- CenterWell (Richmond, VA)
- …for the following: clinical and survey metrics, clinical operations metrics, claims denials, AO/state survey results, risk mitigation, clinical compliance, ... functioning in a branch leadership (Branch Director/Administrator) or Clinical Manager role strongly preferred. + Multi-site management and operations experience… more
- Parsons Corporation (Centreville, VA)
- …discussions/meetings with the client, subcontractors, trading partners and Project Manager . + Responsible for preparing, reviewing, and issuing formal notices ... Draft and format contractual notices (eg, delay notices, change notifications, claims correspondence) in accordance with contract terms. + Ensure clarity, accuracy,… more
- Elevance Health (Roanoke, VA)
- …services and long term services and supports. + Identifies members for high risk complications and coordinates care in conjunction with the member and the health ... + May also assist in problem solving with providers, claims or service issues. + Directs and/or supervises the...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Highmark Health (Richmond, VA)
- …ensure they utilize various means of automated communication, as well as, claims and electronic data interchange and electronic funds transfer. Collaborate with ... Develop and maintain leasing revenue targets. Update network lease risk strategy in response to all market changes. +...Relations + 3-5 years of experience as Dental Office Manager or Dental Hygienist LICENSES OR CERTIFICATIONS Required +… more
- Bon Secours Mercy Health (Newport News, VA)
- …+ Gets employees back to work quickly and safely + Helps complete worker's compensation claims + Reduces the risk of future issues + Take advantage of a ... or adjusting work hours to meet patient care needs as directed by the manager may also be required. + Directs and practices sterile technique to prevent… more
- US Tech Solutions (Chesapeake, VA)
- …enable decision making at most appropriate level **Duties:** + Nurse Case Manager is responsible for face to face and telephonically assessing, planning, ... + Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which… more