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Patient Navigator Jobs in Virginia

Healogics is the largest provider of advanced wound care services in the United States, treating more than 300,000 chronic wound patients annually across over 600 sites. All Healogics employees must perform their job responsibilities according to all Healogics policies, Hospital policies, as well as to accrediting organizations, federal and state regulation, and to the Centers for Medicare and Medicaid Services (CMS) guidelines, as applicable.

Essential

VA16 days ago
  • $19.69–$24.20 Per Hour

Learn more about this role here:

Healogics is the largest provider of advanced wound care services in the United States, treating more than 300,000 chronic wound patients annually across over 600 sites.

All Healogics employees must perform their job responsibilities according to all Healogics policies, Hospital policies, as well as to accrediting organizations, federal and state regulation, and to the Centers for Medicare and Medicaid Services (CMS) guidelines, as applicable.

Virginia Beach, VA13 days ago

Learn more about this role here:

Healogics is the largest provider of advanced wound care services in the United States, treating more than 300,000 chronic wound patients annually across over 600 sites.

All Healogics employees must perform their job responsibilities according to all Healogics policies, Hospital policies, as well as to accrediting organizations, federal and state regulation, and to the Centers for Medicare and Medicaid Services (CMS) guidelines, as applicable.

VA30+ days ago

The Nurse Patient Navigator manages the care of assigned patients in collaboration with a multidisciplinary team to ensure high-quality and comprehensive healthcare and ancillary services.

• Current RN licensure in Virginia • AHA BLS Certification • Specialty Nursing Certification in either Nurse Navigation or area of specialty within one year of hire in position.

Richmond, VA30+ days ago

p>Licensure, Certification, or Registration Requirements for Hire: Current RN licensure in Virginia or eligible or compact state Licensure, Certification, or Registration Requirements for continued employment: Current RN licensure in Virginia AHA BLS Certification Specialty Nursing Certification in either Nurse Navigation or area of specialty within one year of hire in position Experience REQUIRED: Minimum of three (3) years of relevant clinical experience in nursing, patient education; case management and/or navigation Previous experience in specialty area Experience PREFERRED: Previous nurse navigation or leadership experience Experience within an academic, teaching hospital Education/training REQUIRED: Baccalaureate Degree in Nursing from an accredited School of Nursing Education/training PREFERRED: Master' Degree in Nursing from an accredited School of Nursing Independent action(s) required: Follows documented physician/licensed independent provider medical/treatment orders.

The Nurse Patient Navigator manages the care of assigned patients in collaboration with a multidisciplinary team to ensure high quality and comprehensive healthcare and ancillary services.

Richmond, VA30+ days ago

p>Licensure, Certification, or Registration Requirements for Hire: Current RN licensure in Virginia or eligible or compact state Licensure, Certification, or Registration Requirements for continued employment: Current RN licensure in Virginia AHA BLS Certification Specialty Nursing Certification in either Nurse Navigation or area of specialty within one year of hire in position Experience REQUIRED: Minimum of three (3) years of relevant clinical experience in nursing, patient education; case management and/or navigation Previous experience in specialty area Experience PREFERRED: Previous nurse navigation or leadership experience Experience within an academic, teaching hospital Education/training REQUIRED: Baccalaureate Degree in Nursing from an accredited School of Nursing Education/training PREFERRED: Master' Degree in Nursing from an accredited School of Nursing Independent action(s) required: Follows documented physician/licensed independent provider medical/treatment orders.

The Nurse Patient Navigator manages the care of assigned patients in collaboration with a multidisciplinary team to ensure high quality and comprehensive healthcare and ancillary services.

Virginia Beach, VA30+ days ago

The navigator enhances access to specialized services, supports informed decision-making, and promotes continuity of care by serving as a direct liaison and primary point of contact for referring providers and specialty groups, ensuring seamless communication, coordinated services, and efficient patient transitions. This role ensures seamless patient experiences by managing referrals, scheduling, pre- and post-operative education, and follow-up care while serving as a liaison between patients, providers, and referring physicians.

