- Humana (Richmond, VA)
- …to make an impact** **Required Qualifications** + An active, unrestricted Virginia Registered Nurse ( RN ) or Behavioral Health clinician license such as a ... health first** Humana Healthy Horizons in Virginia is seeking a Manager, Utilization Management ( Behavioral Health) who will utilize their clinical skills to… more
- HCA Healthcare (Richmond, VA)
- …year, nurses 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 may vary by location._** We are seeking a ** Registered Nurse RN Case Manager**...experience in a hospital setting preferred.** + **Previous case management or utilization review experience preferred.** CJW… more
- HCA Healthcare (Richmond, VA)
- **Description** **Introduction** Do you have the career opportunities as a(an) Case Manager Registered Nurse RN you want in your current role? We invest in ... RN years demonstrated leadership experience + Commercial Utilization Management and/or Case Management ...we encourage you to apply for our Case Manager Registered Nurse RN opening. We… more
- Universal Health Services (Petersburg, VA)
- Responsibilities Registered Nurse ( RN ), $50 per hour (includes shift differential, benefits excluding PTO and ELB), $10,000 Sign-on Bonus Poplar Springs ... Position Requirements: Licensure/Certification/Registration: + Licensed to practice as a Registered Nurse ( RN ) in the...registered trademark of UHS of Delaware, Inc., the management company for Universal Health Services, Inc. and a… more
- Kepro (Richmond, VA)
- …UM Clinical Reviewer (part-time) to join our growing team. Job Summary: Our Behavioral Health Utilization Management Clinical Reviewer will use clinical ... Current and Active Licensure for the State of Virginia: Registered Nurse ( RN ), Licensed Clinical...assessment and critical thinking skills. + 1+ year of Utilization Review (UR) and/or Prior Authorization or related work… more
- Bon Secours Mercy Health (Richmond, VA)
- …and directs patient teaching activities and coordinates the care provided by health team members. ** RN ( Registered Nurse ) - Richmond OBGYN @ St. Mary's - ... * Nursing judgment and skill based on principles of the biological, physical, behavioral , and social sciences * Application of the nursing process in patient care… more
- Bon Secours Mercy Health (Richmond, VA)
- …* Nursing judgment and skill based on principles of the biological, physical, behavioral , and social sciences * Application of the nursing process in patient care ... partnership * Interprofessional collaboration and leadership * Understanding and utilization of office and clinical technologies * Compassionate, relationship-based… more
- Bon Secours Mercy Health (Mechanicsville, VA)
- …Education (ACE) Program** **is a 12-week program designed specifically to support the new-to-practice Nurse in preparation for a RN bedside role. ACE will help ... FOR A BONUS UP TO $15K FOR NEW GRAD RN 'S WITH LESS THAN 1 YEAR OF RN...education and the ability to work with an experienced nurse provides you with confidence to ask questions, an… more
- Bon Secours Mercy Health (Richmond, VA)
- …, to help our nurses grow, professionally and personally. **Tier 3 - System Flex Team traveler Registered Nurse ( RN )** A Tier 3 - System Flex Team Traveler ... Registered Nurse ( RN ) is expected...and skill based on principles of the biological, physical, behavioral , and social sciences + * Application of the… more
- CVS Health (Richmond, VA)
- …Medicaid behavioral health services. + Experience in completing utilization management tasks + Demonstrated leadership competency, self-motivated and ... Liaison is a clinical leader in the Medicaid plan focusing on utilization management , integrating member care, clinical coordination, leading the development,… more
- Bon Secours Mercy Health (Richmond, VA)
- …nursing (preferred) **Licensure/Certification:** + Must possess both of the following: + Active Registered Nurse ( RN ) licensure + Basic Life Support (BLS) ... are recognized for clinical and operational excellence. **Job Summary:** The RN Clinical Supervisor works in conjunction and collaborates with the Practice… more
- Elevance Health (Richmond, VA)
- …should reside in Fort Lee or Charles City, VA. 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 (Glen Allen, VA)
- **JOB DESCRIPTION** For this position we are seeking a ( RN ) Registered Nurse or LMHP who lives in VIRGINIA and must be licensed for the state of VIRGINIA. ... performing one or more of the following activities: care review/ utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.),… more
- HCA Healthcare (Richmond, VA)
- …Assumes role of "charge" nurse and/or delegates various tasks to staff RN 's. Provides cross coverage for Utilization Review. + Maintains a competent staff ... obtained within 30 days of employment start date + Registered Nurse , Registered Nurse...or leadership. + Preferred - One year previous successful behavioral health nursing management experience, in an… more
- Kepro (Richmond, VA)
- …needed. Requirements + Current and Active Licensure for the State of Virginia : Registered Nurse ( RN ); Licensed Clinical Social Worker (LCSW); Licensed ... substance abuse healthcare settings. + Proficiency in DSM-5-TR, adeptness in utilization management procedures, and extensive experience collaborating with… more
- HCA Healthcare (Richmond, VA)
- …+ Required: Bachelors degree in healthcare or related field; typically a registered nurse ( RN ), physician, epidemiologist, or medical technologist ... 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
- CVS Health (Richmond, VA)
- …mental health services and addiction recovery and treatment services through the utilization management process - Drives collaboration on quality of care, ... utilization management , disparities and care coordination to...behavioral health subject matter expert to support care management staff in serving Aetna members in the respective… more
- CVS Health (Richmond, VA)
- …organization-wide business functions including claims, member services, compliance, quality, utilization management , and network/provider services. + Serve as ... Required Qualifications + Must reside in Virginia. + Virginia-licensed registered nurse with current unencumbered license and...5+ years of clinical practice experience in physical or behavioral healthcare. + 5+ years of management … more
- Elevance Health (Richmond, VA)
- …contract. **Preferred Skills, Knowledge, and Experience:** + Previous experience with Utilization Management preferred. + Computer experience and experience ... with telephonic assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health,… more
- Elevance Health (Richmond, VA)
- **Telephonic Nurse Disease Management II** **$2000 Sign on Bonus** At **Federal Health Products and Services - FHPS** , a proud member of the Elevance Health, ... pm, or 2:30 pm - 11 pm EST.** The **Telephonic** **N** **urse Disease Management II** will be responsible for telephonic outreach, enrollment, and management of… more