- Highmark Health (Richmond, VA)
- …personal health goals. The incumbent monitors, improves and maintains quality outcomes (clinical, financial and functional) for the specified panel of members. ... any combination of clinical, case management and/or disease/condition management experience, provider operations and / or health insurance experience… more
- Highmark Health (Richmond, VA)
- …their personal health goals. Will work with providers to insure quality and appropriate care is being delivered in a timely manner. **ESSENTIAL ... of clinical, case/utilization management and/or disease/condition management experience, or provider operations and/or health insurance experience + 1… more
- Elevance Health (Manassas, VA)
- …Care. Manages overall healthcare costs for the designated population via integrated (physical health / behavioral health ) case management and whole person ... Requires MS/MA in social work, counseling, or a related behavioral health field or a degree in...not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will… more
- Highmark Health (Richmond, VA)
- …Digital, Provider , Claims, Enrollment, Billing, Benefits, Products and Services. Knowlege of Provider Health Systems like EMRs and RCM processes is a plus. + ... is positioned to capitalize on opportunities by providing high quality services + Provide feedback from field...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Therapeutic Alliance, LLC (Virginia Beach, VA)
- …that allows us to address mental health , substance abuse and behavioral issues using evidence-based methods. We provide extensive supervision to each ... LLC is a private behavioral and mental health agency offering professional behavioral health...develop comprehensive treatment plans, and engage with other mental health professionals to provide top clinical care.… more
- Highmark Health (Richmond, VA)
- …referral to a Health Coach/case management, and identification and resolution of quality issues. Monitors and analyzes the delivery of health care services; ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...qualitative and quantitative data in developing strategies to improve provider performance/satisfaction and member satisfaction. Responds to customer inquiries… more
- HCA Healthcare (Falls Church, VA)
- …services 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 ... and expertise! **Job Summary and Qualifications** . Demonstrates expertise in mental health promotion and maintenance of high- quality comprehensive patient care… more
- Elevance Health (Richmond, VA)
- …and experience, which would provide an equivalent background. + For Health Solutions and Carelon organizations (including behavioral health ) only, ... Director** is responsible for the administration of physical and/or behavioral health medical services, to ensure the...be responsible for developing and implementing programs to improve quality , cost, and outcomes. May provide clinical… more
- Elevance Health (Norfolk, VA)
- …and experience, which would provide an equivalent background. + For Health Solutions and Carelon organizations (including behavioral health ) only, ... Director** is responsible for the administration of physical and/or behavioral health medical services, to ensure the...be responsible for developing and implementing programs to improve quality , cost, and outcomes. May provide clinical… more
- HCA Healthcare (Richmond, VA)
- …services 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 ... for our team to ensure that we continue to provide all patients with high quality , efficient...years. Our campuses offer services in orthopedics, joint care, behavioral health , cancer care, and neurology. We… more