Bon Air, California24 days ago

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MarinHealth is already realizing the benefits of impressive growth and has consistently earned high praise and accolades, including being Named One of the Top 250 Hospitals Nationwide by Healthgrades, receiving a 5-star Ranking for Overall Hospital Quality from the Centers for Medicare and Medicaid Services, and being named the Best Hospital in San Francisco/Marin by Bay Area Parent, among others.

  • Help patients anticipate and solve problems; prioritize issues; and eliminate barriers to care (such as financial/insurance, emotional, transportation, child-care and/or work-related barriers) by referring to appropriate individuals or services.

    • Charlottesville, VA30+ days ago

    p>The care navigator will work collaboratively with the VMAP Western regional hub team to perform the following responsibilities:

    • Develop and maintain relationships with intake coordinators in Virginia's Ready Regions as well as other programs and organizations serving children under the age of 5.

    • Participate regularly in community-based meetings to stay current on new and evolving resources for children ages 0-5.

    • Research and maintain accurate and up to date lists of local mental health and developmental resources and their availability, including mental health providers, family support services, community resources, peer support programs, and Children Services Act (CSA) related programs in the VMAP database.

    Richmond, VA30+ days ago

    This role involves assisting patients in understanding their medical condition(s) and treatment plans, including assisting patients with scheduling, overcoming logistical barriers, and connecting them with community resources to ensure a smooth and supportive healthcare experience. Job Summary: The RN Navigator provides essential support to patients by guiding them through the healthcare system, ensuring they have access to necessary resources, and helping them manage all aspects of their care journey.

    Norfolk, VA30+ days ago

    This role involves assisting patients in understanding their medical condition(s) and treatment plans, including assisting patients with scheduling, overcoming logistical barriers, and connecting them with community resources to ensure a smooth and supportive healthcare experience.

    Job Summary:

    The RN Navigator provides essential support to patients by guiding them through the healthcare system, ensuring they have access to necessary resources, and helping them manage all aspects of their care journey.

    Richmond, VA9 days ago

    This role involves assisting patients in understanding their medical condition(s) and treatment plans, including assisting patients with scheduling, overcoming logistical barriers, and connecting them with community resources to ensure a smooth and supportive healthcare experience.

    Job Summary:

    The RN Navigator provides essential support to patients by guiding them through the healthcare system, ensuring they have access to necessary resources, and helping them manage all aspects of their care journey.

    Richmond, Virginia10 days ago

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    As a Bon Secours associate, you’re part of a Mission that matters. This role involves assisting patients in understanding their medical condition(s) and treatment plans, including assisting patients with scheduling, overcoming logistical barriers, and connecting them with community resources to ensure a smooth and supportive healthcare experience.

    Norfolk, Virginia30+ days ago

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    As a Bon Secours associate, you’re part of a Mission that matters. This role involves assisting patients in understanding their medical condition(s) and treatment plans, including assisting patients with scheduling, overcoming logistical barriers, and connecting them with community resources to ensure a smooth and supportive healthcare experience.

    Newport News, Virginia24 days ago

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    To learn more about being a team member with Riverside Health System visit us at https://www.riversideonline.com/careers. Attends health fairs, screenings, and meetings to provide information about grant programs and Riverside Health Cancer Services related to breast health, women's health issues, prostate cancer screenings, HPV vaccination, smoking cessation, lung cancer prevention and early detection, and colon cancer screening.

    Winchester, VA26 days ago

    The role and process of oncology navigation, depending on assignments, may also involve responsibilities to coordinate specialized programs designed to serve at-risk populations for developing cancer to include, but not be limited to, Low Dose Lung Cancer (LDCT), Every Woman's Life (EWL) and Survivorship Care Planning. Provides care coordination services to include assisting with referrals within the cancer center, facilitating referrals outside of the cancer center, and prioritizes referral workflow to ensure timely access to care.

