Clinical Alternatives $60,000 jobs in Henrico, VA

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Operations Administrator - Clinical Documentation Improvemen...
Mayo Clinic - 679 reviews - United States
To bring awareness of current external issues such as reimbursement, legislative, alternative delivery modes, etc....
Asst. VP Provider Contracting (Provider Contracting Manager)
Cigna - 2,068 reviews - Richmond, VA 23219
Identifying and implementing alternative network initiatives. Drives change with external provider partners by assessing clinical informatics and offering...
Physician (MD) - Physiatrist
Health Career Services - 4 reviews - Bensley, VA
$300,000 a year
Identify potentially unnecessary services and care delivery settings, and recommend alternatives if appropriate by analyzing clinical protocols....

Clinical Care Manager - Multiple Opportunities Available! (V...

Aetna - 2,075 reviews - Richmond, VA 23236
Minimum of 3 years of clinical practice experience (hospital setting, alternative care setting such as home health, or ambulatory care) required....

Licensed Concurrent Review Consultant - RN/LCSW/LPC/LMFT (VA...

Aetna - 2,075 reviews - Richmond, VA 23236
Minimum 3-5 years clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care required....

Care Manager II (LPC, LCSW, LMFT or Psychiatric RN)

Magellan Health - 339 reviews - Glen Allen, VA 23060
Propose alternative plans of treatment when requests for services do not meet medical necessity criteria. License and Certifications CEAP - Certified Employee...

UM Professional, RN

Magellan Health - 339 reviews - Glen Allen, VA 23060
Under general supervision, and in collaboration with Medical Directors and other members of the clinical team, gathers and synthesizes clinical information in...

Residential Care Manager - VA license a Must( Work from Home...

Magellan Health - 339 reviews - Glen Allen, VA 23060
Proposes alternative plans of treatment when requests for services do not meet medical necessity criteria. Under general supervision, and in collaboration with...

Residential Care Manager

Magellan Health - 339 reviews - Glen Allen, VA 23060
Proposes alternative plans of treatment when requests for services do not meet medical necessity criteria. Under general supervision, and in collaboration with...

ID/DD Care Manager (LPC, LCSW, LMFT or Psychiatric RN)

Magellan Health - 339 reviews - Glen Allen, VA 23060
Proposes alternative plans of treatment when requests for services do not meet medical necessity criteria. Interacts with Physician Advisors to discuss clinical...

RN Utilization Management, Post Acute Medicare - Richmond, V...

Humana - 2,448 reviews - Glen Allen, VA
Prior clinical experience in an acute care, skilled or rehabilitation clinical setting. Identify potentially unnecessary services and care delivery settings,...

Provider Contracting Manager (Richmond based-Senior Speciali...

Cigna - 2,068 reviews - Richmond, VA 23219 (City Center area)
Identifying and implementing alternative network initiatives. Drives change with external provider partners by assessing clinical informatics and offering...

Asst. VP Provider Contracting (Provider Contracting Manager)

Cigna - 2,068 reviews - Richmond, VA 23219 (City Center area)
Identifying and implementing alternative network initiatives. Drives change with external provider partners by assessing clinical informatics and offering...
Project/Program Manager-Biologics
AxoGen Inc - 4 reviews - United States
Clinical Programs (Pivotal and Supporting Studies). Knowledge of biologics/drugs and manufacturing, and experience in a clinical setting strongly recommended....
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RN LTSS Service Coordinator (Trainer) - Richmond, VA - 12663...
Anthem, Inc. - 2,000 reviews - Richmond, VA
Identifies members that would benefit from an alternative level of care or other waiver programs. Responsible for performing telephonic or face-to-face clinical...

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