• LMSW Care Manager , Telephonic…

    Humana (Charleston, WV)
    **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2, in a telephonic environment, ... for the care and wellbeing of members The Care Manager , Telephonic Behavioral Health 2 is a **Licensed,** **Master level, Social Worker** who… more
    Humana (08/28/24)
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  • Care Manager Behavioral

    Highmark Health (Charleston, WV)
    …the effective utilization management strategies including: review of appropriateness of health care services, application of criteria to assure appropriate ... of quality issues. Monitors and analyzes the delivery of health care services; educates providers and members...established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in… more
    Highmark Health (09/10/24)
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  • Behavioral Health Case…

    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...Conducts assessments to identify individual needs and develops specific care plan to address objectives and goals as identified… more
    Elevance Health (09/11/24)
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  • Behavioral Health High Acuity Team…

    Highmark Health (Charleston, WV)
    …interventions. The incumbent uses clinical and motivational interviewing skills to assess behavioral health , physical health , and social determinants of ... The overall goal is to help members navigate the health care system and develop condition self-management...Participate in ongoing training and educational activities related to behavioral health and medical topics. + Pro-actively… more
    Highmark Health (09/17/24)
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  • Complex Case Manager RN - Oncology (Remote)

    Highmark Health (Charleston, WV)
    …, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals ... ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs… more
    Highmark Health (09/07/24)
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  • Product Experience Research Manager

    Highmark Health (Charleston, WV)
    …in marketing research with insurance is a plus. ​ **Preferred** + Prior experience in Health Insurance or a Health Care Environment + Proven expertise in ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** If you...is defined as having worked as either a project manager or lead research analyst for a minimum of… more
    Highmark Health (07/23/24)
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  • Senior Category Manager

    Highmark Health (Charleston, WV)
    …relationship management and performance + Experience in Indirect Category Sourcing and/or Health Care Sourcing with demonstrated expertise in influencing the ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...Certified Professional in Supply Management (CPSM) + Certified Purchasing Manager (CPM) **SKILLS** + Experience in strategic management and… more
    Highmark Health (09/12/24)
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  • Residential Manager

    BrightSpring Health Services (Scott Depot, WV)
    …environment + Monitors and ensures staff follows agency procedures to promote optimum health care and behavior supports + Monitors and ensures staff completes ... skills + Bachelor of Art/Bachelor of Science in Business, Health Care Administration or a Social Science...Living, Adult Host Homes for adults regardless of disability, Behavioral /Mental Health Support, In-home Pharmacy Solutions, Telecare… more
    BrightSpring Health Services (09/03/24)
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  • Youth Care Worker

    BrightSpring Health Services (St. Albans, WV)
    Our Company StepStone Family & Youth Services Overview The Youth Care Worker provides direct care to youth in a group home setting. The Youth Care Worker ... serves as a positive role model, implementing Trauma Informed Care and adherence of policies and procedures of the...to establish goals within milieu. Aids youths in learning behavioral expectations of program and making positive choices in… more
    BrightSpring Health Services (09/10/24)
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  • Managed Care Claims Validator / Biller

    CommuniCare Health Services Corporate (Charleston, WV)
    …conditions. Our more than 150 skilled nursing, assisted living, independent living, behavioral health , and long-term care facilities deliver sophisticated ... the CommuniCare Family of Companies has been committed to delivering exceptional person-centered care as a national leader in post-acute care for those that… more
    CommuniCare Health Services Corporate (08/09/24)
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  • RN Registered Nurse - AHN Home Infusion…

    Highmark Health (Charleston, WV)
    …in special committee meetings as required. + Cooperates with other health care team members and the Operations Manager pursuant to the Allegheny ... timely manner. + Patients are appropriately referred to other health care support systems or community resources...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
    Highmark Health (09/06/24)
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  • Tele Emergency Room Social Worker PRN

    Intermountain Health (Charleston, WV)
    **Job Description:** The Social Work Care Manager works collaboratively with physicians and other members of the health care team to improve the ... The position educates patients and caregivers to help them manage their health care needs. The incumbent facilitates communication, coordinates services,… more
    Intermountain Health (09/11/24)
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  • Resource Developer/ Foster Parent Recruiter

    BrightSpring Health Services (Dunbar, WV)
    …Parent Recruiter is responsible for the training and relicensure of current Family Foster Care parents as well as assisting with the recruiting of new Family Foster ... Care Parents. The Recruiter will develop territories, increase targeted...to all members of the treatment team, including case manager , therapist, foster parents and youth to ensure needs… more
    BrightSpring Health Services (09/06/24)
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  • Wraparound Facilitator

    BrightSpring Health Services (Dunbar, WV)
    …at Home WV is to safely reduce reliance on in-state and out-of-state congregate care for youth ages 12-17. Safe at Home WV will provide for trauma-focused treatments ... family while building upon their strengths. Responsibilities + Consults with Program Manager regularly and as needed + Responsible for contract compliance and… more
    BrightSpring Health Services (08/31/24)
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  • National Director, Clinical Pharmacy- Remote

    CenterWell (Charleston, WV)
    …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... will play a critical role in ensuring optimal patient care , high quality health outcomes, and improved...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager more
    CenterWell (07/27/24)
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  • Associate Director, Clinical Coding Education (RN)

    CenterWell (Charleston, WV)
    …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... time with patients, providing compassionate, personalized care that brings better health outcomes. We...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager more
    CenterWell (08/27/24)
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  • Family Clinical Advocate, Registered Nurse…

    Sharecare, Inc. (Charleston, WV)
    …Specialty Care Providers, ancillary services, and all other members of the health care team to support the members. The certified professional will use ... team by collaborating with PCPs, specialists, other clinicians, and member to meet health care goals through development and implementation of Care Plans.… more
    Sharecare, Inc. (08/10/24)
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  • Lead Product Owner - Clinical Operations,…

    CenterWell (Charleston, WV)
    …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... time with patients, providing compassionate, personalized care that brings better health outcomes. We...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager more
    CenterWell (08/22/24)
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  • Senior Vendor Management Professional - PCO

    CenterWell (Charleston, WV)
    …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... time with patients, providing compassionate, personalized care that brings better health outcomes. We...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager more
    CenterWell (08/29/24)
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  • Business Intelligence Engineer - PCO

    CenterWell (Charleston, WV)
    …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... time with patients, providing compassionate, personalized care that brings better health outcomes. We...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager more
    CenterWell (08/21/24)
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