- Humana (Richmond, VA)
- …of action. The Utilization Management Nurse 2/Home Health Utilization Management : + Review cases using clinical knowledge, communication skills, ... part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination,… more
- Lincoln Financial Group (Richmond, VA)
- …Experience and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management ... Role at a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible for… more
- Elevance Health (Richmond, VA)
- …and depression, and insightful analytics to improve the delivery of care. The Utilization Management Representative I is responsible for coordinating cases for ... prior authorization, and post service requests. + Refers cases requiring clinical review to a Nurse reviewer. + Responsible for the identification… more
- HCA Healthcare (Richmond, VA)
- …concurrent review for all payers and maintains legible documentation as directed by the Utilization Management Plan + As a member of Case Management team ... experience as RN years demonstrated leadership experience + Commercial Utilization Management and/or Case Management ...encourage you to apply for our Case Manager Registered Nurse RN opening. We review all applications.… more
- Bon Secours Mercy Health (Richmond, VA)
- …sites and clinicians are recognized for clinical and operational excellence. **_Registered Nurse (RN) - 5S Ortho/Joint - St. Mary's Hospital:_** **_**up to $30,000 ... orientation program with dedicated preceptors, immersive experience with rehab services, service line nurse navigators and more! Program lasts up to 12 weeks, but is… more
- HCA Healthcare (Richmond, VA)
- …**3+ years of RN experience in a hospital setting preferred.** + **Previous case management or utilization review experience preferred.** CJW Medical Center ... opportunity to make a real impact. As a **Registered Nurse RN Case Manager** you can be a part...may vary by location._** We are seeking a **Registered Nurse RN Case Manager** for our team to ensure… more
- Bon Secours Mercy Health (Midlothian, VA)
- …to create an environment where associates want to work and help communities thrive. **Registered Nurse - RN- Clinical Nurse Educator - The Perinatal Center - St ... Ctr - Midlothian, VA** **PRIMARY FUNCTIONS/ GENERAL PURPOSE OF POSITION:** The clinical nurse will facilitate the coordinated care of the Perinatal patients in the… more
- Bon Secours Mercy Health (Richmond, VA)
- …of Primary Function/General Purpose of Position** In the capacity of a Registered Nurse , the Ambulatory Care Manager will provide clinical care management ... Interviewing techniques as a patient-centered approach to activate patients in self- management of their chronic conditions with the goal of improved symptom… more
- ChenMed (Richmond, VA)
- …of 2 years' clinical work experience required. + A minimum of 1 year of utilization review and/or case management , home health, hospital discharge planning ... we need great people to join our team. The Nurse Case Manager 1 (RN) is responsible for achieving...patients' progress and adjust and plan accordingly. + Understanding utilization review and how to leverage with… more
- ChenMed (Richmond, VA)
- …of care and cost effectiveness through the integrating and functions of case management , utilization review and discharge planning. The incumbent in ... assist in achieving desired clinical outcomes within specific timeframe. + Conducts review for appropriate utilization of services from admission through… more
- Molina Healthcare (Richmond, VA)
- …integrated) performing one or more of the following activities: care review / utilization management (prior authorizations, inpatient/outpatient medical ... For this position we are seeking a (RN) Registered Nurse or LCSW who lives in VIRGINIA and must...years in one or more of the following areas: utilization management , case management , care… more
- J&J Family of Companies (Richmond, VA)
- …The MSL will develop in the area of Agility, applying the competencies of Change Management , Time Management and Innovation to the role. The MSL is responsible ... accurate and compliant manner (eg expense reports, documentation of activities) * Review regional and local support sales training initiatives and competencies of… more
- HCA Healthcare (Richmond, VA)
- …education of new equipment relative to infection control. Communicates recommendations for utilization of space, equipment, and other resources as needed to meet ... of NHSN site + Preferred: Use of various improvement methodologies and change management strategies Proven ICP team management skills **EDUCATION** + Required:… more