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22 Jobs in Richmond, VA

  • Managed Care Coordinator - Foster Care

    Richmond, Virginia
    ... The Foster Care Managed Case Manager is responsible for overall management of member ... insure cost effective and efficient utilization of services. Establishes short and long term goals ...
  • Behavioral Health Case Manager I

    Richmond, Virginia
    ... insightful analytics to improve the delivery of care. The BH Case Manager I is responsible for ... objectives and goals as identified during assessment. Monitors and evaluates effectiveness of care plan ...
  • UM Medical Director - Orthopedic Surgery

    Richmond, Virginia
    ... consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care ... services, to ensure the appropriate and most cost-effective medical care is received. May be responsible ...
  • Foster Care Case Mgr II (North Region)

    RICHMOND, Virginia
    ... Winchester Rockingham Harrisonburg Culpeper The **Foster Care Case Manager II ... of licensure for special programs, such as Foster Care. Manages overall healthcare costs for the ...
  • Behavioral Health Case Manager II - Crisis Line

    RICHMOND, Virginia
    ... goals as identified during assessment. Monitors and evaluates effectiveness of care plan and modifies plan as needed. Supports member access to appropriate quality and cost effective care ...
  • UM Medical Director - Cardiology

    Richmond, Virginia
    ... enhance clinical operations. May identify cost of care opportunities. May serve as a resource to staff ... administration of physical and/or behavioral health medical services, to ensure the appropriate and most cost ...
  • Foster Care Case Manager (Northern Region)

    Richmond, Virginia
    ... scope of licensure for special programs, such as Foster Care. Manages overall healthcare costs for the ... assessment. Supports member access to appropriate quality and cost effective care and modifies plan(s ...
  • Foster Care Case Manager (Central Region)

    Richmond, Virginia
    ... include: Richmond Amelia Hanover Middlesex Petersburg The **Foster Care Case Manager ... of licensure for special programs, such as Foster Care. Manages overall healthcare costs for the ...
  • Foster Care Case Manager

    Richmond, Virginia
    ... required. The Foster Care Case Manager is responsible for performing case management telephonically and/or by home visits within the scope of licensure for special programs, such as Foster Care ...
  • Foster Care Case Manager (Piedmont Region)

    Richmond, Virginia
    ... scope of licensure for special programs, such as Foster Care. Manages overall healthcare costs for the ... assessment. Supports member access to appropriate quality and cost effective care and modifies plan(s ...
  • Foster Care Case Manager (Central Region)

    Richmond, Virginia
    ... **Foster Care Case Manager** is responsible for performing case management telephonically and/or by home visits within the scope of licensure for special programs, such as Foster Care. Manages overall ...
  • Foster Care Case Manager (Piedmont Region)

    Richmond, Virginia
    ... The Foster Care Case Manager is responsible for performing case management telephonically and/or by home visits within the scope of licensure for special programs, such as Foster Care. Manages ...
  • Behavioral Health Provider Quality Manager

    RICHMOND, Virginia
    ... internal clinical and quality departments to ensure high quality care to members and achievement of company ... data assessment. Creates and maintains linkages between providers of all levels of care, as well ...
  • UM Medical Director - Internal Medicine or Family Medicine

    Richmond, Virginia
    ... consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care ... services, to ensure the appropriate and most cost-effective medical care is received. May be responsible ...
  • Cost of Care Mgr (US)

    Richmond, Virginia
    ... The Cost of Care Mgr leads and manages multiple cost of care initiatives enterprise wide (e.g ... , but are not limited to: Identifies and develops best practices and cost of care improvement ...
  • Cost of Care Mgr (US)

    Richmond, Virginia
    ... The Cost of Care Mgr leads and manages multiple cost of care initiatives enterprise wide (e.g ... , but are not limited to: Identifies and develops best practices and cost of care improvement ...
  • Project Director

    RICHMOND, Virginia
    ... per week. The rest of the time would be working remotely (from home). The ideal candidate will live within 50 miles of one of our Elevance Health office locations.**_ The **Project Director ...
  • Staff VP Technology (MBM), Carelon

    Richmond, Virginia
    ... ensuring appropriate, safe, and affordable clinical health care services. As a proud member of the Elevance Health family of companies, together we’re creating better care for members, more value for customers and ...
  • Medicare Medical Director Clinical Programs

    Richmond, Virginia
    ... including cost of care. This role will work on Cost of Care, trend management, value-based care support for ... : Consulting experience and/or MBA. Managed care experience improving cost of care trend ...
  • LTSS Service Coordinator- RN Clinician

    Richmond, Virginia
    ... , monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of ... -morbidities, and/or disabilities, to insure cost effective and efficient utilization of health benefits ...
  • LTSS Service Coordinator- RN Clinician

    Richmond, Virginia
    ... , monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of ... -morbidities, and/or disabilities, to insure cost effective and efficient utilization of health benefits ...
  • LTSS Service Coordinator- Clinician

    Richmond, Virginia
    ... . Obtains clinical data. Identifies members that would benefit from an alternative level of care or ... in conjunction with the RN, member and the health care team, to ensure cost effective and efficient ...
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