- Evolent Health (Richmond, VA)
- …contractual agreements. **Collaboration Opportunities** : The Coordinator, Intake Utilization Management reports directly to the Manager , Client Services. In ... the culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management ** at Evolent will serve as...proprietary system generates cases for both the medical and behavioral health reviewers. These requests may be submitted via… more
- CVS Health (Richmond, VA)
- …thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider ... and coordination of psychosocial wraparound services to promote effective utilization of available resources and optimal, cost-effective outcomes. - Monitor… more
- HCA Healthcare (Richmond, VA)
- …review for all payers and maintain legible documentation as directed by the Utilization Management Plan. **What qualifications you will need:** + Graduate of ... PRN career opportunities as a **Social Worker SW Case Manager PRN** you want with your current employer? We...in an acute care setting preferred. + Previous case management or utilization review experience preferred. CJW… more
- HCA Healthcare (Richmond, VA)
- …review for all payers and maintain legible documentation as directed by the Utilization Management Plan. **What qualifications you will need:** + Graduate of ... Submit your application for our **Social Worker SW Case Manager ** opening with Chippenham Hospital today and find out...in an acute care setting preferred. + Previous case management or utilization review experience preferred. CJW… more
- HCA Healthcare (Richmond, VA)
- …to the appropriate next level of care. + Has working knowledge of utilization management functions and performs these duties as assigned; monitors patient ... that invests in you as a(an) Clinical Care Case Manager PRN? At Chippenham Hospital, you come first. HCA...for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… more
- HCA Healthcare (Richmond, VA)
- …where diversity and inclusion thrive? Submit your application for our Performance Improvement Manager Labor opening with HCA Healthcare today and find out what it ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...vary by location._** We are seeking a(an) Performance Improvement Manager Labor for our team to ensure that we… more
- HCA Healthcare (Richmond, VA)
- …and concurrent review for all payers and maintains legible documentation as directed by the Utilization Management Plan + As a member of Case Management team ... Do you have the career opportunities as a(an) Case Manager Registered Nurse RN you want in your current...experience as RN years demonstrated leadership experience + Commercial Utilization Management and/or Case Management … more
- Amazon (Arlington, VA)
- …research methods, and UX design and applying these to your work - Experience in the utilization of behavioral data and the design and analysis of A-B tests a ... space and occupancy planning, design and construction, capital investment program management , facility maintenance, and operations all contributing to the employee… more
- HCA Healthcare (Richmond, VA)
- …of RN experience in a hospital setting preferred.** + **Previous case management or utilization review experience preferred.** CJW Medical Center ... a real impact. As a Registered Nurse RN Case Manager you can be a part of change. **Benefits**...for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… more
- LifePoint Health (Danville, VA)
- …ratio. Our team's approach to offering safe discharge planning is the use of a Utilization RN and Case Manager RN, in conjunction with a Social Worker. *About ... *Registered Nurse,Case Manager * Job Type:Full Time|Days *$10,000 Sign-on Bonus Eligibility...Professional development and growth opportunities *Department/Unit Summary* Our Case Management Department primarily serves the adult population in our… more
- HCA Healthcare (Salem, VA)
- **Description** **Introduction** The GME Simulation Manager designs, develops, facilitates simulation and operates GME simulation space(s). Simulation Managers work ... Medicine, Internal Medicine, General Surgery, and/or OBGYN. The Capital Division Simulation Manager will manage simulation spaces and work with GME programs at:… more
- Elevance Health (Lexington, VA)
- …with intellectual/developmental disabilities is a huge plus. + Home health experience, utilization management and/or hospital discharge planning experience is a ... Waynesboro, Lexington, Augusta County, Rockbridge County, Nelson County **The Nurse Case Manager I** is responsible for performing care management within the… more
- Perdue Farms, Inc. (Accomac, VA)
- …Perdue Foods facility in Accomac, VA is hiring a Complex Technical Site Manager . The Complex Technical Site Manager is responsible for developing, implementing, ... working methodologies to improve efficiency and reliability, increasing asset utilization , reducing cost. They will provide technical and operational support… more
- Highmark Health (Richmond, VA)
- …includes leveraging cutting-edge customer experience platforms, implementing robust data management solutions, and optimizing marketing automation tools to drive ... department. This role will be responsible for managing our MarTech ecosystem, including management and delivery of agreed upon road maps and platform integrations to… more
- Ford Motor Company (Richmond, VA)
- …are as smart as you are. The Merchandise eCommerce Merchandising & Product Manager is responsible for deeply understanding customer needs, managing the day-to day ... day by pulling, analyzing, and translating web analytics and behavioral data into actionable insights to enhance sales, conversion,...experience + 3+ years of eCommerce Merchandising AND Product Management experience + 1+ years of Shopify Site … more
- Highmark Health (Richmond, VA)
- …actions (promotions, hiring, terminations, etc.) Develops talent, Addresses resource management , cultivates capabilities of staff, planning and coordination of work, ... in first-line resolution of complex technical problems 2. Provides Staff Management oversight * Hires, promotes, separates or makes recommendations regarding same… more
- Elevance Health (Richmond, VA)
- **Telephonic Nurse Disease Management II** **$2000 Sign on Bonus** At **Federal Health Products and Services - FHPS** , a proud member of the Elevance Health, Inc. ... pm, or 2:30 pm - 11 pm EST.** The **Telephonic** **N** **urse Disease Management II** will be responsible for telephonic outreach, enrollment, and management of… more
- Sunrise Senior Living (Mclean, VA)
- …and performance management . * Partner with the Divisional Talent Acquisition Manager for all Executive Directors and Regional team members being considered for ... In addition, providing coaching, development, and mentoring to regional and community level management teams along with Senior HR Managers and working with the Vice… more
- Elevance Health (Richmond, VA)
- …face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral ... Heights. The **LTSS Service Coordinator RN Clinician** is responsible for overall management of member's case within the scope of licensure; provides supervision and… more
- Elevance Health (Springfield, VA)
- …contract. **Preferred Skills, Knowledge, and Experience:** + Previous experience with Utilization Management preferred. + Computer experience and experience ... RN with telephonic assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health,… more