- CVS Health (Virginia Beach, 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 clinical… more
- Universal Health Services (Portsmouth, VA)
- Responsibilities Harbor Point Behavioral Health Center offers hope and healing for youth ages 7 to 17 at the time of admission with several psychiatric diagnoses ... Facilities. We are licensed by The Virginia Department of Behavioral Health and Developmental Services and the Virginia Department...and support to the Director of Nursing in the management of the daily Nursing Care as well as… more
- Elevance Health (Richmond, VA)
- …responsible for appeals reviews within our Medicaid and Medicare programs.** The ** Behavioral Health Medical Director** is responsible for the administration of ... behavioral health medical services, to ensure the appropriate and...Director Associates. + Works independently with oversight from immediate manager . + May be responsible for an entire clinical… more
- Molina Healthcare (Glen Allen, VA)
- …performing one or more of the following activities: care review/ utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.), ... of illness and the site of service. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Healthcare Services provides operational management and...years in one or more of the following areas: utilization management , case management , care… more
- HCA Healthcare (Richmond, VA)
- …of management or leadership. + Preferred - One year previous successful behavioral health nursing management experience, in an acute care setting. Previous ... **Description** **Introduction** We are seeking a(an) Psychiatric Nurse Manager with Parham Doctors' Hospital to promote growth...for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… 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)
- …to the appropriate next level of care. + Has working knowledge of utilization management functions and performs these duties as assigned; monitors patient ... care like family! Jump-start your career as a(an) Clinical Care Case Manager today with Chippenham Hospital. **Benefits** Chippenham Hospital, offers a total rewards… 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
- CenterWell (Richmond, VA)
- …Coordinate quality improvement activities to address high risk, high-utilizers/high-cost patient management through the utilization of the 5M's framework as ... ER visits, readmissions, total cost of care, and reducing acute care utilization ). * Familiarity in integrated care management programs with primary… 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
- Elevance Health (Chesapeake, VA)
- …and insightful analytics to improve the delivery of care. The **ARTS Case Manager ** is responsible for overall management of member's individual service plan ... **Addiction (ARTS) Case Manager ** **MUST LIVE WITHIN THE TIDEWATER REGION** **(Accomack...member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical… more
- Elevance Health (Arlington, VA)
- …The **Case Manager (Managed Care Coordinator)** is responsible for overall management of member's individual service plan within the scope of position, as ... **Case Manager (Managed Care Coordinator)** **MUST LIVE WITHIN 50...member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical… more
- Kepro (Richmond, VA)
- …substance abuse healthcare settings. + Proficiency in DSM-5-TR, adeptness in utilization management procedures, and extensive experience collaborating with ... in the public sector. Acentra seeks an Intensive Care Manager (Remote within Virginia) to join our growing team....of 2 years of hands-on experience in Intensive Care Management and post-degree in healthcare; behavioral health,… 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
- HCA Healthcare (Low Moor, VA)
- **Description** **Introduction** Do you have the career opportunities as a Laboratory Manager you want with your current employer? We have an exciting opportunity ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...colleagues. Do you want to work as a Laboratory Manager where your passion for creating positive patient interactions… more
- Ford Motor Company (Richmond, VA)
- …is best-in-class. **In this position ** The Accessories eCommerce Merchandising Manager is responsible for deeply understanding customer needs and optimizing the ... business value daily by pulling, analyzing, and translating web analytics and behavioral data into actionable insights to enhance sales, conversion, and customer… more
- Ford Motor Company (Richmond, VA)
- …is best-in-class. **In this position ** The Non-Vehicle eCommerce Operations Senior Manager is responsible for deeply understanding B2C and B2B Parts and Accessories ... efficiency and customer satisfaction by pulling, analyzing, and translating analytics and behavioral data into actionable insights with forecasted values for each to… more
- Amentum (Arlington, VA)
- …are interested in personnel with technical managerial, and/or financial management experience supporting Government technology development projects, preferably in ... devices, diagnostics, and digital health domains + Software development and management + Electronic Health Record and Cybersecurity, redundant backup system,… more
- CenterWell (Richmond, VA)
- …health and full-risk frameworks, including patient engagement, clinical professional skillsets, utilization management , care management , clinical information ... the complex needs of seniors and improve health outcomes and avoidable utilization (eg, palliative care, post-acute care, transitions of care) at a population… more
- HCA Healthcare (Richmond, VA)
- …standards, contract compliance, patient satisfaction, employee engagement, retail margin management , patient service utilization and complimentary service ... at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical… more