- 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
- Bon Secours Mercy Health (Mechanicsville, VA)
- …ONE YEAR OF RN EXPERIENCE!** Summary of Primary Function The Obstetrics (OB) Registered Nurse ( RN ) addresses the care provided to healthcare consumers in ... as well as all people parenting newborns. The competent and proficient OB RN provides, coordinates, plans, and evaluates nursing care, and supervises licensed and… more
- Bon Secours Mercy Health (Richmond, VA)
- …Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. ** Registered Nurse ( RN ) - St Mary's Hospital:** ** $15,000 ... * 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 (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)
- …Master's degree or Bachelor's degree ( Registered Nurses) or equivalent experience. + Registered Nurse ( RN ); BSN with strong psych background required ... a clinical leader in the Medicaid plan focusing on utilization management , integrating member care, clinical coordination,...behavioral health subject matter expert to support care management staff in serving Aetna members in the respective… more
- Elevance Health (Richmond, VA)
- …Must be located in the state of Virginia The **LTSS Service Coordinator - RN Clinician** is responsible for overall management of member's case within the ... or face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral … more
- Elevance Health (Richmond, VA)
- …and the candidate will be working in Petersburg. The **LTSS Service Coordinator RN Clinician** is responsible for overall management of member's case within ... face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral … more
- Elevance Health (Richmond, VA)
- … with telephonic assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health, ... **Managed Care Coordinator Clinician Non RN ** **Location:** Remote, within 50 miles of an...health care team, to ensure cost effective and efficient utilization of health benefits. + Decision making skills will… more
- Elevance Health (Richmond, VA)
- …intellectual/developmental disabilities is a huge plus. + Home health experience, utilization management and/or hospital discharge planning experience. + ... license from the Commonwealth of Virginia. **Preferred Qualifications** + Previous case management experience is preferred. + Behavioral Health and/or experience… 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
- Elevance Health (Richmond, VA)
- …telephonic or face-to-face assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral ... is responsible for working under the direction/supervision of an RN , with overall responsibility for the member's case, as...health care team, to ensure cost effective and efficient utilization of health benefits. + Decision making skills will… more
- Elevance Health (Glen Allen, 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
- HCA Healthcare (Richmond, VA)
- …development of self and division entities + Provides direction for fiscal management for division operations to ensure proper utilization of financial ... 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
- Elevance Health (Richmond, VA)
- …**Director Foster Care** will be responsible for the fiscal and operational management /implementation and oversight of the state health plan Foster Care Program. ... Care Program + Collaborates with finance and clinical teams to identify utilization trends to propose mitigation strategies that reduce costs, while improving… more