- Highmark Health (Charleston, WV)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Pediatric Complex Case Management** This job owns and conducts oversight over a specified ... and / or health insurance experience **Preferred** + **Pediatric Complex Case Management Experience** + Advanced training...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Highmark Health (Charleston, WV)
- …:** Highmark Inc. **Job Description :** **JOB SUMMARY** This job will lead a team of Registered Nurse Complex Case Managers that deliver case ... to handle multiple priorities in a fast paced environment **Required Licensure** Registered Nurse **Preferred** Certification in Case Management **LANGUAGE… more
- Highmark Health (Charleston, WV)
- …AND CERTIFICATIONS** **Required** + Licensed Social Worker (LSW)-Non-Specific - State **(OR)** Registered Nurse - Non-Specific **Preferred** + CCM **Skills** + ... **Job Description :** **JOB SUMMARY** This job assures that members with complex medical and/or psychosocial needs have access to high quality, cost-effective health… more
- CVS Health (Charleston, WV)
- …preferred that RN license is part of the compact. + Certified Case Manager is preferred. + Demonstrates proficiency with standard corporate software ... enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we… more
- 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 ... you will make an impact:** . Responds to more complex cases and account specific requests. . Uses appropriate...providers. . Serves as a resource to other BH Case Managers. . Participates in cross-functional teams projects and… more
- Sedgwick (Charleston, WV)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with ... the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through… more
- Elevance Health (Charleston, WV)
- The Nurse Case Mgr I is responsible for...providing services in multiple states. + Certification as a Case Manager is preferred. Please be advised that ... care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring,… more
- Elevance Health (Charleston, WV)
- …or 1-hour commute each way of a relevant Elevance Health location. The ** Nurse Medical Management ll** is responsible to collaborate with healthcare providers and ... member benefits, and to promote effective use of resources for more complex medical issues. Ensures medically appropriate, high quality, cost effective care through… more