- CVS Health (Richmond, VA)
- …Must have active current and unrestricted RN licensure in state of residence. + Utilization Management is a 24/7 operation and work schedules will include ... in med surg or specialty area. + Managed Care experience preferred, especially Utilization Management . + Preference for those residing in EST zones.… more
- Highmark Health (Richmond, VA)
- … **SKILLS** + Deep Clincal Expertise -extensive knowledge of clinical, quality, care, utilization , high-cost claim, and population health management . Must be a ... in Business or Clinical field **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse (RN) or Pharmacist (Pharm D) or Physician Assistant (PA) **Preferred** +… more
- Veterans Affairs, Veterans Health Administration (Richmond, VA)
- …of the RAI/MDS Assessment for resident care planning. Collaborates with the CLC management or charge nurse to support the CLC Interdisciplinary Team members ... and CLC compare. Responsible for downloading, validating, and distributing quality management and Resource Utilization Group (RUG) reports and distributing them… more