    Winchester, VA30+ days ago

    The role and process of oncology navigation, depending on assignments, may also involve responsibilities to coordinate specialized programs designed to serve at-risk populations for developing cancer to include, but not be limited to, Low Dose Lung Cancer (LDCT), Every Woman's Life (EWL) and Survivorship Care Planning.

    Provides care coordination services to include assisting with referrals within the cancer center, facilitating referrals outside of the cancer center, and prioritizes referral workflow to ensure timely access to care.

    Alexandria, VA30+ days ago

    Manages caseload assignment and complex cases.\n \nActs as a liaison, advocate and point of contact to patient/family members by helping them access the best healthcare outcomes from doctors, hospitals and others who provide their required services.\n\n Proactively anticipates patient's needs and advocates for patient rights and appropriate utilization of services.\n Advocates for patients to promote patient-centered care that includes shared decision making and patients goals of care with optimal outcomes.\n Both in groups and individually, educates patient, family and/or caregiver(s) regarding treatment options, community resources, self-care management, etc. to facilitate timely and informed ethical decision-making throughout all phases of the treatment/disease continuum process.\n Provides psychosocial support to and facilitates appropriate referrals for patients, families and caregivers especially during periods of high emotional stress and anxiety.\n

    Roanoke, Virginia30+ days ago

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    For more information on E-Verify: https://www.carilionclinic.org/eoe-e-verify-and-right-work-policies. The Oncology Nurse Navigator coordinates care across multidisciplinary teams and care settings to promote timely access to diagnosis and treatment, enhance continuity of care, including effective handoff communication during care transitions, and support adherence to evidence-based treatment plans.

    Culpeper, VA30+ days ago

    The Behavioral Health Navigator is responsible for support and coordinating care for patients enrolled in Collaborative Care Model services assisting with the provision of brief evidence-based condition-specific protocol-driven services in treating common mental health and health behavior concerns in primary care e.g. Non-Essential Functions of the JobAbility to remote work during inclement weathermodified clinic operations REQUIRED QUALIFICATIONS Knowledge Skills & Abilities Education Masters degree in Social Work from a CSWE accredited social work program.

    Culpeper, VA30+ days ago

    p>The Behavioral Health Navigator is responsible for support and coordinating care for patients enrolled in Collaborative Care Model services, assisting with the provision of brief evidence-based, condition-specific, protocol-driven services in treating common mental health and health behavior concerns in primary care (e.g. The majority of the Behavioral Health Navigators time will be reserved for Collaborative Care Model activities; as time permits, the Behavioral Health Navigator will assist the general clinic population with addressing needs related to social determinants of health.

    Chesapeake, Virginia30+ days ago

    Working closely with physicians, clinical teams, patients, and community partners, the Nurse Navigator ensures patients receive the right care, at the right time, in the right setting. The Nurse Navigator is a key member of our care coordination team, supporting moderate- to high-risk patients as they navigate the healthcare system.

    Falls Church, VA20 days ago

    Acts as advisor/educator by providing emotional support, counseling, clinical education, resources and expert guidance to patients and families to promote their ability to understand and meaningfully participate in the healthcare process and personal decision-making. Our team of nationally renowned doctors, specialists, surgeons, genetic counselors, nurses and caregivers are backed by the latest in drug discovery, clinical trials, research and advanced treatments.

    Falls Church, VA30+ days ago

    Acts as advisor/educator by providing emotional support, counseling, clinical education, resources and expert guidance to patients and families to promote their ability to understand and meaningfully participate in the healthcare process and personal decision-making. Our team of nationally renowned doctors, specialists, surgeons, genetic counselors, nurses and caregivers are backed by the latest in drug discovery, clinical trials, research and advanced treatments.

