- Humana (Richmond, VA)
- …and assists corporate leadership in strategic planning to improve effectiveness of behavioral health utilization management programs. + Collects and ... health first** Humana Healthy Horizons in Virginia is seeking a Manager, Utilization Management ( Behavioral Health ) who will utilize their clinical… more
- CVS Health (Richmond, VA)
- …They represent the plan and collaborate with internal partners, community organizations, and behavioral health and ARTS providers to enhance the quality of ... care, and appropriate discharge planning + Serve as the behavioral health subject matter expert to support...Health /Licensed Independent Social Worker is required OR Mental Health /Licensed Professional Counselor is required Pay Range… more
- Elevance Health (Richmond, VA)
- …responsible for appeals reviews within our Medicaid and Medicare programs.** The ** Behavioral Health Medical Director** is responsible for the administration of ... behavioral health medical services, to ensure the...state or territory of the United States when conducting utilization review or an appeals consideration and cannot be… more
- HCA Healthcare (Richmond, VA)
- …**Introduction** Do you have the career opportunities as a(an) Supervisor House Admin Behavioral Health you want with your current employer? We have an ... services 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… more
- Kepro (Richmond, VA)
- …vital partner for health solutions in the public sector. Acentra seeks a Behavioral Health Clinical Reviewer RN/LCSW to join our growing team. Job Summary: ... Our Behavioral Health Clinical Reviewer RN/LCSW will use...in sufficient detail in correspondence. + Foster positive and professional relationships and liaise with internal and external customers… more
- CVS Health (Richmond, VA)
- …(eg Utilization Management, Care Management) coordinate processes related to behavioral and physical health services, involving primary care physicians and ... service providers through provider education on behavioral and physical health , social service needs, and utilization Required Qualifications + Requires… more
- Humana (Richmond, VA)
- …+ Administer new innovative VBP models for range of provider types, such as behavioral health , maternity, specialists, and social determinants of health , ... part of our caring community and help us put health first** The Sr. Value-Based Programs professional ...move providers from volume to value + Analyze financial, utilization , and performance data to identify opportunities to drive… more
- Bon Secours Mercy Health (Mechanicsville, VA)
- At Bon Secours Mercy Health , we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and ... associates in nursing care delivery within established nursing procedures, professional standards, and organizational mission/policies/philosophies. This RN demonstrates the… more
- Highmark Health (Richmond, VA)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job works directly with network providers to support key clinical transformation programs ... with a focus on utilization of appropriate care. The team member works with...or healthcare administration in a provider office, hospital and/or health systems, or healthcare consulting in provider setting. +… more
- Universal Health Services (Petersburg, VA)
- …guided by its mission of helping those who need the full continuum of behavioral health services. Our facility offers behavioral and psychological treatment ... employees and through its subsidiaries operates 26 acute care hospitals, 334 behavioral health facilities, 39 outpatient facilities and ambulatory care access… more
- Elevance Health (Richmond, VA)
- …locations.** The Medical Director is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most ... state or territory of the United States when conducting utilization review or an appeals consideration and cannot be...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
- Molina Healthcare (Glen Allen, VA)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... and collaboration to enhance the continuity of care including Behavioral Health and Long-Term Services & Supports... Professional in Healthcare Management Certification (CPHM), Certified Professional in Health Care Quality (CPHQ), or… more
- Bon Secours Mercy Health (Richmond, VA)
- …Inter- professional collaboration and leadership + * Understanding and utilization of office and clinical technologies + * Compassionate, relationship-based ... At Bon Secours Mercy Health , we are dedicated to continually improving ...collaboration with other members of the healthcare team incorporating professional practice model into the care delivery + Demonstrates… more
- CenterWell (Richmond, VA)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... part of our caring community and help us put health first** **National** **Director of Transitional Care and High-Risk...will play a pivotal role in reducing acute care utilization for top 5% of complex patients and ensuring… more
- Bon Secours Mercy Health (Richmond, VA)
- At Bon Secours Mercy Health , we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and ... directs patient teaching activities and coordinates the care provided by health team members. **Essential Job Functions** In collaboration with the interdisciplinary… more
- Bon Secours Mercy Health (Mechanicsville, VA)
- At Bon Secours Mercy Health , we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and ... directs patient teaching activities and coordinates the care provided by health team members. **Essential Job Functions** In collaboration with the interdisciplinary… more
- Bon Secours Mercy Health (Richmond, VA)
- At Bon Secours Mercy Health , we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and ... directs patient teaching activities and coordinates the care provided by health team members. **Essential Job Functions** In collaboration with the interdisciplinary… more
- Bon Secours Mercy Health (Richmond, VA)
- At Bon Secours Mercy Health , we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and ... Responder is to provide confidential screening via telephone for psychiatric, behavioral and chemical dependency problems to Access center callers, including the… more
- CenterWell (Richmond, VA)
- … health and full-risk frameworks, including patient engagement, clinical professional skillsets, utilization management, care management, clinical information ... directly address the complex needs of seniors and improve health outcomes and avoidable utilization (eg, palliative...well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up… more
- HCA Healthcare (Richmond, VA)
- …services 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 ... **Benefits** Chippenham Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and… more