- Mary Washington Healthcare (Fredericksburg, VA)
- …with focus on determining suicide risk, level of acuity, and clinical diagnostic impression. Assesses patient for and coordinates inpatient psychiatric admissions ... met as defined by the Centers for Medicare and Medicaid Services, Virginia Department of Behavioral Health and Developmental...behavioral health field, and a minimum of 2-3 years clinical experience in (ie, social work counseling with broad… more
- Elevance Health (Richmond, VA)
- …Development Director is a pivotal role designed to lead and innovate the clinical strategy for Medicaid procurement opportunities, especially within the sphere ... critical in ensuring solutions are not only competitive but effectively demonstrate clinical capabilities that drive successful Medicaid RFP outcomes. _This… more
- Humana (Richmond, VA)
- …help us put health first** We're seeking a strategic, results-driven Lead Product Manager to design and deliver innovative clinical solutions that improve health ... delivery with a focus on scalable digital and non-digital clinical solutions. You'll sit at the center of product,...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Elevance Health (Richmond, VA)
- ** Clinical Documentation and Claims Integrity Director** **Location:** Alternate locations may be considered. This position will work a hybrid model (remote and ... quality of life through home-care and community based services. The ** Clinical Document Improvement Director** is responsible for leading encounter processing,… more
- Humana (Virginia Beach, VA)
- …the Virginia Department of Medical Assistance Services (DMAS), Center for Medicare and Medicaid Services (CMS) and the National Committee on Quality Assurance ... our caring community and help us put health first** The Field Care Manager , Behavioral Health performs primarily face to face and telephonic assessments with… more
- HCA Healthcare (Richmond, VA)
- …**Introduction** Do you have the career opportunities as a HIM and Coding Senior Manager you want with your current employer? We have an exciting opportunity for you ... want to work as a HIM and Coding Senior Manager where your passion for creating positive patient interactions...shifting priorities. This position collaborates and works with regulatory, clinical and revenue cycle business owners and IT&S to… more
- University of Virginia (Charlottesville, VA)
- The Fortify Cares Licensed Care Manager has the opportunity to leverage clinical expertise in caring for Virginia's most vulnerable children and their families. ... of the pediatric patient. Through telephonic outreach, the Licensed Care Manager will communicate with patients' families to complete assessments and develop… more
- Datavant (Richmond, VA)
- …to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Analytics Products, you will contribute to the strategy and ... and support value-based client delivery across Medicare Advantage, ACA, and Medicaid programs. The ideal candidate combines deep healthcare analytics expertise with… more
- CAI (Richmond, VA)
- …Type** Full time **Worksite Flexibility** Remote **Job Summary** As a Case Manager , RN you will assist in the holistic assessment, planning, arranging, coordinating, ... access to healthcare services. **Job Description** We are looking for a **Case Manager , RN** to provide telephonic care and support in the assessment, planning,… more
- Lundbeck (Richmond, VA)
- Neuroscience Account Manager - Richmond, VA Requisition ID: 6701 Location: Richmond, VA, US **Territory: Fredericksburg / Richmond, VA - Neuroscience Psychiatry** ... lives. Join us on our journey of growth! As a Neuroscience Account Manager , you lead the promotion of our psychiatry portfolio to Psychiatrist and Institutional… more
- Philips (Virginia Beach, VA)
- …office sales calls, in-services on patient profile and product demonstration, presenting clinical evidence and obtaining medical record documentation. + Be an expert ... on Medicare, Medicaid and private insurance coverage-criteria for InCourage vest therapy. Be able to effectively educate healthcare teams in identifying patients who… more
- Fairfax County Sheriff's Office (Fairfax, VA)
- …families by providing information about county programs, community resources, and Medicaid Waiver services. Ensure compliance with Medicaid timelines, ... for success in this position. Key Competencies: + Strong knowledge of Medicaid Waiver services and associated compliance requirements. + Ability to collaborate… more
- Fresenius Medical Center (Newport News, VA)
- …to ensure ongoing performance of other PCT's. + Collaborates with the Clinical Manager and Education Coordinator in driving organization quality standards ... leadership + Attends Fresenius and publicly offered skill-based training as assigned by Clinical Manager . **EXPERIENCE AND REQUIRED SKILLS** **:** + At least… more
- Elevance Health (Richmond, VA)
- …in accordance with the patient's health status and overall goals and values. Provides clinical and non- clinical support to patients. **How you will make an ... modalities to patients who receive home and community-based services through state Medicaid programs, dual eligible members and other membership as assigned by our… more
- Elevance Health (Richmond, VA)
- …in accordance with the patient's health status and overall goals and values. Provides clinical and non- clinical support to patients. **How you will make an ... modalities to patients who receive home and community-based services through state Medicaid programs, dual eligible members and other membership as assigned by our… more
- CenterWell (Richmond, VA)
- …community and help us put health first** The Market CMO is an instrumental clinical leader of our primary care team, combining clinical practice experience with ... to adapt responsibilities as needed and demands a unique blend of clinical management, financial/business acumen, and strategic partnership to optimize patient care… more
- Somatus (Mclean, VA)
- …provides guidance and oversight to all lines of business including Commercial, Medicaid , Medicare, and Special Need Plans (SNPs). The Director, Quality will work ... closely with Sr. Manager , Audit Risk and the Regulatory and Accreditation Team...to committees as directed, such as, the Quality Committee, Clinical Enterprise Sub-Committee, Clinical Sub-Audit Committee, and… more
- Elevance Health (VA)
- …in accordance with the patient's health status and overall goals and values. Provides clinical and non- clinical support to patients. **How you will make an ... modalities to patients who receive home and community-based services through state Medicaid programs, dual eligible members and other membership as assigned by our… more
- Elevance Health (VA)
- …in accordance with the patient's health status and overall goals and values. Provides clinical and non- clinical support to patients. **How You Will Make an ... modalities to patients who receive home and community-based services through state Medicaid programs, dual eligible members and other membership as assigned by our… more
- Elevance Health (VA)
- …accordance with the patient's health status and overall goals and values. Provides clinical and non- clinical support to patients. Primary duties may include but ... modalities to patients who receive home and community-based services through state Medicaid programs, dual eligible members and other membership as assigned by our… more
