- HCA Healthcare (Richmond, VA)
- …**Introduction** Do you want to join an organization that invests in you as a(an) Case Manager Behavioral Utilization Management? At Chippenham Hospital, ... and you have the opportunity to make a difference. We are looking for a dedicated Case Manager Behavioral Utilization Management like you to be a part of… more
- HCA Healthcare (Richmond, VA)
- **Description** **Introduction** Do you have the PRN career opportunities as a ** Case Manager RN Inpatient Rehabilitation PRN** you want with your current ... for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and...of colleagues. Do you want to work as a Case Manager RN Inpatient Rehabilitation PRN where… more
- CVS Health (Richmond, VA)
- …experience * Foster care experience * Crisis intervention skills * Managed care/ utilization review experience * Case management and discharge planning experience ... Morgan. Utilizes critical thinking and judgment to collaborate and inform the case management process, to facilitate appropriate healthcare outcomes for members by… more
- Humana (Richmond, VA)
- …caring community and help us put health first** Humana is seeking a Telephonic Behavioral Health Care Manager who will, in a telephonic environment, assess and ... members' needs and requirements to achieve and/or maintain optimal wellness state. The Behavioral Health Care Manager guides members and/or families towards and… more
- Highmark Health (Richmond, VA)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements effective ** utilization management** strategies including: review of appropriateness of health care ... services, application of criteria to ensure appropriate resource utilization , identification of opportunities for referral to a Health Coach/ case management, and… more
- HCA Healthcare (Richmond, VA)
- …order for a formal pre-admission assessment for acute inpatient rehab through their assigned case manager .** + **Once Case Management has completed the ... no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and free AirMed medical transportation.… more
- CenterWell (Richmond, VA)
- …care being provided meets appropriate standards and to ensure cost-effective utilization practices. + Represent CenterWell/Conviva brands in local communities and ... in patient experience, quality of care, clinical outcomes, and avoidable utilization + Periodically review clinician charts to identify opportunities in care,… more
- Elevance Health (Henrico, VA)
- …**LTSS Service Coordinator-RN Clinician** is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to ... non-RN clinicians participating in the member's case in accordance with applicable state law and contract;...coordination and management of member's needs, including physical health, behavioral health, social services and long term services and… more