Utilization Review Jobs in Richmond, VA

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Senior Systems Analyst – Medicaid (mes Crms)

Cyber Resource

profile Richmond - USA

ABOUT THE ROLEThere is a need for a full-time Data/Systems analyst to support enhancements and fixes for the MES Care Management Solution (CRMS). This position is one of the key personnel supporting the MES CRMS components and provides deep business and technical knowledge of CRMS and its data and w...

10 days ago
Full Time

System Analyst

Tri-force Consulting Services, Inc.

profile Richmond - USA

Name of position: System AnalystLocation: 600 E. Broad St. Richmond VANote: Hybrid model for on-site/telework (1 /day a week on site is preferred). job descriptionThere is a need for a full-time Data/Systems analyst to support enhancements and fixes for the MES Care Management Solution (CRMS). This...

10 days ago
Full Time

Registered Nurse (rn) Care Navigator Bon Secours L...

Bon Secours Mercy Health

profile Richmond - USA

Thank you for considering a career at Bon Secours!Scheduled Weekly Hours:40Work Shift: Days (United States of America)Bon SecoursAbout UsAs a faith-based and patient-focused organization Bon Secours exists to enhance the health and well-being of all people in mind body and spirit through exceptional...

15 days ago
Full Time

Overnight Staff Pharmacist, Amazon Pharmacy

Amazon

profile Richmond - USA

Innovation is at the core of what we do. We believe that by removing and reducing the barriers thatprevent people from taking their medications we can help customers conveniently get themedications they need when they need them and take them as prescribed. We have providedcustomers with the ability...

19 days ago
Full Time

Activities Program Coordinator Assisted Living

Lakewood Retirement Community-lifespire

profile Richmond - USA

Full-Time Program Coordinator Assisted LivingJoin us at Lakewood where we impact lives and build careers!Benefits:Tuition AssistanceEarly access to earned wages before payday!Medical Vision and Dental InsurancePTOSupportive environment to grow your career4.5% dollar for dollar match on our 403BAmazi...

21 days ago
Full Time

Staff Pharmacist, Amazon Pharmacy

Amazon

profile Richmond - USA

Innovation is at the core of what we do. We believe that by removing and reducing the barriers thatprevent people from taking their medications we can help customers conveniently get themedications they need when they need them and take them as prescribed. We have providedcustomers with the ability...

21 days ago
Full Time

Brain Injury Program Coordinator

Dhrm

profile Richmond - USA

Title: Brain Injury Program CoordinatorState Role Title:Health Care Compliance Spec IIHiring Range: $25.00 - $40.00Pay Band: UGAgency: Dept of Med Assistance SvcsLocation:Dept of Medical Asst ServicesAgency Website:Recruitment Type: General Public - GJob DutiesThe Department of Medical Assistance Se...

30 days ago
Hourly

Human Services Program Coordinator (colorectal Can...

Dhrm

profile Richmond - USA

Title: Human Services Program Coordinator (Colorectal Cancer Screening Coordinator)State Role Title:Prog Admin Specialist IIHiring Range: $77250 - $85975Pay Band: 5Agency: Virginia Department of HealthLocation:VDH-Central OfficeAgency Website: Type: General Public - GJob DutiesThis project managemen...

30 days ago
Full Time

Senior Operations Supervisor-transportation (suppl...

Penske

profile Richmond - USA

DescriptionPosition Summary: Provide operational leadership toindividual contributors and hourly workforce to ensure the execution of daily tasks and activities including driver deliveries loading/unloading of trailers cross docking and customer service operations in a manner consistent with company...

30+ days ago
Full Time

Rn Med Management Clinician Sr. (umur)

Elevance Health

profile Richmond - USA

Anticipated End Date:Position Title:RN Med Management Clinician Sr. (UM/UR)Job Description:LOCATION: This is a virtual eligible position. Virginia residency is required.HOURS: General business hours Monday through Friday.This role enables associates to work virtually full-time with the exception of...

30+ days ago
Full Time

Therapist, Lead

Lifepoint Health

profile Richmond - USA

DescriptionTitle: Lead TherapistJob Type: Full timeYour experience matters!AtWestpark Springs we are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. Here youre not just valued as an employee but as a person.Westpark Springs is a mental hea...

30+ days ago
Full Time

Prn House Supervisor- Registered Nurse (rn) Nights

Lifepoint Health

profile Richmond - USA

DescriptionWestpark Springs-Behavioral Health Hospital Richmond TexasHouse Supervisor Registered Nurse (RN) Behavioral HealthJob Type: PRN - NightsYour experience mattersAt Woodland Springs we are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to ot...

30+ days ago
Part-Time

Manager I, Gbd Special Programs (um)

Elevance Health

profile Richmond - USA

Anticipated End Date:Position Title:Manager I GBD Special Programs (UM)Job Description:LOCATION: This is a virtual eligible role. Virginia residency is required.HOURS: General business hours Monday through Friday.This role enables associates to work virtually full-time with the exception of required...

30+ days ago
Full Time

Manager I, Gbd Special Programs (um)

Elevance Health

profile Richmond - USA

Anticipated End Date:Position Title:Manager I GBD Special Programs (UM)Job Description:LOCATION: This is a hybrid role requiring you to be in the office 3 days per week. Virginia residency is required.HOURS: General business hours Monday through Friday.This role requires associates to be in-office 3...

30+ days ago
Full Time

Medical Management Clinician Sr.

Elevance Health

profile Richmond - USA

Anticipated End Date:Position Title:Medical Management Clinician Sr.Job Description:LOCATION: This is a virtual eligible position. Virginia residency is required.HOURS: General business hours Monday through Friday.This role enables associates to work virtually full-time with the exception of require...

30+ days ago
Full Time

Staff Pharmacist, Amazon Health Services

Amazon

profile Richmond - USA

Innovation is at the core of what we do. We believe that by removing and reducing the barriers thatprevent people from taking their medications we can help customers conveniently get themedications they need when they need them and take them as prescribed. We have providedcustomers with the ability...

30+ days ago
Full Time

Lead Therapist

Lifepoint Health

profile Richmond - USA

DescriptionTitle: Lead TherapistJob Type: Full timeYour experience matters!AtWestpark Springs we are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. Here youre not just valued as an employee but as a person.Westpark Springs is a mental hea...

30+ days ago
Full Time

Patient Navigator (rn)

Bon Secours Mercy Health

profile Richmond - USA

Thank you for considering a career at Bon Secours!Scheduled Weekly Hours:40Work Shift: Days (United States of America)Bon SecoursAs a faith-based and patient-focused organization Bon Secours exists to enhance the health and well-being of all people in mind body and spirit through exceptional patient...

30+ days ago
Full Time

Human Services Program Coordinator (every Woman's ...

Dhrm

profile Richmond - USA

Title: Human Services Program Coordinator (Every Womans Life Clinical Coordinator)State Role Title:Prog Admin Specialist IIHiring Range: $77250 - $85 957Pay Band: 5Agency: Virginia Department of HealthLocation:VDH-Central OfficeAgency Website: Type: General Public - GJob DutiesThis is a restricted p...

30+ days ago
Full Time

Regional Program Supervisor

Richmond Behavioral Health Authority

profile Richmond - USA

General Definition of WorkPerforms advanced programmatic supervision and administrative work coordinating overseeing and reporting on regional activities including the Discharge Assistance Program (DAP) and Regional Permanent Supportive Housing (PSH) tracking utilization and outcome data for the reg...

30+ days ago
Full Time