NewInside Property Adjuster Specialist - Specialty Claims Team USAAInside Property Adjuster Specialist - Specialty Claims TeamChesapeake, VARemote$69,920–$125,850 / yearProactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability. The ideal candidate will possess strong virtual estimating skills for complex Condo claims, determine liability, litigation, and reconcile estimates while working in a telephone concentrated environment without physical inspection of loss.
Service Lane Manager Hendrick Automotive Group CorporateService Lane ManagerNorfolk, VirginiaFull timeRick Hendrick Chevrolet (Norfolk)Location: 6252 Virginia Beach Blvd, Norfolk, Virginia 23502. While performing the duties of this job, the employee is regularly required to stand; walk; use hands to finger, handle, or feel; reach with hands and arms and stoop, kneel, crouch, or crawl.
NewAuto Adjuster (Mid-Level) - Non-Injury USAAAuto Adjuster (Mid-Level) - Non-InjuryChesapeake, VA$51,370–$92,060 / yearAs a dedicated auto adjuster, within defined guidelines and framework, you are responsible to adjust moderately complex auto insurance claims presented by or against our members to include the end-to-end claims process and settling claims in compliance with state laws and regulations. Supports members, business partners, and claimants, through use of varying communication channels to include utilization of digital tools to drive timely and effective resolutions through exceptional service.
Director, Housekeeping Great Wolf LodgeDirector, HousekeepingWilliamsburg, VA$95,000–$95,000p>An employee’s pay position within the salary range will be based on several factors, including, but not limited to, relevant education, qualifications, certifications, experience, skills, seniority, geographic location, performance, travel requirements, revenue-based metrics, any contractual agreements, and business or organizational needs. At Great Wolf, the Director of Housekeeping is responsible for directing all aspects of housekeeping services and programming including but not limited to operations, planning, budgeting, staffing and payroll.
Manager, Claims Operations- Auto Core USAAManager, Claims Operations- Auto CoreCVA, VA$106,650–$191,170 / yearAs a dedicated Manager, Claims Operations, you will manage and be accountable for auto and other claims operations member service employees who are responsible for serving our members, and providing appropriate solutions as they investigate, evaluate and negotiate the claim. 6 years of progressive customer service, operational, military or leadership experience to include a minimum of 2 years of claims handling experience required with demonstrated proficiency.
Manager, Claims Operations USAAManager, Claims OperationsCVA, VA$103,450–$197,730 / yearAs a dedicated Manager, Claims Operations, you will manage and be accountable for property, and other claims operations member service employees who are responsible for serving our members, and providing appropriate solutions as they investigate, evaluate, and negotiate the claim. 6 years of progressive customer service, operational, military or leadership experience to include a minimum of 2 years of claims handling experience required with demonstrated proficiency.
NewConstruction Claims Analyst/Senior Construction Claims Analyst/Lead Construction Claims Analyst (Full Time) Mcdonough Bolyard Peck IncConstruction Claims Analyst/Senior Construction Claims Analyst/Lead Construction Claims Analyst (Full Time)Chesapeake, VAMBP is looking for Claims Analyst/Lead Claims Analyst/Senior Claims Analyst * in Tampa, FL, Raleigh, NC, or Washington DC areas, with significant experience developing and/or providing review and analysis of construction claims, specifically related to delay, productivity, and cost impacts. Additional experience in one or more of the following desired: construction management, cost estimating, value engineering, risk management, constructibility review, and/or contract administration.
Property Claims Manager- Eastern Virginia Virginia Farm Bureau FederationProperty Claims Manager- Eastern VirginiaVAServe as the subject matter expert on property losses, providing technical oversight of coverage interpretation, loss assessment, claim investigation, and resolution strategy; Provide support, be available and answer questions for representatives and handle elevated claim issues; Monitor claim files in accordance with company and state requirements; Conduct quarterly claim reviews and audits for compliance and accuracy; Identify and monitor loss trends to keep executive management informed of potential financial influences to our book of business; Track, monitor and report on key performance indicators of the assigned claims unit; Ensure that maximum subrogation and salvage recovery procedures and processes are followed; Review and recommend changes of vendor systems and operations to ensure financial goals for VFBMIC and Countryway are successfully met; Participate in the implementation/development of procedures to increase efficiencies and adjust to required change; Assist claims staff with investigations, negotiations and settlement evaluation of losses; Collaborate with other department managers to champion innovation within the department and company; Optimize resources to best support VFBMIC and CW; Implement creative solutions to improve processes that positively impact customer service; Work closely with the Director or Property Claims and Vice President of Claims on developing budget, forecasting expenses and maintaining ratios; Ensure the Claims Department maintains a positive, ethical and responsive reputation within the insurance industry; Personnel Management: interview, hire, train, conduct performance appraisals, counsel, and work closely with Human Resources on employee relation and performance issues. Proven leadership ability; Strong analytical/problem solving skills; Excellent oral and written communication skills; Strong negotiation skills; Excellent customer service and interpersonal skills; Ability to maintain diplomacy; In depth understanding of property insurance coverages, insurance law and contracts in Virginia and CW States; Familiarity with investigation, negotiation, and settlement of property damage; Ability to build strong professional relationships; Excellent organizational skills; Proven ability to influence, motivate and lead; Collaborative, creative thinker with an open mind to learn and explore new areas and opportunities; In depth knowledge of insurance claims operations; Self-motivated attitude to take initiative, be forward-thinking, with a willingness to embrace accountability; Strong Emotional Intelligence skills.
