- 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
- Elevance Health (Norfolk, VA)
- …abuse cases preferred. **Preferred Skills, Capabilities and Experiences:** + Experience in behavioral health utilization management is highly ... Behavioral Health Care Manager I- ... Behavioral Health Care Manager I- Behavioral ...there is licensed staff supervision. Previous experience in case management / utilization management with a broad… 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
- Highmark Health (Richmond, VA)
- …coverage determination for prior authorization review and appeals. Through the Utilization Review system, the incumbent evaluates clinical information provided by ... prior authorization or appeals against medical policy through the Utilization Review system. Update the system records appropriately to...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Elevance Health (Richmond, VA)
- ** Behavioral Health Care Manager II -...is licensed staff supervision. + Previous experience in case management / utilization management with a broad ... the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health ...Beacon Health Options, offers superior clinical mental health and substance use disorder management , a… more
- Elevance Health (Norfolk, 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 (Ashburn, VA)
- …medical benefits, including medical management . **Hours: 8am-5pm (Local time)** The ** Behavioral Health Care Manager I** is responsible for managing adult ... ** Behavioral Health Care Manager I -...** Behavioral Health Care Manager I - Ameriben** **Location** :...Skills, Capabilities and Experiences:** + Previous experience in case management / utilization management with a broad… more
- Bon Secours Mercy Health (Portsmouth, VA)
- …days-sign on bonus eligible **Summary of Primary Function/General Purpose of Position** The Behavioral Health Registered Nurse (RN) functions as a care provider ... 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
- HCA Healthcare (Salem, VA)
- …is incentive eligible. **Introduction** Do you have the career opportunities as a Director Behavioral Health Nursing you want with your current employer? We have ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free... management , including position control, scheduling excellence, productivity management , and premium pay utilization . Maintains staffing… more
- Adecco US, Inc. (Dulles, VA)
- **Position Title:** Nurse Manager - Behavioral Health **Location:** 24440 Stone Springs Blvd, Dulles, VA 20166 **Facility:** StoneSprings Hospital Center ... fostering collaboration, compassion, and excellence in care. The Nurse Manager - Behavioral Health oversees the day-to-day operations of the Behavioral… more