- HCA Healthcare (Richmond, VA)
- …Hospital Forest! **Job Summary and Qualifications** As a Case Manager Registered Nurse (RN), you will provide direct nursing care in accordance with ... Do you have the career opportunities as a(an) Case Manager Registered Nurse RN you want in...payers and maintains legible documentation as directed by the Utilization Management Plan + As a member… more
- HCA Healthcare (Richmond, VA)
- …at Chippenham Hospital have the opportunity to make a real impact. As a Registered Nurse RN Case Manager you can be a part of change. **Benefits** Chippenham ... may vary by location._ We are seeking a Registered Nurse RN Case Manager for our team...experience in a hospital setting preferred.** + **Previous case management or utilization review experience preferred.** CJW… more
- Bon Secours Mercy Health (Richmond, VA)
- …Position** In the capacity of a Registered Nurse , the Ambulatory Care Manager will provide clinical care management services to identified eligible patients; ... Specialty/Major Nursing Preferred Education Bachelor's Degree Specialty/Major Nursing (BSN) **Licensing/ Certification** Licensure/Certification Required Registered Nurse… more
- Elevance Health (Richmond, VA)
- …states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of ... **Telephonic Nurse Case Manager II** **Location: This...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
- Bon Secours Mercy Health (Richmond, VA)
- …assigned team members as assigned. The RN is responsible to the System Flex Nurse Manager for the assigned Department. System Flex Team Registered Nurse ... Bachelors of Science, nursing (preferred) **Experience** + One year as a Registered Nurse , minimum with nursing experience in specialty + 4-5 years as a… more
- Prime Therapeutics (Richmond, VA)
- …+ Clinical and Quality oversight for this program is provided by the Manager , Patient Programs. **Responsibilities** + Registered Nurse (RN). + 5 years ... post-degree clinical experience. + Experience in managed care, specialty drugs, care management and utilization review. + Meets Magellan Credentialing criteria.… more
- Elevance Health (Richmond, VA)
- Nurse Audit Lead - Carelon Payment Integrity **Location:** The ideal candidate will live within 50 miles of one of our pulse point locations and will work on a ... is determined to recover, eliminate, and prevent unnecessary medical-expense spending. The ** Nurse Audit Lead** is responsible for leading a team of clinicians… more
- Fresenius Medical Center (Richmond, VA)
- …under the direction of the Facility Manager and/or Charge Registered Nurse , utilizing standard nursing techniques to assist the physician in optimum ... acting on adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other FVC administrative and… more
- Elevance Health (Bon Air, VA)
- …management plan and modifies as necessary. + Assists with development of utilization /care management policies and procedures. + Participates in or leads ... The Nurse Care Mgr II is responsible for collaborating with...services in multiple states. + AS or BS in nursing preferred. + Certification as a Case Manager … 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, ... and Experiences:** + Must be eligible for a multi-state license. + BS in nursing preferred. + Prior case management experience is preferred. + Prior disease… more
- Elevance Health (Richmond, VA)
- …with intellectual/developmental disabilities is a huge plus. + Home health experience, utilization management and/or hospital discharge planning experience is a ... or member may be required.** Responsible for performing care management within the scope of licensure for members with...staff. + Works on special projects as assigned by manager . + Other duties as assigned. **Required Qualifications** +… 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 this role ... need great people to join our team. The Case Manager is responsible for enhancing the quality of patient...visits including proper discharge of a patient from case management . + Knowledge of nursing and case… more
- Humana (Richmond, VA)
- …services, social sciences, or health related field. + Previous experience in utilization management , discharge planning and/or home health or rehabilitation. + ... first** Humana Healthy Horizons in Virginia is seeking a Manager , Care Management (LTSS-ABD) who will lead...and Supports (LTSS) Waiver Services, in hospice and/or in nursing facilities. They will lead LTSS-ABD care management… more
- Highmark Health (Richmond, VA)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements the effective utilization management strategies including: review of appropriateness of health ... Management + Experience in a clinical setting **Preferred** + Certification in utilization management or a related field + Experience in UM/CM/QA/Managed Care… 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)
- …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)
- …where diversity and inclusion thrive? Submit your application for our Performance Improvement Manager Labor opening with HCA Healthcare today and find out what it ... Eligibility for benefits may vary by location._** We are seeking a(an) Performance Improvement Manager Labor for our team to ensure that we continue to provide all… more
- ConvaTec (Richmond, VA)
- …global medical products and technologies company, focused on solutions for the management of chronic conditions, with leading positions in advanced wound care, ... us on our journey to #ForeverCaring as a Territory Manager , Chronic, and you won't either. **About the Role:**...Identify, prioritize, pull-through, and close opportunities + Ensure effective utilization of the products by all trained HCPs within… more
- BD (Becton, Dickinson and Company) (Richmond, VA)
- **Job Description Summary** The Associate Territory Manager will be responsible for supporting our government accounts team within BD's UCC Federal Healthcare ... improved customer satisfaction. The position involves working closely with nursing leaders, physicians, supply chain, contracts, customer care, marketing, medical… more
- Huron Consulting Group (Richmond, VA)
- …it promotes a culture of respect, unity, collaboration, and personal achievement. As a Manager , you will have the unique ability to specialize in certain areas that ... talent, training, supervising, coaching/mentoring, and providing feedback through performance management + Facilitate communication and collaboration between all key… more