Core Claims Project Manager Merit RestorationsCore Claims Project ManagerChesapeake, VirginiaWork from scopes provided by Merit Estimators; adjust and refine as needed to meet project requirements, timelines, and budgets. Build and sustain strong relationships with insurance carriers, adjusters, homeowners, and subcontractors.
NewProperty Field Claims Representative- Hampton Roads Virginia Farm BureauProperty Field Claims Representative- Hampton RoadsHampton, VARemote$55,000–$70,000 / yearVirginia Farm Bureau is seeking a customer focused Property Field Claims Representative (PFCR) to join our claims team. Evaluate and Estimate claims using photos, measurements, estimating platforms, and other available resources.
Senior Advisor - Rx Claims & Adjudication (Business Architect) Elevance Health IncSenior Advisor - Rx Claims & Adjudication (Business Architect)VA$126,720–$190,080 / yearp>Minimum Requirements: Requires an BA/BS degree in Information Technology, Computer Science or related field of study and a minimum of 5 years of experience in business analyst and strategic planning, IT operations, IT leadership strategic and technical architecture with a minimum of 3 years in organizational management as it related to information architecture; or any combination of education and experience, which would provide an equivalent background. The Senior Advisor - Rx Claims & Adjudication (Business Architect) will be responsible for driving and completing the Business Architecture portion of business blueprints, including establishing guiding principles, defining capabilities, performing functional analysis/definition, analyzing and documenting the value chain, and assessing organizational impacts.
Lead Business Operations Analyst - Claims Workforce Analytics USAALead Business Operations Analyst - Claims Workforce AnalyticsChesapeake, VA$114,080–$218,030 / year8 years of reporting and/or data management experience with accountability for complex tasks and/or projects leveraging applicable tools and languages (Example: SQL, Python, GGplot, Tableau)ORAdvanced degree in Science, Technology, Engineering or Mathematics (STEM) or related degree discipline with 6 years of reporting and/or data management experience with accountability for complex tasks and/or projects leveraging applicable tools and languages ((Example: SQL, Python, GGplot, Tableau). Workforce Analytics Expertise: Proven ability to consistently deliver insightful workforce analytics, including comprehensive reporting, effective data visualization and packaging, and compelling presentation of findings to various stakeholders.
Director II, Claims Ops Transformation Elevance Health IncDirector II, Claims Ops TransformationNorfolk, VA$170,940–$293,040 / yearMinimum Requirements: Requires an BA/BS degree in Information Technology, Computer Science or related field of study and a minimum of 8 years experience leading technology (application development, configuration, maintenance or implementation and support) teams and/or cross functional project (technology and operations) teams; or any combination of education and experience which would provide an equivalent background. Preferred Skills, Capabilities, and Experiences: Proven experience leading large Claims Operations teams (100-200 employees) within a matrixed healthcare payer environment strongly preferred.
Claims Major Case Director IAT Insurance GroupClaims Major Case DirectorVirginia Beach, VirginiaRemoteAt least 8 years General Liability claim experience as well as Commercial Auto handling, which focused on claims with an exposure of $250,000 or more including both primary and excess losses. Investigates each claim by gathering information, conducting interviews, taking statements, conducting website research as needed, reviewing and analyzing reports and related bills.
NewProperty Field Claims Representative- Hampton Roads Virginia Farm Bureau FederationProperty Field Claims Representative- Hampton RoadsHampton Roads, VAp>Virginia Farm Bureau is seeking a customer focused Property Field Claims Representative (PFCR) to join our claims team. LOCATION: Field based position that does require traveling in Hampton Roads, Virginia and surrounding areas.
