- Kepro (Richmond, VA)
- …being a vital partner for health solutions in the public sector. Acentra seeks a Behavioral Health UM Clinical Reviewer RN to join our growing team. ... are now Acentra Health ! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to… more
- Elevance Health (Richmond, VA)
- …locations.** The Medical Director is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most ... Leads, develops, directs, and implements clinical and non- clinical activities that impact health care quality...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
- CVS Health (Richmond, VA)
- …provide education and training + Consults with Plan executive management regarding physical and behavioral health clinical issues as they relate to medical ... services system issues + Supports and encourages CM and UM staff to function as interdisciplinary team, with requisite...with delivery/ supervision of community-based Medicaid behavioral health services required + 5+ years clinical … more
- CVS Health (Richmond, VA)
- …Greensville, Nottoway. Up to 25% of expected travel. Standard business hours: Monday-Friday. The Behavioral Health Clinical Liaison is a clinical leader ... - Consults with Plan executive management regarding physical and behavioral health clinical issues as...clinical issues as they relate to medical management ( UM , CM, DM) provider and system of care issues,… more
- Highmark Health (Richmond, VA)
- …as an adjunct to health coaching. If acting in the capacity as a clinical pharmacist the incumbent may also review UM requests; provide consultation into the ... Formularies, utilization management programs, and case/ disease management initiatives; providing clinical review and decisions for physician and member appeals and… more