    HCA Healthcare Inc logo

    Richmond, VA30+ days ago
    Remote

    Ensures the patient is empowered to manage his/her healthcare needs Provides healthcare system guidance and promotes adherence to recommended treatment throughout the care pathway Supports providers by assisting patients and/or families in understanding their diagnosis, treatment options, and the resources available, including education, clinical research studies (as applicable), and technological advances Provides education/connection to community and external resources, such as access to supportive care, financial support, and return to work Streamlines process for patients by assisting with appointment scheduling in a compliant manner Ensures the organization of appointments and explains the sequence of treatments Ensures smooth transitions between care modalities, facilities, and providers Facilitates patient movement through the appropriate clinical pathway and collaborates with physicians to ensure patient compliance Reinforces patient-specific teaching as defined by the patient's provider Conducts follow-up conversations with patients and communicates any concerns, changes, or social needs to the appropriate physician or other care provider Attends and participates in Multidisciplinary Meetings (MDM) and/or other care planning conferences, as required by the navigation program Ensures appropriate patient data is available, including assessment and documentation Educates the patient and family regarding planned procedures, medications, and treatments What you will need in this role: 1-3 years of experience in Nursing - Required 3+ years of experience as a Nurse Navigator and/or patient educator in service line - Preferred Education Associate's Degree in Nursing required Bachelor's Degree in Nursing preferred Licenses and Certifications Basic Cardiac Life Support (preferred if remote position) - Required Registered Nurse - Currently licensed as a registered professional nurse in the state in which he or she practices, in accordance with law and regulation. What you will do in this role: Serves as a patient advocate Assesses the patient's medical and psychosocial needs as they pertain to their primary medical or surgical condition for navigation Uses appropriate tools to identify patient needs and barriers to care and provides access to potential resolutions Identifies health disparities and assists in the removal of these disparities Provides appropriate education, outreach, and support to patients and families.

    Fredericksburg, VA30+ days ago

    p>Job Summary: The Disease Specific Navigator coordinates the care of, and provides education to, defined patient populations to ensure evidence-based clinical care, promote patient self-management, and achieve optimal clinical outcomes.

    Required Physical Requirements: Constant (67-100% of workday) use of arms and hands; frequent (34-66% of workday) standing, walking, and sitting; occasional (0-33% of workday) bending, stooping, and squatting; ability to lift 35 lbs.

    CVS Health Corp logo

    VA30+ days ago
    Remote
    • $54,095–$155,538 Per Year

    Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues.

    CVS Health Corp logo

    VA16 days ago
    • $54,095–$155,538 Per Year

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    Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues.

    • 1+ years' Case Management experience or discharge planning, nurse navigator or nurse care coordinator experience as well as experience with transferring patients to lower levels of care.

    CVS Health Corp logo

    VA16 days ago
    • $54,095–$155,538 Per Year

    li>

    Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues.

    • 1+ years' Case Management experience or discharge planning, nurse navigator or nurse care coordinator experience as well as experience with transferring patients to lower levels of care.

    Richmond, VA30+ days ago
    • $61,400–$85,000 Per Year

    p>Registered Nurse (RN), Nursing, Home Care Registered Nurse, Emergency Room Registered Nurse, Clinical Nurse, Nurse Case Manager, Field Case Manager, Medical Nurse Case Manager, Workers Compensation Nurse Case Manager, Critical Care Registered Nurse, Advanced Practice Registered Nurse (APRN), Nurse Practitioner, Case Management, Case Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management Specialist, CRC, Certified Rehab Certificate, CRRN, Certified Rehab Registered Nurse, COHN, Certified Occupational Health Nurse, CMC, Cardiac Medicine Certification, CMAC, Case Management Administrator Certification, ACM, Accredited Case Manager, MSW, Masters in Social Work, URAC, Vocational Case Manager. Whether youre supporting a Fortune 500 client or a local business, developing cutting-edge technology, or providing clinical services youll work alongside dedicated professionals who share your commitment to excellence and make a meaningful impact.