Senior Examiner, Personal Umbrella Claims GEICO GENERAL INSURANCE COMPANYSenior Examiner, Personal Umbrella ClaimsVirginia Beach, VA$65,600–$129,150 / yearWe are looking for claims professionals who can thrive in a fast-paced environment, are eager to develop as a claim examiner and play a critical role in investigating, evaluating and resolving excess claims. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose.
NewClaims Adjuster ZIM Integrated Shipping Services Ltd.Claims AdjusterVirginia Beach, VAp>Main Purpose of the Role: Handles carrier's/ZIM's response to cargo liability claims, including subrogated claims, from place of receipt to place of delivery; assists Legal Department to timely resolve claims to avoid litigation; Third Party recoveries ; assists ZIM attorneys and other claims personnel worldwide, as directed. Investigation, analysis, and evaluation of case files; consultation with experts (if necessary), and makes critical determinations regarding claimed loss, exercising limited discretion in application of rules and procedures for claims handling and determination.
NewMaritime Claims Adjuster ZIM Integrated Shipping Services Ltd.Maritime Claims AdjusterVirginia Beach, VAMain Purpose of the Role: Handles carrier's/ZIM's response to cargo liability claims, including subrogated claims, from place of receipt to place of delivery; assists Legal Department to timely resolve claims to avoid litigation; Third Party recoveries ; assists ZIM attorneys and other claims personnel worldwide, as directed. Investigation, analysis, and evaluation of case files; consultation with experts (if necessary), and makes critical determinations regarding claimed loss, exercising limited discretion in application of rules and procedures for claims handling and determination.
NewEnvironmental Health & Safety Manager AIR Control ConceptsEnvironmental Health & Safety ManagerNorfolk, VirginiaThe EHS Manager develops and implements safety programs, conducts audits and investigations, oversees training initiatives, and drives accountability for maintaining safe working environments across field operations, warehouses, offices, and facilities. This role partners with Operations, Human Resources, Facilities, and leadership teams to promote a strong safety culture, ensure regulatory compliance, reduce workplace incidents, and support continuous operational improvement across all locations.
Proposal Manager Alpha CorporationProposal ManagerVirginia Beach, VASpecific Duties and Responsibilities including, but not limited to: Develop and lead the full proposal process to produce high-quality, creative, on-time and compliant proposals in response to architecture, engineering and consulting opportunities in the federal, transportation, SLED, and corporate/commercial markets. Our talented professionals provide engineering design, program and construction management, project controls, claims management, and asset management services across public and private markets.
Vertical Construction Manager Alpha CorporationVertical Construction ManagerWilliamsburg, VARequired Qualifications • Proven experience as a Construction Manager on large-scale • 7-8 years of experience in either industrial or manufacturing facilities • Strong background in vertical construction (ground-up preferred) • Experience managing projects 100,000+ SF • Ability to manage complex coordination across multiple trades • Strong scheduling and documentation experience • Excellent leadership and communication skills • Ability to commit full-time work through November 2027. In nearly four decades, we have collaborated with a broad spectrum of clients in the public sector (government agencies, municipalities, institutions), and the private sector (private enterprises, developers, architecture and engineering firms, concessionaires, and contractors).
Business Office Manager Avardis HealthBusiness Office ManagerNewport News, VAFull timeFrom telemedicine services and remote health monitoring to advanced diagnostic tools and customized wellness programs, we use innovation to make patient care accessible, efficient, and effective. We strive to be the leading provider of compassionate, comprehensive care that supports the physical, mental, and emotional well-being of patients, while also promoting respect and autonomy.
Assistant Branch Manager - Sales Manager Trainee Republic Finance LLCAssistant Branch Manager - Sales Manager TraineeVirginia Beach, VAYour management abilities shine as you assist the Branch Manager with recruiting and training as well as developing and implementing plans to meet sales goals while promoting our core values, and ensuring an outstanding customer experience. You actively seek opportunities to originate new loan business by contacting current and potential customers and listening to understand their needs so you can recommend the best consumer loan and voluntary product solutions for them.
Sr Key Account Manager Advantage SolutionsSr Key Account ManagerChesapeake, VirginiaFull timeKAM is a salesperson responsible for meeting sales quotas and expense budgets for assigned clients by managing sales programs, promotional spending, distribution levels, shelf placement and strategic planning initiatives. This teammate will collaborate with clients to develop strategic plans to accomplish the business goals and work with retailer associates (such as buyers, category managers, replenishment managers, and others) on Headquarter calls to implement the programs.
Pharmacy Manager Walgreen CoPharmacy ManagerHayes, VA$5,863.20–$6,888 / weekWalgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities. Models and shares customer service best practices with all team members to deliver a distinctive and joyful patient experience, including interpersonal habits that show care (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., demonstrating curiosity to identify needs and proactively helping, servicing until satisfied, championing empathy and inclusivity, etc.).
Design Build Project Manager S&B UsaDesign Build Project ManagerVirginia Beach, VirginiaS&B USA Construction is a family of diversified heavy-civil and industrial construction companies with a primary focus on Alternative Delivery procurement projects such as Design-Build, Progressive Design-Build, Construction Manager/General Contractor (CM/GC), Construction management at risk (CMAR) and Public-private partnerships (P3). This role leads the integration of design and construction processes, oversees cost, schedule, quality, and risk management, and ensures alignment among internal teams, designers, subcontractors, and the client.
Design Build Project Manager S&B USADesign Build Project ManagerVirginia Beach, VAp>S&B USA Construction is a family of diversified heavy-civil and industrial construction companies with a primary focus on Alternative Delivery procurement projects such as Design-Build, Progressive Design-Build, Construction Manager/General Contractor (CM/GC), Construction management at risk (CMAR) and Public-private partnerships (P3). This role leads the integration of design and construction processes, oversees cost, schedule, quality, and risk management, and ensures alignment among internal teams, designers, subcontractors, and the client.
Senior Capture Manager MCI CareersSenior Capture ManagerVirginiaMCI organically grows, acquires, and operates companies that have synergistic products and services portfolios, including but not limited to Automated Contact Center Solutions (ACCS), customer contact management, IT Services (IT Schedule 70), and Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse North American client partners across the following MCI brands: MCI BPO, MCI BPOaaS, MarketForce, GravisApps, Gravis Marketing, MarchEast, Mass Markets, MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum.
Mitigation Manager Paul DavisMitigation ManagerVirginia Beach, VirginiaPaul Davis Restoration, a leading provider of restoration services, is seeking a highly motivated and detail-oriented Mitigation Manager. Whether property damage is caused by water, fire, smoke, storms or other disasters, we deliver on our promise to deliver excellence, expertise and a customer experience that is second to none.
NewProject Manager KUKA AGProject ManagerNewport News, VAli>Coordinate, review and sign-off the functional acceptance tests, integration tests and finally, the throughput tests of the overall system and confirm with acceptance reports signed by the subcontractor, Swisslog and the Customer. Swisslog is a world of opportunity for people who can deliver a game changing mission: driving the future of intralogistics, by shaping an era of robotic and data-driven automated solutions that create exceptional customer value.
NewSoftware Project Manager KUKA AGSoftware Project ManagerNewport News, VADefines and documents change orders with the customer, collaborating with the SHTL to estimate change order costs. Drives the software project throughout all phases of a general contract project up to and including ramp up phase.
Assistant Construction Manager (Field) Aspen Technical Staffing, IncAssistant Construction Manager (Field)Chesapeake, VAThe Assistant Construction Manager will work closely with Construction Managers, Project Managers, Site Managers, and Program Managers on a diverse portfolio of projects across multiple industries including aviation, commercial buildings, electrical transmission & distribution, manufacturing, power generation, oil & gas, process facilities, water infrastructure, and industrial construction. This field-based role will assist project leadership with managing project safety, quality, scheduling, cost control, subcontractors, procurement, documentation, client communications, and overall project execution activities.
Nurse Case Mgr II Elevance HealthNurse Case Mgr IINorfolk, VirginiaThe Nurse Case Manager II is responsible for care management within the scope of licensure for members with complex and chronic care needs, including members who have experienced or are at risk for patient safety events, preventable harm events, surgical complications, Hospital-Acquired Conditions (HACs), Patient Safety Indicators (PSIs), and other complex clinical conditions, by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Conducts outreach and care coordination activities for members following identified patient safety events, including surgical complications, hospital-acquired conditions, readmissions, and other high-risk clinical events.
Pharmacy Operations Manager Walgreen CoPharmacy Operations ManagerChesapeake, VA$22.50–$31 / hourAssists Pharmacy Manager in monitoring that all pharmacy and team member licensures, registrations and certifications are active and in good standing/ compliant with all regulatory and legal requirements. Where state and federal laws/regulations allow, accountable for performing day-to-day non-clinical pharmacy operations, administrative activities; Ensures efficient pharmacy workflow and a positive patient experience.
