• Clinical Case Manager

    CVS Health (Charleston, WV)
    …3+ years of direct clinical practice experience + An active and unrestricted clinical behavioral health license in state of residence is required (ex: LPC, ... thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning,...programs. + Completes a Comprehensive Assessment and Plan of care . + Will document in clinical systems… more
    CVS Health (01/10/25)
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  • Field Care Manager

    Humana (Charleston, WV)
    …and help us put health first** Humana Healthy Horizons in Kentucky is seeking a Field Care Manager , Behavioral Health 2 who will assess and evaluate member's ... care and wellbeing of members. The Field Care Manager , Behavioral Health 2...license with a minimum of 1 year of post-degree clinical experience in behavioral health **OR** an… more
    Humana (11/20/24)
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  • Care Manager Behavioral

    Highmark Health (Charleston, WV)
    …consistent with established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in accordance with ... + 3 - 5 years of post licensure experience in a combination of Behavioral Health Clinical , Case Management and/or Condition Management + Experience in a… more
    Highmark Health (12/12/24)
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  • Behavioral Health Case Manager II

    Elevance Health (Charleston, WV)
    **Sign-on Bonus:** $3,000 The ** Behavioral Health Case Manager II** is responsible for performing case management telephonically and/or by home visits within the ... scope of licensure for members with behavioral health and substance abuse or substance abuse disorder...specific requests. . Uses appropriate screening criteria knowledge and clinical judgment to assess member needs. . Conducts assessments… more
    Elevance Health (11/27/24)
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  • Behavioral Health Strategy Principal

    CenterWell (Charleston, WV)
    …and procedures to support program implementation. + Establish collaborative relationships with clinical teams and care integration leadership to align on program ... develop and implement metrics to measure the effectiveness of care transitions. + Understanding of clinical operations...health care organization. + Knowledge of health care regulations and policies related to behavioral more
    CenterWell (01/14/25)
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  • Care Manager RN - Weekends (Remote)

    Highmark Health (Charleston, WV)
    …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... specific state licensure(s) may be required depending on where clinical care is being provided. **Preferred** +...position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
    Highmark Health (01/07/25)
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  • Director of Nursing / Nurse Manager

    BrightSpring Health Services (Dunbar, WV)
    …area of responsibility. Responsible to supervise all nursing personnel, and ensure care and services are coordinated with behavioral and programmatic staff ... Executive Director. The Director of Nursing is accountable for overseeing the day-to-day clinical operations to ensure quality of care & services, regulatory… more
    BrightSpring Health Services (12/28/24)
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  • Complex Case Manager RN (Remote)

    Highmark Health (Charleston, WV)
    …over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member ... panel and utilizing data/analytics in conjunction with professional clinical judgement to identify the right clinical intervention for each member. The incumbent… more
    Highmark Health (11/20/24)
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  • Regional Business Manager

    Takeda Pharmaceuticals (Charleston, WV)
    …to take charge of your future at Takeda. Join us as a Regional Business Manager in our Cincinnati, Ohio region. Here, everyone matters, and you will be a vital ... contributor to our inspiring, bold mission. As a Regional Business Manager working on the Gastroenterology Rare Disease Sales Team, you will be empowered to drive… more
    Takeda Pharmaceuticals (01/16/25)
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  • Medicare Medical Director

    Elevance Health (Charleston, WV)
    clinical consultation and serve as clinical /strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as a ... changes in healthcare. + Leads, develops, directs, and implements clinical and non- clinical activities that impact health care quality cost and outcomes. +… more
    Elevance Health (01/08/25)
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  • Associate Medical Director - Orthopedic Surgery

    Elevance Health (Charleston, WV)
    …Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee ... depression, and insightful analytics to improve the delivery of care . The ** Clinical Ops Associate Medical Director...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (12/17/24)
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  • Risk Management Lead - Home Health

    CenterWell (Charleston, WV)
    …learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and ... of various healthcare payer models, including episodic, fee-for-service, and value-based care + Successful track record in influencing, facilitating, and consulting… more
    CenterWell (01/11/25)
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  • RN Registered Nurse - AHN Home Infusion…

    Highmark Health (Charleston, WV)
    …+ Participates in special committee meetings as required. + Cooperates with other health care team members and the Operations Manager pursuant to the Allegheny ... The Registered Nurse assesses human responses and plans, implements and evaluates nursing care for individuals or families for whom the nurse is responsible. The… more
    Highmark Health (12/06/24)
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  • Senior Data and Reporting Professional

    CenterWell (Charleston, WV)
    …learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and ... opportunities. Application Deadline: 03-30-2025 **About us** About CenterWell Senior Primary Care : CenterWell Senior Primary Care provides proactive, preventive … more
    CenterWell (01/01/25)
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