    Richmond, Virginia12 days ago

    Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. The Nurse Case Manager I will be 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.

    Virginia Beach, VA30+ days ago

    li>The Case Manager shall collect, organize, record, and communicate data relevant to primary health assessments including a detailed medical history in order to develop time sensitive treatment plans which delineate the expected process of care delivery for selected case managed patients or populations.

    • The Nurse Case Manager, hereafter referred to as the Case Manager, shall provide a full range of professional health nursing principles, practices, and procedures in clinical settings in order to analyze the full scope of problems associated with providing appropriate, cost effective care to Department of Defense (DOD) beneficiaries.

    Richmond, Virginia30+ days ago
    • $61,400–$85,000 Per Year

    p style="margin:0px">Registered Nurse (RN), Nursing, Home Care Registered Nurse, Emergency Room Registered Nurse, Clinical Nurse, Nurse Case Manager, Field Case Manager, Medical Nurse Case Manager, Workers’ Compensation Nurse Case Manager, Critical Care Registered Nurse, Advanced Practice Registered Nurse (APRN), Nurse Practitioner, Case Management, Case Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management Specialist, CRC, Certified Rehab Certificate, CRRN, Certified Rehab Registered Nurse, COHN, Certified Occupational Health Nurse, CMC, Cardiac Medicine Certification, CMAC, Case Management Administrator Certification, ACM, Accredited Case Manager, MSW, Masters in Social Work, URAC, Vocational Case Manager.

    Perks: Full and comprehensive benefits program, 24 days of paid vacation/holidays in your first year plus sick days, home office equipment including laptop and desktop monitor, mileage and travel reimbursement, Employee Assistance and Referral Program, and hands-on workers’ compensation case management training.

    New!

    Aldie, VA5 days ago

    Join Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient's journey. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing.

    Fairfax, VA30+ days ago

    Collaborates with the interdisciplinary healthcare team, patients and families in the assessment and coordination of discharge planning needs, delivery of post-discharge planning needs, delivery of post-discharge services and transition of patients from hospitals to the discharge setting as well as ongoing care in the community. If RN has an Associate's Degree, within 2 years of date of hire, they must meet with their nurse leader and conduct the following: 1.) Identify which accredited school they plan to attend 2.) Provide a written plan with anticipated BSN completion date 3.) Submit a review of transcripts from the school indicating the required pre-requisites and timeline for taking the courses 4.) Complete BSN within 5 years of start date.

    Kaiser Permanente logo

    McLean, VA30+ days ago
    • $43.12–$56.64 Per Hour

    p>Description:

    Job Summary:

    For members of a defined population, responsible for collaborating with the members of the health care team to facilitate the coordination of appropriate, cost-effective services that are consistent with members plan of care, help achieve his/her optimal level of independence, and enhance quality of life. Completes comprehensive psychosocial assessment to evaluate patient goals, social support systems, resources, health status, functional limitations, psychological status, environmental factors, and response to treatment so as to decrease inappropriate utilization of medical services.

    Kaiser Permanente logo

    McLean, VA30+ days ago
    • $43.12–$56.64 Per Hour

    Job Summary: For members of a defined population, responsible for collaborating with the members of the health care team to facilitate the coordination of appropriate, cost-effective services that are consistent with members plan of care, help achieve his/her optimal level of independence, and enhance quality of life. Completes comprehensive psychosocial assessment to evaluate patient goals, social support systems, resources, health status, functional limitations, psychological status, environmental factors, and response to treatment so as to decrease inappropriate utilization of medical services.

    Kaiser Permanente logo

    McLean, VA30+ days ago
    • $39.62–$52.03 Per Hour

    p>Job Summary:

    For members of a defined population, responsible for collaborating with the members of the health care team to facilitate the coordination of appropriate, cost-effective services that are consistent with members plan of care, help achieve his/her optimal level of independence, and enhance quality of life. Completes comprehensive psychosocial assessment to evaluate patient goals, social support systems, resources, health status, functional limitations, psychological status, environmental factors, and response to treatment so as to decrease inappropriate utilization of medical services.

