• Behavioral Health Case

    Elevance Health (Charleston, WV)
    …Elevance Health PulsePoint locations. **Shift:** Monday - Friday; 8:00am - 5:00pm The ** Behavioral Health Case Manager I** is responsible for ... visits within the scope of licensure for members with behavioral health and substance abuse or substance...skills, both written and verbal. + Previous experience in case management. + Certified Case Manager more
    Elevance Health (11/12/24)
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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...providers. . Serves as a resource to other BH Case Managers. . Participates in cross-functional teams projects and… more
    Elevance Health (09/25/24)
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  • Clinical Care Manager , Behavioral

    Evolent Health (Charleston, WV)
    …providing better health outcomes for this population. **What You'll Be Doing:** + The Behavioral Health Case Manager (LCSW or LMHC) will connect with ... least two years of community based Behavioral Health experience + Experience with long term case...in a collaborative, team-oriented system. + CCMC (Commission for Case Manager Certification) + Knowledge and experience… more
    Evolent Health (11/05/24)
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  • Complex Case Manager RN Pediatric…

    Highmark Health (Charleston, WV)
    …management and/or disease/condition management experience, provider operations and / or health insurance experience **Preferred** + **Pediatric Complex Case ... **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Pediatric Complex Case Management** This job owns and conducts oversight over a specified panel… more
    Highmark Health (10/25/24)
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  • Medical Case Manager

    Highmark Health (Charleston, WV)
    …medical and/or psychosocial needs have access to high quality, cost-effective health care. Assists in the holistic assessment, planning, arranging, coordinating, ... with external contacts. + Communicate effectively while interacting with Case Management Specialists, Management Team, Physician Advisors and other interdepartmental… more
    Highmark Health (09/19/24)
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  • Case Manager -Wraparound Facilitator

    BrightSpring Health Services (Dunbar, WV)
    …family while building upon their strengths. Responsibilities + Consults with Program Manager regularly and as needed + Responsible for contract compliance and ... to children and families + Possess knowledge of mental illness diagnoses and behavioral disorders in children + Ability to collaborate closely with a team of… more
    BrightSpring Health Services (10/15/24)
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  • Analyst, Case Management Specialist

    CVS Health (Charleston, WV)
    …+ Managed care experience + Experience working with geriatric special needs, behavioral health and disable population + Knowledge of assessment, screenings ... Bring your heart to CVS Health . Every one of us at CVS ...convenient and affordable. **Job Purpose and Summary:** The Care Manager is a member of the Care Team. The… more
    CVS Health (11/01/24)
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  • Clinical Care Manager ( RN )

    Evolent Health (Charleston, WV)
    …Bachelor's degree in nursing OR 3-5 years of nursing experience, preferably in case management, discharge planning, home health , ambulatory care,chronic care ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...**What You Will Be Doing:** + This RN Care Manager The RN CM will be providingremote and in… more
    Evolent Health (11/08/24)
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  • Marketing Technology Manager

    Highmark Health (Charleston, WV)
    **Company :** Highmark Health **Job Description :** **JOB SUMMARY** As Marketing Technology Manager , you will be the technological cornerstone of our marketing & ... marketing technology platforms such as Salesforce Marketing Cloud, Adobe Experience Manager (AEM), Adobe Customer Journey Analytics (CJA), and Workfront. + Develop… more
    Highmark Health (11/16/24)
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  • Manager Strategic Risk Adjustment Programs

    Highmark Health (Charleston, WV)
    …the engagement deliverables, resources, and outcomes. + