- CVS Health (Richmond, VA)
- …No weekends or holidays. + 1+ years of utilization review/ utilization management required. + 3+ years of behavioral health clinical experience in a ... clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and is knowledgeable… more
- Elevance Health (Arlington, VA)
- …to client needs, and direct, hands-on engagement. The **LTSS Service Coordinator RN Clinician ** is responsible for overall management of member's case within the ... face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral … more
- Molina Healthcare (Roanoke, VA)
- …Behavioral health services. Strongly prefer candidates with a background on utilization management or appeals. Excellent computer multi-tasking skills and ... Medical, or ER unit. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). To all current Molina… more
- CenterWell (Richmond, VA)
- …performance in patient experience, quality of care, clinical outcomes, and avoidable utilization + Periodically review clinician charts to identify opportunities ... care team, combining clinical practice experience with leadership and operational management to ensure high-quality patient care and alignment with Value-Based Care… more
- CenterWell (Richmond, VA)
- …care that affect patient care and population management , such as quality management , utilization management , network management , and payment ... patients at national scale. S/he will be a proven clinician , leader, and strategist capable of driving the highest...quality/STARS, efficiency of care, and improved clinical outcomes and utilization . + Identify and act on opportunities to better… more
- KSA Integration LLC (Arlington, VA)
- …experience post degree in psychiatric and/or substance abuse health care setting, including utilization review. + Requires a Master's level clinician with a MA, ... DHA, DoD, or VA healthcare programs. + Familiarity with behavioral health coaching models or case management ...with behavioral health coaching models or case management practices. + Previous Experience working with the Veteran… more
- CVS Health (Richmond, VA)
- …experience * Foster care experience * Crisis intervention skills * Managed care/ utilization review experience * Case management and discharge planning experience ... * Familiarity with QuickBase **Education** Bachelor's degree or non-licensed master level clinician required, with either degree being in behavioral health or… more
- HCA Healthcare (Richmond, VA)
- …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 ... to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at Henrico Doctors' Hospital Forest!… more