• RN Utilization Management

    Humana (Richmond, VA)
    …part of our caring community and help us put health first** The Utilization Management Behavioral Health Nurse uses behavioral health knowledge and ... licensed in a Compact State** The Utilization Management Behavioral Health Nurse completes...Qualifications** + Minimum of Associate Degree in Nursing + Registered Nurse ( RN ) licensure with… more
    Humana (10/04/24)
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  • Registered Nurse ( RN ) - PCU…

    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
    Bon Secours Mercy Health (09/20/24)
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  • Registered Nurse RN Case…

    HCA Healthcare (Richmond, VA)
    …every 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 (08/22/24)
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  • Case Manager Registered Nurse

    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
    HCA Healthcare (07/31/24)
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  • Registered Nurse ( RN )…

    Bon Secours Mercy Health (Midlothian, VA)
    …stewardship to create an environment where associates want to work and help communities thrive. ** Registered Nurse ( RN ) - PRN - Clinical Nurse Educator ... delivery **EMPLOYMENT QUALIFICATIONS:** Must be currently licensed as a Registered Nurse in the State of Virginia...Basic Life Support - American Heart Association + Valid RN Nursing License from the state of practice +… more
    Bon Secours Mercy Health (10/01/24)
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  • Registered Nurse ( RN )…

    Bon Secours Mercy Health (Midlothian, VA)
    …to create an environment where associates want to work and help communities thrive. ** Registered Nurse ( RN ) - Clinical Trial-Oncology - St. Francis - ... Midlothian, VA** **_Are you an RN with Oncology experience? If you have any interest...cardiology step down or critical care experience as a Registered Nurse + Experience within a physician… more
    Bon Secours Mercy Health (09/06/24)
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  • Registered Nurse ( RN )…

    Bon Secours Mercy Health (Richmond, VA)
    …hospitals, care sites and clinicians are recognized for clinical and operational excellence. ** Registered Nurse ( RN ) - Operating Room- St. Mary's Hospital** ... * 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 (09/17/24)
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  • New to Practice Registered Nurse

    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 (09/19/24)
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  • Registered Nurse - RN - 4…

    Bon Secours Mercy Health (Petersburg, VA)
    …* Nursing judgment and skill based on principles of the biological, physical, behavioral , and social sciences * Application of the nursing process in patient care ... partnership * Interprofessional collaboration and leadership * Understanding and utilization of office and clinical technologies * Compassionate, relationship-based… more
    Bon Secours Mercy Health (07/11/24)
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  • Behavioral Health Clinical Liaison

    CVS Health (Richmond, VA)
    …Liaison** is a clinical leader in the Medicaid plan focusing on utilization management , integrating member care, clinical coordination, leading the development, ... services and addiction recovery and treatment services through the utilization management process + Drives collaboration on...is required: LPC, LCSW, LMFT, BCBA, LBA, or an RN with 5+ years of behavioral health… more
    CVS Health (09/22/24)
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  • Behavioral Health Practitioner PRN

    HCA Healthcare (Richmond, VA)
    …to the appropriate next level of care. + Has working knowledge of utilization management functions and performs these duties as assigned; monitors patient ... Clinical Social Worker (LCSW), or Licensed Professional Counselor (LPC), or Registered Nurse CJW Medical Center (http://www.cjwmedical.com/) is comprised of… more
    HCA Healthcare (08/07/24)
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  • LTSS Service Coordinator- RN Clinician

    Elevance Health (Richmond, VA)
    …candidate should reside in Richmond, Henrico, or Hanover. The **LTSS Service Coordinator RN Clinician** is responsible for overall management of member's case ... face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral more
    Elevance Health (10/03/24)
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  • Payment Integrity Clinician

    Highmark Health (Richmond, VA)
    …and education or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment ... data to assure appropriate level of payment and resource utilization . It is also used to identify issues which...experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder… more
    Highmark Health (09/27/24)
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  • Social Worker SW Case Manager

    HCA Healthcare (Richmond, VA)
    …review for all payers and maintain legible documentation as directed by the Utilization Management Plan. **What qualifications you will need:** + Graduate of ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...in an acute care setting preferred. + Previous case management or utilization review experience preferred. CJW… more
    HCA Healthcare (08/07/24)
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  • Performance Improvement Manager Labor

    HCA Healthcare (Richmond, VA)
    …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 ... Specialist implements the strategic plan for labor and productivity management for the division. Identifies productivity opportunities and communicates recommended… more
    HCA Healthcare (09/10/24)
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  • Pharmacist

    HCA Healthcare (Richmond, VA)
    …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 ... we do. We want you to apply! **Job Summary and Qualifications** The Virginia registered pharmacist shall carry out duties assigned by the Director of Pharmacy and… more
    HCA Healthcare (09/11/24)
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  • Associate Director Clinical Resources

    HCA Healthcare (Richmond, VA)
    …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 ... to prepare you to become a Clinical Resource Director or another key management position within HealthTrust Supply Chain organization. **What you will do in this… more
    HCA Healthcare (08/03/24)
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  • Pharmacist

    HCA Healthcare (Richmond, VA)
    …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 ... we do. We want you to apply! **Job Summary and Qualifications** The Virginia registered pharmacist shall carry out duties assigned by the Director of Pharmacy and… more
    HCA Healthcare (07/17/24)
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