- 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
- Lincoln Financial (Richmond, VA)
- …including 1 year in claims, disability management (STD/LTD), worker's compensation, utilization review, and or behavioral health case management ... **The Role at a Glance** We are excited to bring on a knowledgeable and motivated Behavioral Health Consultant to our Clinical Organization. As a Behavioral … more
- Evolent (Richmond, VA)
- …the mission. Stay for the culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management ** at Evolent will serve as a point of contact for ... and client contractual agreements. **Collaboration Opportunities** : The Coordinator, Intake Utilization Management reports directly to the Manager, … more
- Bon Secours Mercy Health (Portsmouth, VA)
- …Sign on bonus eligible **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
- Elevance Health (Norfolk, VA)
- ** Behavioral Health Case Manager I** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... Richmond, VA, Roanoke, VA, Arlington, VA, Norfolk, VA The ** Behavioral Health Case Manager I** is responsible... Case Manager I** is responsible for performing case management telephonically and/or by home visits within the scope… more
- Elevance Health (Norfolk, VA)
- ** Behavioral Health Medical Director- Psychiatrist** Location: Alternate locations may be considered. This position will work a hybrid model (remote and office). ... 50 miles of an Elevance Health Pulse Point location. The ** Behavioral Health Medical Director- Psychiatrist** is responsible for completing medical necessity… more
- Veterans Affairs, Veterans Health Administration (Chesapeake County, VA)
- …Care Network (VISN 6), Hampton (HVAMC).This position is aligned under the Behavioral Health Interdisciplinary Program (BHIP)/Outpatient Services and will serve ... Summary This position is located within the Veterans Health Administration (VHA), VA Mid-Atlantic Health ...to patients; patient satisfaction activities; patient safety and risk management activities; and utilization management .… more
- Centene Corporation (Richmond, VA)
- …Assesses and performs review of member clinical records and services related to behavioral health and substance use. + Interpret and present program results ... and standards **Education/Experience:** Master's degree in Social Work or Behavioral Health or Graduate from an Accredited...the continuum of care. Experience with managed care, case management , utilization management , or quality… more
- HCA Healthcare (Salem, VA)
- …LewisGale Medical Center have the opportunity to make a real impact. As a(an) RN Behavioral Health Case Manager you can be a part of change. **Benefits** ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free...In a RN Case Manager role, you will perform utilization management reviews and communicates information to… more
- CVS Health (Richmond, VA)
- …of care, and appropriate discharge planning - Serve as the behavioral health subject matter expert to support care management staff in serving Aetna ... foster collaboration and provide education and training - Consults with Plan executive management regarding physical and behavioral health clinical issues as… more