Construction Project Manager (Water) GTTConstruction Project Manager (Water)Chesapeake, VAThe Construction Project Manager is responsible for managing the construction project safety, quality, schedule, cost control, contracts, subcontractors, suppliers, proposals, estimates, documentation turnover, client relations/management, field staff and other duties required to execute EPC, Construction Management, Construction, and Program Management projects. Responsible for facilitating project cost reporting, scheduling, work breakdown structure establishment, project set-up and closeout, and field progress tracking specific to construction and construction related activities or program level activities as required.
Assistant Construction Manager (Field) GTT, LLCAssistant Construction Manager (Field)Chesapeake, VAThe Assistant Construction Manager will assist the Construction Project Manager, Project Manager, Site Manager, and/or the Engineer Procure Construct (EPC) Project Manager or Program Manager with day-to-day management of project safety, quality, schedule, cost control, contracts, subcontractors, suppliers, procurement, proposals, estimates, documentation, turnover, client interface, field-based activities, and other duties required to execute Engineer Procure Construct (EPC) projects, construction management, and program management ventures. Multiple years of experience on construction project sites or executing program management in the industries of aviation, commercial, energy, government, manufacturing, oil & gas, process, transmission & distribution, transportation, or water is preferred.
Project Manager AVI-SPL IncProject ManagerVirginia Beach, VABe a subject matter expert with contract documents for each assigned project including, but not limited to project scopes of work, bid drawings and specifications, contract, subcontractor scopes of work, and construction schedules. WHO WE ARE AVI-SPL is a digital enablement solutions provider who transforms how people and technology connect to elevate experiences, create new value, and enable organizations to thrive and grow.
Business Change Manager Sr. / Sr. Test Lead Elevance Health IncBusiness Change Manager Sr. / Sr. Test LeadNorfolk, VA$93,760–$168,768 / yearPreferred Skills, Capabilities and Experiences: 8+ years of experience in the US Healthcare domain (Commercial/Medicaid/Medicare) supporting pharmacy benefit management (PBM) including benefit administration, enrollment and claims processing is preferred. Accountable for Test Data Management, collection of requirements, evaluation of available data in repositories, identify gaps, align Configuration Management and Release Management on data needs and own test data provisioning tasks.
Risk Adjustment Strategic Manager Elevance Health IncRisk Adjustment Strategic ManagerNorfolk, VA$102,960–$185,328 / yearThe Risk Adjustment Strategic Manager is responsible for overseeing the day-to-day operations and strategic execution of enterprise risk adjustment programs, including prospective and retrospective initiatives, provider engagement and education, data submissions, vendor oversight, and audit readiness. This role serves as a strategic partner to business leadership by driving operational excellence, ensuring compliance with Centers for Medicare & Medicaid Services (CMS) requirements, and supporting initiatives that optimize revenue integrity and program performance.
Spare Parts Business Manager - Heavy Equipment Liebherr-International AGSpare Parts Business Manager - Heavy EquipmentNewport News, VAIt was later converted into Liebherr's manufacturing facility for mining trucks and remains home to Liebherr Mining Equipment Newport News, Co. In addition to its production facility, Liebherr markets a wide variety of products and technologies through its companies located across the United States. Reporting to the General Manager of Customer Service MCC, the Aftermarket Business Manager MCC (SSPM) is responsible for the operation and overall financial performance of the MCC Customer Service Spare Parts Department (CM and MC) while delivering outstanding customer service.
Assistant Construction Manager ESPO CorporationAssistant Construction ManagerChesapeake, VA$47–$51 / hourThe Assistant Construction Manager will assist the Construction Project Manager, Project Manager, Site Manager, and/or the Engineer Procure Construct (EPC) Project Manager or Program Manager with day to day management of project safety, quality, schedule, cost control, contracts, subcontractors, suppliers, procurement, proposals, estimates, documentation, turnover, client interface, field-based activities, and other duties required to execute Engineer Procure Construct (EPC) projects, construction management, and program management ventures. Multiple years of experience on construction project sites or executing program management in the industries of aviation, commercial, energy, government, manufacturing, oil & gas, process, transmission & distribution, transportation, or water is preferred.
