- Humana (Charleston, WV)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...to make an impact** **Required Qualifications** + Active licensed Registered Nurse ( RN ) in the… more
- Humana (Charleston, WV)
- …a part of our caring community and help us put health first** The Utilization Management (UM) Nurse 2 RN utilizes clinical nursing skills to support the ... skills to make an impact** **Required Qualifications** + Active Registered Nurse license in the state of...action + Minimum one, (1) year previous experience in utilization management + Minimum two, (2) years… more
- Humana (Charleston, WV)
- **Become a part of our caring community and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills ... and communication of behavioral health services and/or benefit administration determinations. The Utilization Management Behavioral Health Nurse 2 work… more
- Humana (Charleston, WV)
- …and help us put health first** The Compliance Nurse 2 reviews case management and utilization management activities and documentation to ensure adherence ... skills to make an impact** **Required Qualifications** + Active Registered Nurse license in the state of...clinical setting + Minimum three, (3) years of care management nursing experience + Intermediate to Advanced knowledge using… more
- BrightSpring Health Services (Dunbar, WV)
- …Education: Degree from an accredited school of nursing Qualifications:* Must be a Licensed Registered Nurse ( RN ) in good standing and currently licensed by ... of business development & growth, achievement of key performance indicators, management of nursing performance and staff development. Responsibilities * Oversees and… more
- Sharecare (Charleston, WV)
- …of the care enhancement program by providing telephonic care and resource utilization for members in an appropriate, efficient, and cost-effective manner while ... the health care team to support appropriate total healthcare management . RD colleague is supervised by an Operations Manager....will follow company policy to transfer call to an RN or appropriate colleague when member needs are outside… more
- Lincoln Financial Group (Charleston, WV)
- …as indicated **What we're looking for** * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state where the ... **Alternate Locations:** Work from Home **Work Arrangement:** Remote : Work at home employee residing outside...Care, , Trauma , Disability, Workman's comp or case management or Utilization review **Application Deadline** **What's… more
- Highmark Health (Charleston, WV)
- …organizational systems **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + Registered Dietician + Registered Nurse **EDUCATION** **Required** ... clinical initiatives/programs to the customer audiences through effective project management , collaboration and application of best practices and engagement.… more