- Elevance Health (Norfolk, VA)
- …and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a ... **Diagnosis Related Group Clinical Validation Auditor- RN ** **Virtual:** This role enables associates to work virtually full-time, with the exception of required… more
- Sunrise Senior Living (Arlington, VA)
- …approved college/school of nursing + Maintains a current state/provincial license as a professional Registered Nurse ( RN ) + Minimum of one (1) year ... Jefferson - Health Care Center **Job ID** 2025-229117 **JOB OVERVIEW** The Wellness Nurse is responsible for monitoring the health and well-being of our residents… more
- CVS Health (Richmond, VA)
- …accreditation guidelines and company policies and procedures. **Required Qualifications** * Registered Nurse with current unrestricted Virginia (VA) license or ... visits. o Through the use of clinical tools and information/data review , conducts comprehensive assessments of referred member's needs/eligibility and determines… more
- Erickson Living (Springfield, VA)
- …(skilled nursing, long term care, assisted living or hospital) is required. + Current Registered Nurse license for the state in which they operate. + Current ... meetings such as Wound Rounds, Clinical Operations Meeting, Utilization Review , and Performance Improvement/Risk Management/Safety (PI/RM/S) Committee + Provides… more
- HCA Healthcare (Richmond, VA)
- …and Qualifications** The Nurse Extern PRN will work under the supervision of the Registered Nurse ( RN ), and assist the nursing staff in providing patient ... indirect patient care under the supervision of the licensed nurse . . Obtain and record initial and... Extern PRN Progressive Neuro Care Unit opening. We review all applications. Qualified candidates will be contacted for… more
- Public Consulting Group (Richmond, VA)
- …of case management plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions** + Office Setting **The ... efficient, equitable, and client-centered + Handles case assignments, draft service plans, review case progress and determine case closure + Travels within the State… more
- HCA Healthcare (Fredericksburg, VA)
- …Specialist RN is responsible for participation in the collection, review and interpretation of clinical data, with correlation to clinical excellence performance ... healthcare provider. We are seeking a(an) Quality Improvement Specialist RN to join our healthcare family. **Benefits** Spotsylvania Regional...nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want… more
- Erickson Living (Ashburn, VA)
- Location: Ashby Ponds by Erickson Senior Living Join our team as the Charge Nurse ( RN ) is responsible for ensuring the delivery of a safe and effective ... for the residents in their neighborhood through monitoring and partnership with RN , LPN, and care associates. + Monitoring new staff complete orientation/onboarding… more
- Elevance Health (Norfolk, VA)
- ** Nurse Appeals** **Hybrid 1:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing ... employment, unless an accommodation is granted as required by law._ The ** Nurse Appeals** is responsible for investigating and processing and medical necessity… more
- Elevance Health (Norfolk, VA)
- …is correct in claims system and writes report of the findings of the review and requests payments for any overpayments. + Identifies aberrant patterns of billing and ... of education and experience, which would provide an equivalent background. RN , LPN or medical coding certification strongly preferred. **Preferred Skills,… more