- 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...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
- Bon Secours Mercy Health (Richmond, VA)
- …and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. ** Registered Nurse Supervisor (RN) - ... BLS Basic Life Support - American Heart Association (required) Currently Licensed as a Registered Nurse in the State of Practice (required) ACLS Advanced Cardiac… 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
- 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
- Humana (Richmond, VA)
- …Therapist **(LMFT)** , Licensed Professional Counselor **(LPC)** , Psychologist **(PhD)** , Registered Nurse **(RN)** or other professional license. + Three (3) ... health first** Humana Healthy Horizons in Kentucky is seeking a Utilization Management Behavioral Health Professional who utilizes behavioral health knowledge and… 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 (Richmond, VA)
- …and partnership * Interprofessional collaboration and leadership * Understanding and utilization of office and clinical technologies * Compassionate, ... effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. **St. Mary's Hospital Outpatient Cardiac Rehab**… 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
- 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
- HCA Healthcare (Richmond, VA)
- …Required: Licensed or eligible for licensure in the State of Virginia as a Registered Nurse . American Heart Association BLS or CPR through American Red Cross ... operations for multi-disciplinary nursing functions. Quality: Cultivates a superior clinical identity by identifying and implementing evidence-based practices to… more
- Elevance Health (Richmond, VA)
- …following standard procedures that do not require the training or skill of a registered nurse . **How you will make an impact:** + Confirms medical services ... or equivalent. + Requires a minimum of 2 years of clinical experience and/or utilization review experience. + Current active, valid and unrestricted LPN/LVN or… more