- Humana (Richmond, VA)
- …our caring community and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Nurse 2 work assignments are… more
- CVS Health (Richmond, VA)
- …across broader Plan operations. **Required Qualifications:** + Must reside within Virginia. + Registered Nurse with 5 years Behavioral Health Experience or ... plan and collaborate with internal partners, community organizations, and behavioral health and ARTS providers to enhance... clinical issues as they relate to medical management ( UM , CM, DM) provider and system of care issues,… more
- Highmark Health (Richmond, VA)
- …panel. Provides oversight over a specified panel of members that range in health status/severity and clinical needs; and assesses health management needs of ... various resources to assist members in achieving their personal health goals. Will work with providers to insure quality...in a clinical setting **Preferred** + 5 years in UM /CM/QA/Managed Care + 1 year in advanced training and… more