- 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
- 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
- CVS Health (Richmond, VA)
- …NCQA standards. **Required Qualifications** + Candidate must have an active and unrestricted Registered Nurse (RN) License in Virginia OR Compact Registered ... (REQUIRED) + Bachelor's Degree in Nursing (PREFERRED) **License** + Active and unrestricted Registered Nurse (RN) License in Virginia OR Compact Registered … more
- Veterans Affairs, Veterans Health Administration (Richmond, VA)
- Summary Registered Nurse - Float Pool Demonstrates integration of biopsychosocial concepts, cognitive skills, and technically competent practice while providing ... education, self-management, and customer satisfaction throughout the continuum of care. Responsibilities Registered Nurse - Float Pool The Float Pool … more
- Bon Secours Mercy Health (Petersburg, VA)
- …**Full-time night shift/12hr shifts** **Summary of Primary Functions** The Critical Care Registered Nurse (RN) provides, coordinates, plans, and evaluates the ... TNCC Trauma Nursing Core Course (preferred) CCRN Critical Care Registered Nurse (preferred) PCCN Progressive Care Certified...safety and privacy of all persons. * Understanding and utilization of office and clinical technologies. *… more
- Bon Secours Mercy Health (Mechanicsville, VA)
- …No Call/No Weekends/No Holidays **Summary of Primary Functions** The Cardiac Cath Lab Registered Nurse (RN) provides, coordinates, plans, and evaluates the care ... PALS Pediatric Advanced Life Support (preferred) CCRN Critical Care Registered Nurse (preferred) PCCN Progressive Care Certified...safety and privacy of all persons. * Understanding and utilization of office and clinical technologies. *… 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 (RN) - ... **Summary of Primary Function/General Purpose of Position** The Stepdown Registered Nurse (RN) delivers patient care utilizing...safety and privacy of all persons. * Understanding and utilization of office and clinical technologies. *… 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
- 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 (Richmond, VA)
- …accommodation. **Education:** Bachelor's degree in nursing (preferred) **Licensure/Certification:** + Licensed Registered Nurse in state of practice (required) + ... Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. **Bon Secours** **_About Us_** As...at BSMH; required at hire for RSFH) + Oncology Nurse Navigator - Certified Generalist (ONN-CG) - Academy of… more
- Bon Secours Mercy Health (Richmond, VA)
- …and clinicians are recognized for clinical and operational excellence. Job Description ** Registered Nurse (RN) - FT - Orthopedic Operating Room - St. Mary's ... partnership * Interprofessional collaboration and leadership * Understanding and utilization of office and clinical technologies *...Science, nursing (preferred) **Minimum Years and Type of Experience** Registered Nurse with a minimum of 2… more
- Evolent (Richmond, VA)
- …+ Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical/Vocational Nurse with a current, ... for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals.… 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
- 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)
- …Improvement - Preferred Experience in Project Management - Preferred Currently Licensed as a Registered Professional Nurse in VA - Required BLS - Required ACLS - ... Director is closely involved with administrative operations, financial support, clinical services, educational activities, outreach initiatives, and research activities… more
- Highmark Health (Richmond, VA)
- …years of experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** ... itemized bills, and claims data to assure appropriate level of payment and resource utilization . It is also used to identify issues which can be used for education… more
- CVS Health (Richmond, VA)
- …conditions. + **Diabetes education experience** is required. + Current, unrestricted ** Registered Nurse (RN) license** ; multi-state licensure preferred. + ... health outcomes by engaging telephonically with individuals living with diabetes. This nurse will guide members through actionable steps to close gaps in care,… more