• Utilization Management

    Humana (Richmond, VA)
    …help us put health first** Humana Healthy Horizons in Kentucky is seeking a Utilization Management Behavioral Health Professional 2 who utilizes ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional… more
    Humana (09/11/25)
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  • UM Behavioral Health Nurse

    Humana (Richmond, VA)
    …a part of our caring community and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills ... behavioral health services and/or benefit administration determinations. The Utilization Management Behavioral Health Nurse 2 work assignments are… more
    Humana (09/09/25)
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  • UM Behavioral Health Professional

    Humana (Richmond, VA)
    …a part of our caring community and help us put health first** The Utilization Management Behavioral Health Professional 2 utilizes behavioral ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional… more
    Humana (09/04/25)
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  • Behavioral Health Specialist…

    Defense Health Agency (Falls Church, VA)
    …Training (BHTRAINING); BHSL Utilization Management (BHSL UM); Primary Care Behavioral Health (PCBH); and BH Support of Traumatic Brain Injury Treatment ... will use their Behavioral Health expertise to serve as the Behavioral Health Clinical Management Team Lead (BHSL) for the DHN. Employee functions as… more
    Defense Health Agency (07/30/25)
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  • Clinical Case Manager Behavioral

    CVS Health (Richmond, VA)
    …o Using advanced clinical skills, performs crisis intervention with members experiencing a behavioral health or medical crisis and refers them to the appropriate ... care issues through established channels. o Ability to speak to medical and behavioral health professionals to influence appropriate member care. o Utilizes… more
    CVS Health (09/06/25)
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  • Behavioral Health Medical Director…

    Humana (Richmond, VA)
    …value-based care, quality metrics, population health , and disease or care management . The Behavioral Health Medical Director may develop procedures, ... part of our caring community and help us put health first** The Behavioral Health ...management , utilization management , case management , discharge planning and/or home health or… more
    Humana (08/09/25)
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  • Behavioral Health Medical…

    Elevance Health (Richmond, VA)
    ** Behavioral Health Medical Director-Psychiatrist Appeals** **Location:** This role enables associates to work virtually full-time, with the exception of ... Monday - Friday. Half day Saturday rotation, once a month.** The ** Behavioral Health Medical Director-Psychiatrist Appeals** is responsible for the… more
    Elevance Health (09/10/25)
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  • Behavioral Health Care Manager II

    Elevance Health (Roanoke, VA)
    …for employment, unless an accommodation is granted as required by law._ The ** Behavioral Health Care Manager II** is responsible for managing psychiatric and ... Requires MA/MS in social work counseling or a related behavioral health field or a degree in...is licensed staff supervision. + Previous experience in case management / utilization management with a broad… more
    Elevance Health (08/30/25)
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  • Registered Nurse (RN) - Behavioral

    Bon Secours Mercy Health (Portsmouth, VA)
    …$20,000.00 sign on bonus **Summary of Primary Function/General Purpose of Position** The Behavioral Health Registered Nurse (RN) functions as a care provider of ... Collects and records nursing assessment of the physical and behavioral health status of the patient. +...patient outcomes are met. + Participates in the safe management of the milieu, intervening effectively with patients who… more
    Bon Secours Mercy Health (09/10/25)
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  • RN Manager Behavioral Health

    HCA Healthcare (Richmond, VA)
    …an area of management or leadership. Preferred - One year previous successful behavioral health nursing management experience, in an acute care setting. ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free...various tasks to staff RN's. Provides cross coverage for Utilization Review. Maintains a competent staff through working with… more
    HCA Healthcare (06/21/25)
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