    Petersburg, VA30+ days ago

    Join Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient''s journey. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For Award, among other accolades, which is nothing short of amazing.

    Hampton, VA30+ days ago

    As a full-time Case Manager for the Hampton BHD at the Hampton-Newport News Community Services Board you will play a vital role in supporting individuals living with Serious Mental Illness (SMI) and Serious and Persistent Mental Illness (SPMI) to achieve and maintain optimal functioning within their community. Since 1971, the Hampton-Newport News Community Services Board has provided a comprehensive continuum of high-quality, essential, and community-based services to citizens of the Peninsula who are living with a mental illness, developmental disabilities, and substance use disorders.

    Kaiser Permanente logo

    VA30+ days ago
    • $39.62–$52.03 Per Hour

    p>Description:

    Job Summary:

    For members of a defined population, responsible for collaborating with the members of the health care team to facilitate the coordination of appropriate, cost-effective services that are consistent with members plan of care, help achieve his/her optimal level of independence, and enhance quality of life. Completes comprehensive psychosocial assessment to evaluate patient goals, social support systems, resources, health status, functional limitations, psychological status, environmental factors, and response to treatment so as to decrease inappropriate utilization of medical services.

    Kaiser Permanente logo

    VA30+ days ago
    • $43.12–$56.64 Per Hour

    p>Description:

    Job Summary:

    For members of a defined population, responsible for collaborating with the members of the health care team to facilitate the coordination of appropriate, cost-effective services that are consistent with members plan of care, help achieve his/her optimal level of independence, and enhance quality of life. Completes comprehensive psychosocial assessment to evaluate patient goals, social support systems, resources, health status, functional limitations, psychological status, environmental factors, and response to treatment so as to decrease inappropriate utilization of medical services.

    VA30 days ago

    The Nurse Case Manager will: Evaluate for mental health and complex care related issues, assess adequacy of clinical evaluations for all medical conditions, determine appropriateness/effectiveness of treatment, and identify social and environmental factors impacting member's condition(s) through interviews with the service member or family members, review of health record documentation, communications with service member's chain of command, engagement with other health care providers, plus multidisciplinary and interagency coordination to ensure appropriate evaluation and treatment. Assist veteran Marines to engage the appropriate health care system (Veterans Health Administration, Military Healthcare System/TRICARE, civilian health care providers) or other local community services (chaplain, support group, etc.), in order to obtain needed services if the mental health issue is not service connected.

    Kaiser Permanente logo

    Arlington, VA30+ days ago
    • $39.62–$52.03 Per Hour

    p>Job Summary:

    For members of a defined population, responsible for collaborating with the members of the health care team to facilitate the coordination of appropriate, cost-effective services that are consistent with members plan of care, help achieve his/her optimal level of independence, and enhance quality of life. Completes comprehensive psychosocial assessment to evaluate patient goals, social support systems, resources, health status, functional limitations, psychological status, environmental factors, and response to treatment so as to decrease inappropriate utilization of medical services.

    CorVel Corp logo

    VA8 days ago
    Remote
    • $63,739–$95,264 Per Year

    In addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel's proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.

    CorVel Corp logo

    VA30+ days ago
    Remote
    • $66,941–$101,258 Per Year

    In addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel's proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.

    Winchester, VA30+ days ago

    p>Skills needed include excellent written/verbal communication and interpersonal skills with all levels of internal and external customers, critical thinking skills, creative problem solving, proficient organization, and planning.

    The Case Manager is responsible for contributing to the development of a goal-directed, age-appropriate plan of care through an interdisciplinary team process that is prioritized and based on determined medical diagnosis, patient needs, and expected patient outcomes.

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