- Humana (Richmond, VA)
- …help us put health first** Humana Healthy Horizons in Virginia is seeking a Manager , Utilization Management (Behavioral Health) who will utilize their ... communication of behavioral health services and/or benefit administration determinations. The Manager , Utilization Management (Behavioral Health) applies a… more
- HCA Healthcare (Richmond, VA)
- …objectives, education, and quality improvement efforts, while providing supervision to the nursing staff assigned. The Nurse Manager is responsible ... **Description** **Introduction** We are seeking a(an) Psychiatric Nurse Manager with Parham Doctors' Hospital...+ Preferred - One year previous successful behavioral health nursing management experience, in an acute care… more
- HCA Healthcare (Richmond, VA)
- …Hospital Forest! **Job Summary and Qualifications** As a Case Manager Registered Nurse (RN), you will provide direct nursing care in accordance with ... Do you have the career opportunities as a(an) Case Manager Registered Nurse RN you want in...payers and maintains legible documentation as directed by the Utilization Management Plan + As a member… more
- HCA Healthcare (Richmond, VA)
- …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 ** for our team...experience in a hospital setting preferred.** + **Previous case management or utilization review experience preferred.** CJW… more
- Intermountain Health (Richmond, VA)
- …cost-effective outcomes. Provides focused support to various areas such as utilization management , emergency department, acute, ambulatory and specialty care. ... Life Support (BLS) Healthcare Provider. Preferred Qualifications + Bachelor's degree in Nursing . + Certified Case Manager (CCM). Relevant certification as… more
- Bon Secours Mercy Health (Richmond, VA)
- …Position** In the capacity of a Registered Nurse , the Ambulatory Care Manager will provide clinical care management services to identified eligible patients; ... Specialty/Major Nursing Preferred Education Bachelor's Degree Specialty/Major Nursing (BSN) **Licensing/ Certification** Licensure/Certification Required Registered Nurse… more
- Universal Health Services (Petersburg, VA)
- …of quality nursing care to assigned groups of patients/residents through utilization of the nursing process, established standards of care, and relevant ... Responsibilities Registered Nurse (RN), $50 per hour (includes shift differential,...of assisting personnel in the performance of delegated direct/indirect nursing care activities and unit maintenance task. Demonstrates behaviors… more
- ChenMed (Richmond, VA)
- …trends in patient conditions and develops, documents and implements a patient management plan based on interpretation of findings. Aids in the development of ... plan of care that may include health education, physician referrals, case management referrals and patient/family counseling. + Evaluates need for immediate … more
- ChenMed (Richmond, VA)
- …We're rapidly expanding and we need great people to join our team. The Nurse Case Manager 1 (RN) is responsible for achieving positive patient outcomes ... post-acute facilities, as well as, their home environments. The Nurse Case Manager 1 (RN) role also...and evaluate individual patient care plans. + Knowledge of nursing and case management theory and practice.… more
- Molina Healthcare (Glen Allen, VA)
- …performing one or more of the following activities: care review/ utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.), ... and must be licensed for the state of VIRGINIA. Manager will support a team of field Nurse...years in one or more of the following areas: utilization management , case management , care… more
- ChenMed (Richmond, VA)
- …of care and cost effectiveness through the integrating and functions of case management , utilization review and discharge planning. The incumbent in this role ... need great people to join our team. The Case Manager is responsible for enhancing the quality of patient...visits including proper discharge of a patient from case management . + Knowledge of nursing and case… more
- Humana (Richmond, VA)
- …services, social sciences, or health related field. + Previous experience in utilization management , discharge planning and/or home health or rehabilitation. + ... first** Humana Healthy Horizons in Virginia is seeking a Manager , Care Management (LTSS-ABD) who will lead...and Supports (LTSS) Waiver Services, in hospice and/or in nursing facilities. They will lead LTSS-ABD care management… more
- Bon Secours Mercy Health (Midlothian, VA)
- …Moon, Bundle letters, and Conditions of Participation for DC Planning and Utilization Management , and address opportunities or potential concerns with ... and operational excellence. **Primary Function/General Purpose of Position** The Case/Care Manager is responsible for providing coordination of care for patients to… more
- Marriott (Richmond, VA)
- …Y **Relocation?** N **Position Type** Management **JOB SUMMARY** The Nurse CARE Manager coordinates timely, appropriate, quality, occupational illness/injury ... **Additional Information** Nurse CARE Manager (CARE - Coordinated...**Claims Services** + Collaborate with Claims department regarding case management . + Collaborate with UNM on utilization … more
- Humana (Richmond, VA)
- …in analyzing and interpreting financial trends. + Previous experience in utilization management , discharge planning and/or home health or rehabilitation. ... degree in human services, social sciences, or health-related field. + Care Management certification (CCM). + Active, unrestricted, Registered Nurse (RN) license… more
- CenterWell (Richmond, VA)
- …Coordinate quality improvement activities to address high risk, high-utilizers/high-cost patient management through the utilization of the 5M's framework as ... management and care coordination. * Experience with case management , social work, skilled nursing facilities, rehab...readmissions, total cost of care, and reducing acute care utilization ). * Familiarity in integrated care management … more
- Bon Secours Mercy Health (Richmond, VA)
- …assigned team members as assigned. The RN is responsible to the System Flex Nurse Manager for the assigned Department. System Flex Team Registered Nurse ... Bachelors of Science, nursing (preferred) **Experience** + One year as a Registered Nurse , minimum with nursing experience in specialty + 4-5 years as a… more
- Kepro (Richmond, VA)
- …substance abuse healthcare settings. + Proficiency in DSM-5-TR, adeptness in utilization management procedures, and extensive experience collaborating with ... in the public sector. Acentra seeks an Intensive Care Manager (Remote within Virginia) to join our growing team....Active Licensure for the State of Virginia : Registered Nurse (RN); Licensed Clinical Social Worker (LCSW); Licensed Professional… more
- Wolters Kluwer (Richmond, VA)
- The **Customer Success Manager , Lippincott Solutions** is responsible for driving the implementation of all Nursing Solutions products into existing and new ... with training and rollout, working with reps to drive utilization and customer satisfaction and ensure maximum renewal and...analysis, and creating and presenting a monthly report to management on key metrics. * Support sales growth from… more
- ChenMed (Richmond, VA)
- …the quality and efficacy of the organization's telehealth practices and professional nursing practice through successful utilization and improvement of outcomes ... counseling, patient advocacy, health education and referral and resource management to ChenMed patients and their families. Providing on-call...in Nursing required + Bachelor's Degree in Nursing preferred + Nurse Licensure Compact license… more