- Elevance Health (Richmond, VA)
- …Health office locations Work schedule: Monday - Friday, standard business hours.** The Medical Director Clinical Programs is responsible for designing and ... of Elevance Health's family of brands, offering Medicaid and Medicare plans in several states. We also provide administrative...implementing clinical programs with specific medical condition focus for all lines of business enterprise… more
- Somatus (Mclean, VA)
- …physical and mental well-being + Community engagement opportunities + And more! The Director , Medicare Risk Adjustment (MRA) will lead the execution strategy and ... the best version of themselves, including: + Subsidized, personal healthcare coverage ( medical , dental vision) + Flexible Paid Time Off (PTO) + Professional… more
- CenterWell (Richmond, VA)
- …part of our caring community and help us put health first** The National Director , Clinical Pharmacy is a strategic pharmacy leader responsible for developing, ... Medical Officer. This role reports to the National Director , High Risk Patient Management. Responsibilities will include: +...(SME) and clinical liaison to the national clinical leadership (including Chief Medical Officer, Complex… more
- Humana (Richmond, VA)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and … more
- Prime Therapeutics (Richmond, VA)
- …our passion and drives every decision we make. **Job Posting Title** Director , Specialty Clinical Solutions- RPH/PharmD required- REMOTE **Job Description ... Medical Pharmacy clients and potential new clients. Required to serve as a Medical Pharmacy clinical resource throughout the organization and support all … more
- Humana (Richmond, VA)
- …of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home ... consumer experiences and a highly engaged team culture The Medical Director conducts clinical case... Medicare population and reports to the Lead Medical Director . Other duties: + Identify … more
- Humana (Richmond, VA)
- … Medical Director 's work includes reviewing of all submitted medical records, synthesizing complex hospital-based clinical scenarios, and providing expert ... caring community and help us put health first** The Medical Director actively uses their medical...reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and … more
- Humana (Richmond, VA)
- …our caring community and help us put health first** The Behavioral Health Medical Director may develop procedures, processes, productivity targets, and new ... and work is performed without direction. The Behavioral Health Medical Director actively uses their medical...conferences, and other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare… more
- Elevance Health (Richmond, VA)
- …reviews within our Medicaid and Medicare programs.** The **Behavioral Health Medical Director ** is responsible for the administration of behavioral health ... of Elevance Health's family of brands, offering Medicaid and Medicare plans in several states. We also provide administrative...an entire clinical program and/or independently performs clinical reviews. + The Medical Director… more
- Elevance Health (Norfolk, VA)
- …May be responsible for an entire clinical program and/or independently performs clinical reviews. + The Medical Director typically has program management ... miles of one of our Elevance Health locations.** The Medical Director is responsible for the administration...Director Associates. May be responsible for an entire clinical program. How you will make an impact: +… more
- VHC Health (Arlington, VA)
- Director Social Services Job Description Purpose & Scope: The Director of Social Services (DSS) of the Behavioral Health Service Line is responsible for the ... overall management of the Clinical Therapy services within the Behavioral Health Inpatient Unit...the Aftercare/Intensive Outpatient Services (IOP) at VHC Health. The Director of Social Services will also be responsible for… more
- VHC Health (Arlington, VA)
- Assistant Patient Care Director , Medical Surgical 4SW Job Description Purpose & Scope: The Assistant Patient Care Director is responsible for direction of ... nursing unit (s) in coordination with the patient care director in concert with the goals of that unit...Licensure in Nursing is required. Certification in Area of Clinical Specialty is preferred. BLS Certification is required. Other… more
- VHC Health (Arlington, VA)
- Medical Director - Psychiatry Job Description Purpose & Scope: The physician is a member of the healthcare team who works in collaboration with other staff to ... objectives, budget, and performance metrics at the individual level.Supports all medical activities at the individual level including implementation of quality… more
- VHC Health (Arlington, VA)
- Assistant Patient Care Director , Registered Nurse (RN) - CVICU/CVSD Job Description Purpose & Scope: The Assistant Patient Care Director is responsible for ... nursing unit (s) in coordination with the patient care director in concert with the goals of that unit...in Nursing is required. + Certification in Area of Clinical Specialty is preferred. + BLS Certification is required.… more
- CenterWell (Richmond, VA)
- …in Medicare /seniors * Demonstrated ability to work collaboratively with clinical and operational leaders across a complex health care organization. * Knowledge ... a part of our caring community and help us put health first** **National** ** Director of Transitional Care and High-Risk Patient Management** The Director of… more
- VHC Health (Arlington, VA)
- Director of Quality/Patient Safety Job Description Purpose & Scope: The Director of Quality/Patient Safety reports to the Associate Vice President and will lead ... all activities designed to support Quality, clinical excellence, clinical improvement initiatives, and Patient Safety Goals throughout the system. This… more
- VHC Health (Arlington, VA)
- Assistant Patient Care Director , Registered Nurse (RN) Total Joint/Orthopedics Unit Description: The Total Joint unit, also known as 5a, is a 21 bed unit that ... such a laparoscopic appendectomy, laparoscopic cholecystectomy, etc.), and a variety of medical patients. We also provide care to patients who are considered class… more
- Humana (Richmond, VA)
- …put health first** Humana Healthy Horizons in Virginia is seeking an Associate Director , Care Management (Maternal-Child Health) who will lead teams of nurses and ... responsible for maternal and child services care management. The Associate Director , Care Management (Maternal-Child Health) works within specific guidelines and… more
- VHC Health (Arlington, VA)
- Assistant Patient Care Director , Cardiac Telemetry/Medicine Unit Job Description Purpose & Scope: The assistant patient care director is responsible for ... direction of the nursing unit (s) in coordination with the patient care director in concert with the goals of that unit according to the philosophy of the Division… more
- Humana (Richmond, VA)
- …+ Responsible for the planning, directing, and successful management of the LTSS Clinical Strategy for Department of Medical Assistance Services (DMAS) in ... help us put health first** Humana Healthy Horizons in Virginia is seeking a Director , Care Management of Long-Term Services and Supports (LTSS) who will lead teams… more