- Evolent (Richmond, VA)
- …scheduled. + Determines medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all review ... for the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Reviewer is responsible for performing precertification and prior approvals. Tasks… more
- HCA Healthcare (Richmond, VA)
- …you to apply for our Clinical Nurse Coordinator Inpatient Medical opening. We promptly review all applications. Highly qualified candidates will be ... external applicants only)!* Do you have the career opportunities as a(an) Clinical Nurse Coordinator Inpatient Medical you want with your current employer?… more
- Bon Secours Mercy Health (Petersburg, VA)
- …required or must be completed within first year in the role. + Must obtain a Clinical Nurse II in the Professional Nurse Advancement Program within first ... cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. **Southside Regional Medical Center is your… more
- HCA Healthcare (Richmond, VA)
- …personal growth, we encourage you to apply for our Clinical Research Nurse opening. We promptly review all applications. Highly qualified candidates will be ... We care like family! Jump-start your career as a Clinical Research Nurse today with Chippenham Hospital....**You should have:** + **Knowledge of federal regulations, good clinical practices (GCP)** + **Knowledge of medical … more
- HCA Healthcare (Richmond, VA)
- …opportunity compelling, we encourage you to apply for our Clinical Nurse Coordinator Behavioral Health opening. We promptly review all applications. Highly ... each individual is recognized. Submit your application for our Clinical Nurse Coordinator Behavioral Health opening with...start date + Registered Nurse + Registered Nurse Diploma CJW Medical Center (http://www.cjwmedical.com/) is… more
- HCA Healthcare (Richmond, VA)
- …purpose and integrity. We care like family! Jump-start your career as a(an) Clinical Nurse Coordinator Inpatient Ortho Spine today with Chippenham Hospital. ... vary by location._** Come join our team as a(an) Clinical Nurse Coordinator Inpatient Ortho Spine. We...Nurse Coordinator Inpatient Ortho Spine opening. We promptly review all applications. Highly qualified candidates will be contacted… more
- HCA Healthcare (Richmond, VA)
- …in your career path, we encourage you to apply for our Clinical Nurse Coordinator RN FSER opening. We review all applications. Qualified candidates will be ... **Description** **Introduction** Do you have the career opportunities as a Clinical Nurse Coordinator RN FSER you want in your current role? We invest in what… more
- HCA Healthcare (Richmond, VA)
- …encourage you to apply for our Clinical Coordinator Short Stay Registered Nurse opening. We review all applications. Qualified candidates will be contacted ... with our Nurses at Chippenham Hospital! **Job Summary and Qualifications** The Clinical Nurse Coordinator (CNC) ensures and delivers high quality,… more
- Elevance Health (Richmond, VA)
- ** Nurse Audit Senior - Payment Integrity Complex and Clinical Audit** **Location:** This role enables associates to work virtually full-time, with the exception ... formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The ** Nurse Audit Senior** will be responsible… more
- Elevance Health (Richmond, VA)
- ** Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The ** Clinical Fraud Investigator II** is responsible… more
- HCA Healthcare (Richmond, VA)
- …is important to you, we encourage you to apply for our Short Stay Registered Nurse RN opening. Our team will promptly review your application. Highly qualified ... positions. Join our Team as a(an) Short Stay Registered Nurse RN and access programs to assist with every...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- Humana (Richmond, VA)
- …Manager, Fraud and Waste Investigator: Nurse Audit/ Review performs clinical audit/validation processes to ensure that medical record documentation and ... approach, resources, schedules and goals. The Manager, Fraud and Waste Investigator: Nurse Audit/ Review validates and interprets medical documentation to… more
- Elevance Health (Richmond, VA)
- …law. Must have license for the state of Virginia** The ** Medical Management Nurse ** is responsible for review of the most complex or challenging cases that ... assessments based on clinical presentation, and apply clinical guidelines and/or policies to evaluate medical ...management experience and requires a minimum of 2 years clinical , utilization review , or managed care experience;… more
- HCA Healthcare (Richmond, VA)
- …we support our colleagues in their positions. Join our Team as a(an) Inpatient Medical Surgical Registered Nurse RN PRN and access programs to assist with ... certifications and job skills. Apply today for our Inpatient Medical Surgical Registered Nurse RN PRN opening...Nurse RN PRN opening. Our team will promptly review your application. Highly qualified candidates will be contacted… more
- HCA Healthcare (Richmond, VA)
- …we encourage you to apply for our Registered Nurse RN Inpatient Medical Surgical opening. Our team will promptly review your application. Highly qualified ... in their positions. Join our Team as a(an) Registered Nurse RN Inpatient Medical Surgical and access...values to ensure an outstanding patient experience and positive clinical outcomes. **What you will do in this role:**… more
- Bon Secours Mercy Health (Mechanicsville, VA)
- …as an RN (required) + Experience with discharge planning or utilization review (preferred) **Skills & Abilities:** Hard/Tech/ Clinical Skills _:_ + Discharge ... cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. **Bon Secours** Intro paragraph As a faith-based… more
- Bon Secours Mercy Health (Petersburg, VA)
- …cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. _Southside Regional Medical Center is your ... and families in the community we call home. Bon Secours - Southside Medical Center serves the communities of Petersburg, Hopewell, Colonial Heights, Fort Lee and… more
- HCA Healthcare (Richmond, VA)
- …growth, we encourage you to apply for our Nurse Extern PRN Medical Surgical Neuro Telemetry opening. We review all applications. Qualified candidates will ... Do you have the PRN career opportunities as a Nurse Extern PRN Medical Surgical Neuro Telemetry...daily living.** **. You will work closely with the clinical team to create and implement a care plan… more
- HCA Healthcare (Richmond, VA)
- …we encourage you to apply for our RN Student Nurse Extern PRN Medical Care Unit opening. We review all applications. Qualified candidates will be contacted ... have the PRN career opportunities as a RN Student Nurse Extern PRN Medical Care Unit you...daily living.** **. You will work closely with the clinical team to create and implement a care plan… more
- HCA Healthcare (Richmond, VA)
- …we encourage you to apply for our Medical Surgical Med Care Registered Nurse RN opening. We review all applications. Qualified candidates will be contacted ... **Introduction** Do you have the career opportunities as a Medical Surgical Med Care Registered Nurse RN...values to ensure an outstanding patient experience and positive clinical outcomes. **What you will do in this role:**… more