- CenterWell (Richmond, VA)
- …RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... Therapy, DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare… 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 ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- Elevance Health (Richmond, VA)
- **Title: Utilization Management Representative I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... an accommodation is granted as required by law._ The ** Utilization Management Representative I** will be responsible...requests. + Refers cases requiring clinical review to a Nurse reviewer. + Responsible for the identification and data… more
- Elevance Health (Richmond, VA)
- **Medical Management Nurse ** **Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training ... members in different states; therefore, Multi-State Licensure will be required.** The **Medical Management Nurse ** is responsible for review of the most complex… more
- CVS Health (Richmond, VA)
- …Prior Authorizations, Coordination with PCP and Specialty providers, Condition Management information and education, Medication management , Community Resources ... team will review prior claims to address potential impact on current case management and eligibility status. Assessments and/or questionnaires are designed to use a… 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 care ... for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care. Responsibilities… more
- Battelle Memorial Institute (Arlington, VA)
- …as a case manager by a recognized certifying organization, ie, Commission for Case Management Certification or American Nurse Credentialing Center + At least two ... Research and Analytics (HRA) business line is seeking a highly motivated, full-time ** Nurse Case Manager** to join our team in support of our government customer,… more
- Veterans Affairs, Veterans Health Administration (Richmond, VA)
- …the EDRP application. Former EDRP participants ineligible to apply. Responsibilities Registered Nurse - Inpatient Spinal Cord The Inpatient Staff Registered Nurse ... nursing practice and determines the appropriate delegation of tasks consistent with the nurse 's obligation to provide optimal care. The focus is on individual growth… more
- ChenMed (Virginia Beach, VA)
- … management programs, clinical meetings and other meetings. The Nurse Practitioner, Specialty incumbent adheres to strict departmental goals/objectives, standards ... we need great people to join our team. The Nurse Practitioner (NP), Specialty acts as part of the...nursing plan of care, health education, physician referrals, case management referrals, follow-up and clear documentation according to ChenMed… more
- Somatus (Fairfax, VA)
- …physical and mental well-being + Community engagement opportunities + And more! The Nurse Navigator is a critical member of the Somatus care team, serving both ... a patient advocate and a strategic partner to case management teams and hospital staff. This role collaborates with...kidney disease (CKD) and end-stage kidney disease (ESKD). The Nurse Navigator works with hospital staff, patients, and caregivers… more
- ChenMed (Norfolk, VA)
- … management programs, clinical meetings and other meetings. The Nurse Practitioner will adhere to strict departmental goals/objectives, standards of performance, ... and we need great people to join our team. ESSENTIAL JOB FUNCTIONS: The Nurse Practitioner (NP) acts as part of the clinical operations team and is responsible… more
- ChenMed (Norfolk, VA)
- … management programs, clinical meetings and other meetings. The Nurse Practitioner will adhere to strict departmental goals/objectives, standards of performance, ... we need great people to join our team. The Nurse Practitioner (NP) acts as part of the clinical...nursing plan of care, health education, physician referrals, case management referrals, follow-up and clear documentation according to ChenMed… more
- ChenMed (Richmond, VA)
- … management programs, clinical meetings and other meetings. The Nurse Practitioner will adhere to strict departmental goals/objectives, standards of performance, ... we need great people to join our team. The Nurse Practitioner (NP) acts as part of the clinical...nursing plan of care, health education, physician referrals, case management referrals, follow-up and clear documentation according to ChenMed… more
- Bon Secours Mercy Health (Portsmouth, VA)
- …excellence. **Summary of Primary Function/General Purpose of Position** The Registered Nurse Medical/Surgical functions as a care provider of a multidisciplinary ... provision of patient care, demonstrates strong skills related to effective time management and prioritizing patient care, contributes to the provision of quality… more
- Bon Secours Mercy Health (Portsmouth, VA)
- …**Summary of Primary Function/General Purpose of Position** The Behavioral Health Registered Nurse (RN) functions as a care provider of a multidisciplinary care team ... procedures, guidelines of the organization, and within the State's Nurse Practice Act. The RN provides a safe and...patient outcomes are met. + Participates in the safe management of the milieu, intervening effectively with patients who… more
- HCA Healthcare (Richmond, VA)
- …of RN experience in a hospital setting preferred. + Previous case management or utilization review experience preferred. Johnston-Willis Hospital has provided ... opportunity to make a real impact. As a **Registered Nurse RN Case Manager** you can be a part...location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential… more
- University of Virginia (Charlottesville, VA)
- …Acute Inpatient Oncology Unit-where clinical excellence meets transformative leadership. As Nurse Manager of this 28-bed, state-of-the-art unit in our South Tower, ... and clerical staff. * Strategically oversee staffing, scheduling, and flex resource utilization based on patient flow and acuity. * Lead with data: forecast… more
- Bon Secours Mercy Health (Portsmouth, VA)
- …Primary Function/General Purpose of Position** The Emergency Department (ED) Registered Nurse (RN) provides, coordinates, plans, and evaluates nursing care, and ... * Protects the safety and privacy of all persons. * Understanding and utilization of office and clinical technologies. * Ability to communicate with patients in… more
- University of Virginia (Charlottesville, VA)
- A dynamic professional clinician focused on population management with demonstrated capability to provide relationship-based care within a collaborative ... multidisciplinary team. This registered nurse utilizes advanced critical thinking to develop, implement, and evaluate an individualized plan of care that educates,… more
- Bon Secours Mercy Health (Petersburg, VA)
- …night shift/12hr shifts** **Summary of Primary Functions** The Critical Care Registered Nurse (RN) provides, coordinates, plans, and evaluates the care of the ... life supporting technology/modalities may include but not limited to: ventilator management , CRRT, IABP, Impella, ECMO * Performs hemodynamic monitoring * Clinically… more