manager in the Central- Midlothian... ..., and revises the member's care plan to meet the member's... ...identification, evaluation, coordination and management of member's needs... ...Virginia or Compact RN License (Required) Experience...
Full time
Currently hiring
Remote work
Shift work
Sentara Healthcare
Richmond, VA
5 hours 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!