Manager, Hospital Bill Audit & Itemized Bill Review (Program Integrity) Elevance Health IncManager, Hospital Bill Audit & Itemized Bill Review (Program Integrity)Norfolk, VAThis role manages a team responsible for identifying billing errors, enforcing payment policy and contractual requirements, reducing inappropriate spend, and supporting pre- and post-payment controls through clinically and financially sound review of itemized bills (UB-04 claim forms and supporting documentation such as itemized statements and medical records, as applicable). Oversee itemized bill review for: revenue codes, HCPCS/CPT mapping, units/quantity validation, charge/cost reasonableness, packaging/bundling rules, NCCI edits (as applicable to setting), and duplicate or unbundled charges.
Senior Project Manager KUKA AGSenior Project ManagerNewport News, VACoordinate, review and sign-off the functional acceptance tests, integration tests and finally, the throughput tests of the overall system and confirm with acceptance reports signed by the subcontractor, Swisslog and the Customer. Supervise and coordinate the installation and assembly work of all equipment and products delivered as part of scope of supply for the customer and ensure successful claim management for time and money is implemented and maintained.
Service Lane Manager Hendrick Automotive GroupService Lane ManagerNorfolk, VACore Values: To perform the job successfully, an individual should demonstrate the following Core Values: • Servant Leadership • Teamwork through Trust & Respect • Diversity is strength, and when we trust and respect one another we can work as a team to achieve at a high level. While performing the duties of this job, the employee is regularly required to stand; walk; use hands to finger, handle, or feel; reach with hands and arms and stoop, kneel, crouch, or crawl.
Telephonic Nurse Case Manager II Elevance Health IncTelephonic Nurse Case Manager IINorfolk, VAp>The Telephonic 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. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Nurse Case Manager I Elevance Health IncNurse Case Manager INorfolk, VAp>The Nurse Case Manager I is responsible for performing 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. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Nurse Case Mgr II Elevance Health IncNurse Case Mgr IINorfolk, VA$71,896–$130,548 / yearThe Nurse Case Manager II is responsible for care management within the scope of licensure for members with complex and chronic care needs, including members who have experienced or are at risk for patient safety events, preventable harm events, surgical complications, Hospital-Acquired Conditions (HACs), Patient Safety Indicators (PSIs), and other complex clinical conditions, by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Conducts outreach and care coordination activities for members following identified patient safety events, including surgical complications, hospital-acquired conditions, readmissions, and other high-risk clinical events.
Nurse Case Mgr Sr Elevance Health IncNurse Case Mgr SrVA$83,748–$137,586 / yearThe Nurse Case Mgr Sr 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. Assists with development of utilization/care management policies and procedures, chairs, and schedules meetings, as well as presents cases for discussion at Grand Rounds/Care Conferences and participates in interdepartmental and/or cross brand workgroups.
Senior Manager, Workforce Management GEICO GENERAL INSURANCE COMPANYSenior Manager, Workforce ManagementVirginia Beach, VA$108,000–$169,000 / yearKey Responsibilities: Strategic Leadership: Lead, mentor, and develop a team of workforce professionals to meet and exceed service level goals and business KPIs including Average Handle Times, Abandons, and Service Levels, Average Speed of Answer, Occupancy. Forecasting and Scheduling Excellence: Oversee the development of precise short-term and long-term forecasts using NICE WFM, PowerBI, Oracle Strategic Planner and other predictive tools to ensure coverage for all contact channels (voice, chat, email).
Nurse Case Manager Sentara Healthcare IncNurse Case ManagerVARemotePrimary responsibilities include: • Responsible for case management services within the scope of licensure; develops, monitors, evaluates, and revises the members care plan to meet the members needs, with the goal of optimizing member health care across the care continuum • Performs telephonic or face-to-face clinical assessments for the identification, evaluation, coordination and management of members needs, including physical and behavioral health, social services and long-term services • Identifies members for high-risk complications and coordinates care in conjunction with the member and health care team • Manages chronic illnesses, co-morbidities, and/or disabilities ensuring cost effective and efficient utilization of health benefits; conducts gap in care management for quality programs • Assists with the implementation of member care plans by facilitating authorizations/referrals within benefits structure or extra-contractual arrangements, as permissible • Interfaces with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on care management treatment plans • Presents cases at case conferences for multidisciplinary focus. Education: Associates or Bachelors Degree in Nursing (Required) Certification/Licensure: Virginia or Compact RN License (Required) Experience: 3 years experience in Nursing (Required) Experience in Private Duty Nursing or NICU or Experience working with Ventilators (Required) Discharge planning experience (Preferred) Managed Care experience (Preferred).