- Cognizant (Richmond, VA)
- …you need to have to be considered** . Educational background - Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations . Experience in utilization management to include Clinical Appeals and… more
- Humana (Richmond, VA)
- …community and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are...+ Minimum of Associate Degree in nursing + Licensed Registered Nurse (RN) in a compact state… more
- Humana (Richmond, VA)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...to make an impact** **Required Qualifications** + Active licensed Registered Nurse (RN) in the state of… more
- Humana (Richmond, VA)
- …a part of our caring community and help us put health first** The Weekend Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... Communities is good for the Soul. Join Us!** The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) in the (appropriate state)… more
- Bon Secours Mercy Health (Mechanicsville, VA)
- …observation experiences throughout the program. The educators, along with preceptor and Nurse Directors, assess each participant's clinical progression to match ... and partnership * Interprofessional collaboration and leadership * Understanding and utilization of office and clinical technologies * Compassionate,… more
- HCA Healthcare (Richmond, VA)
- …us apart from any other healthcare provider. We are seeking a(an) Case Manager Registered Nurse RN PRN to join our healthcare family. **Benefits** Henrico ... for patient care. Apply today for our Case Manager Registered Nurse RN PRN opportunity. **Job Summary...policies, procedures and protocols of the hospital. While providing clinical and administrative support on the unit, you will… more
- CVS Health (Richmond, VA)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that...setting. + A Registered Nurse that holds an active, unrestricted… more
- HCA Healthcare (Richmond, VA)
- **Description** **Introduction** We are seeking a House Supervisor Registered Nurse RN with Johnston-Willis Hospital to promote growth and unlock possibilities. ... vary by location._ We are seeking a House Supervisor Registered Nurse RN for our team to...policies, procedures and protocols of the hospital. While providing clinical and administrative support on the unit, you will… more
- Humana (Richmond, VA)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse (RN)** in the (appropriate state)… more
- ChenMed (Richmond, VA)
- …rapidly expanding and we need great people to join our team. The Registered Nurse , Telehealth is responsible for providing telephonic triage directional patient ... patients and their families. The incumbent in this role provides remote clinical emergency triage services and assessments within license and as possible given… more
- CVS Health (Richmond, VA)
- …Service/Health Services (as applicable to hiring program) or Associates degree with a Registered Nurse with Behavioral Health experience/ background with 3 years ... we do it all with heart, each and every day. **Position Summary** Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization… more
- Bon Secours Mercy Health (Mechanicsville, VA)
- …support network through preoperative, surgical and post-operative care. The Program Nurse uses evidence-based practice protocols, and clinical nursing judgement ... and partnership * Interprofessional collaboration and leadership * Understanding and utilization of office and clinical technologies * Compassionate,… more
- Evolent (Richmond, VA)
- …+ Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical/Vocational Nurse with a current, ... for the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Reviewer is responsible for performing precertification and prior approvals. Tasks are… more
- Bon Secours Mercy Health (Mechanicsville, VA)
- …effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. **Primary Function/General Purpose of Position** The ... delivered to the patient in a timely manner. + Participates in department clinical outcome projects as well as process improvement initiatives within the care… more
- Bon Secours Mercy Health (Mechanicsville, VA)
- …cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. ** Clinical Dietitian at Memorial Regional ... component of the Program. **Employment Qualification:** Certified as a Registered Dietitian by the American Dietetic Association (required) Bachelor's degree… more
- Sharecare (Richmond, VA)
- …to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their ... to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they… more
- Lincoln Financial (Richmond, VA)
- …**What we're looking for** Education * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state where ... Role at a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible… more
- HCA Healthcare (Richmond, VA)
- …+ **Performs other duties as assigned.** **Requirements:** + **Bachelors Degree** + ** Registered Nurse , or Occupational Therapy (OT), or Licensed Physical ... Do you have the PRN career opportunities as a(an) Clinical Rehab Specialist PRN you want with your current...commitments to referral sources. Develops a call-plan to prioritize utilization of time.** + **Assists in developing the annual… more
- Bon Secours Mercy Health (Richmond, VA)
- …* 3-5 years cardiac surgery and/or cardiology experience as a Registered Nurse **III. Essential Job Functions** ** Clinical :** * Provide direct patient care ... [CRC(s)] for Structural Heart related research trials. **II. Employment Qualifications** * Registered Nurse license in Commonwealth of Virginia, graduate of… more
- HCA Healthcare (Richmond, VA)
- …and continue to learn! **Job Summary and Qualifications** As a Nursing Supervisor Registered Nurse (RN), you will provide direct nursing care in accordance ... policies, procedures and protocols of the hospital. While providing clinical and administrative support on the unit, you will...school of nursing. Bachelor's Degree preferred. + Licensed a Registered Nurse in the Commonwealth of Virginia… more