- Select Medical (Charleston, WV)
- **Overview** **Critical Illness Recovery Hospital** ** Case Manager (PRN)** _Requires a current licensure in a clinical discipline either as a Nurse or a ... high-quality care and doing well by doing what is right. The Case Manager is responsible for utilization reviews and resource management, discharge planning,… 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 ... providers. . Serves as a resource to other BH Case Managers. . Participates in cross-functional teams projects and...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- CVS Health (Charleston, WV)
- …and related Colleague Services through a strong commitment to colleague experience. The Case Manager , Enterprise Absence Management will be responsible for using ... a review for the ADA, update and assign the case for Reasonable Accommodation review + Research and resolve...the customer first + All other leave of absence case management duties assigned by Case Management… more
- Sunrun (Charleston, WV)
- …in through our commitment to diversity, inclusion and belonging. **Overview** The O&M Case Manager is responsible for coordinating effective execution of field ... and is results-driven complemented by appropriate process orientation + An excellent time manager , able to balance multiple projects and priorities on a variety of… more
- Cardinal Health (Charleston, WV)
- …supervisor or senior peers on complex and unusual problems **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement ... Support Services in accordance with the program business rules and HIPAA regulations. This position is responsible for guiding the healthcare providers through the various process steps in support of their patient's journey to therapy. These steps include… more
- Highmark Health (Charleston, WV)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior… more
- BrightSpring Health Services (Winfield, WV)
- …pre-screening assessments, completion of pre-screening reports, and preparation of case proposals and other related pre-admission paperwork (ie, obtains ... levels with third party payer. + Contacts referral sources to advise them of case acceptance and provides information on the clinical team responsible for client's … more
- Holzer Health System (Gallipolis, OH)
- Works under the supervision of the Manager /Director of Home Care. Assesses, plans, implements, evaluates, and supervises individual patient care to patients in their ... working in the Home Care department. Citations will be reviewed on a case by case basis. + No criminal record as validated by criminal background check,… more
- CVS Health (Charleston, WV)
- …of available resources and optimal, cost-effective outcomes. + Telephonic clinical case management with Medicare population. + Uses Motivational Interviewing and ... engagement interventions to optimize member participation in case management programs. + Completes a Comprehensive Assessment and Plan of care. + Will document in… more
- Cardinal Health (Charleston, WV)
- …to learn + Prior knowledge of UCB processes and services **_Responsibilities:_** Case Managers must demonstrate a willingness to assist external and internal ... customers, create and complete applications for enrollment within program timeframes, review forms and supporting documentation thoroughly for any missing or new information, handle inbound and outbound correspondence when necessary to support the needs of the… more
- Elevance Health (Charleston, WV)
- …is strongly preferred. + AS or BS in nursing preferred. + Certification as a Case Manager is preferred. + Certification in the American Association of Managed ... **Nurse Care Manager Senior - LGBTIA+/ Transgender Community** **Location:** The ideal candidate will live within 50 miles of one of our pulse point locations and… more
- Elevance Health (Charleston, WV)
- …in forming a supportive, peer recovery network. + Assist members in working with their case manager or treatment team in determining the steps he/she needs to ... both written and verbal. + Knowledge of care-coordination and case management concepts strongly preferred. + BA/BS or MBA...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- United Therapeutics (Charleston, WV)
- …diseases, and other orphan diseases. **How you'll contribute** The Associate Global PV Case Management Director plays a key role in management and oversight of ... end-to-end case safety management activities spanning across our global commercial...Act as the main point of contact and functional manager for day-to-day questions or issue escalation regarding PM… more
- Travelers Insurance Company (Charleston, WV)
- …with insured based on application of policy information, facts or allegations of each case . Consults with Unit Manager on use of Claim Coverage Counsel. + ... fraud investigators and to other experts. Requests through Unit Manager and coordinate the results of their efforts and...referred timely to next level claim professional or Major Case Unit. + Appropriately deals with information that is… more
- Takeda Pharmaceuticals (Charleston, WV)
- …of contact for vendor operations and vendor oversight, including vendors performing case management, case intake (ie, Call Centers), scientific literature ... vendor operations including the PV BPO vendor and/or vendors performing case management, case intake, literature review; call centers + Provide Subject Matter… more
- Sharecare (Charleston, WV)
- **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based Care Management program in an appropriate and efficient manner ... by providing high-quality telephonic Case or Care Management with... or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- Fujifilm (Charleston, WV)
- …for the Fujifilm Healthcare Americas Corporation IT portfolio. The Global Product Manager (GPM) is responsible for developing product plans, acting as a Product ... meet the plan's objectives. The GPM reports to the Manager , Product Planning and is able to fill in...Requirements Definition (PRD), as appropriate. + User Story, Use Case Scenarios and Use Case support documentation.… more
- Lumen (Charleston, WV)
- …as we digitally connect the world and shape the future. **The Role** The Manager NOC I is accountable for leading the engineering and operation efforts for ... in both direct and indirect reporting structures. Reports to the Senior Manager Network Operations and works independently on day-to-day operations managing a team… more
- Lumen (Charleston, WV)
- …connect the world and shape the future. **The Role** The Operations Manager , Federal Programs is responsible for overseeing and managing the day-to-day operations ... to meet Service Level Agreements (SLAs). **The Main Responsibilities** The Operations Manager , Federal Programs is responsible for planning and overseeing the day to… more
- Highmark Health (Charleston, WV)
- …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in accordance with applicable state,… more