- Bon Secours Mercy Health (Portsmouth, VA)
- …needs for acute level of care, collaborating with utilization management nurse to prevent potential denials. The care manager will address when patient ... across the continuum. Utilizing a collaborative process, the care manager will identify, assess, plan, implement and evaluate the...supporting patients that would benefit from and need care management services. **This is a PRN position at Maryview… more
- Bon Secours Mercy Health (Newport News, VA)
- …needs for acute level of care, collaborating with utilization management nurse to prevent potential denials. The care manager will address when patient ... engaging and supporting patients that would benefit from and need care management services. **Licensing/ Certification** + Acute Registered Nurse (RN) (required)… more
- 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
- KBR (Virginia Beach, VA)
- Title: Special Operations Nurse Case Manager (JEB Little Creek, VA) THIS POSITION OFFERS RELOCATION. THIS POSITION IS ELIGIBLE FOR THE KBR INTERNAL RECRUITING ... and services. We are seeking a stellar Special Operations Nurse Case Manager that will provide a...Commission for Case Management Certification, American Case Management Association or American Nurse Credentialing Center,… more
- Bon Secours Mercy Health (Kilmarnock, VA)
- …Moon, Bundle letters, and Conditions of Participation for DC Planning and Utilization Management , and address opportunities or potential concerns with ... and operational excellence. **Primary Function/General Purpose of Position** The Case/Care Manager is responsible for providing coordination of care for patients to… 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
- Veterans Affairs, Veterans Health Administration (Salem, VA)
- …registration will meet the requirement for graduation from an approved school of professional nursing to warrant an appointment as a Nurse who has completed an ... Degree (ADN) or Diploma in Nursing , with no additional professional nursing required. Nurse I, Level II Demonstrates integration of biopsychosocial concepts,… more
- Fairfax County Sheriff's Office (Fairfax, VA)
- …on behalf of individuals in need; + Participates on inter-/intra-agency case management teams, providing consultation and nursing services; + Interprets ... TB Field Public Health Nurse (Public Health Nurse II) Print...having TB disease or latent TB infection. Providing case management , TB health services, coordination of multidisciplinary services, and… more
- Elevance Health (Richmond, VA)
- …48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager Senior** is responsible for care management within the scope of licensure ... **Telephonic Nurse Case Manager Senior** **Location: This...claims or service issues. + Assists with development of utilization /care management policies and procedures, chairs and… more
- Fresenius Medical Center (Smithfield, VA)
- …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
- Bon Secours Mercy Health (Portsmouth, 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
- Fresenius Medical Center (Alexandria, VA)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area...Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and… more
- Elevance Health (Norfolk, VA)
- …1-2 late nights per month required 11:30am - 8:00pm ET The ** Nurse Case Manager II** is responsible for care management within the scope of licensure for ... with providers, claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:** + Requires… more
- Elevance Health (Lexington, VA)
- …Lexington, Augusta County, Rockbridge County, Nelson County **The Nurse Case Manager I** is responsible for performing care management within the scope ... staff. + Works on special projects as assigned by manager . + Other duties as assigned. **Required Qualifications** +...disabilities is a huge plus. + Home health experience, utilization management and/or hospital discharge planning experience… more
- BAYADA Home Health Care (Falls Church, VA)
- The **Program Manager ** will be a highly motivated, relationship-focused Registered Nurse , PT, OT, COTA, PTA or SLP who will guide a team of nurses and ... skills with experience in both the home care and outpatient setting. Management experience, strong interpersonal skills and experience working in or with senior… more
- ChenMed (Virginia Beach, VA)
- … management programs, clinical meetings and other meetings. The Nurse Practitioner will adhere to strict departmental goals/objectives, standards of performance, ... local travel EDUCATION AND EXPERIENCE CRITERIA: + ARNP or similar advanced degree in Nursing required + Current Nurse Practitioner Certification in the State of… 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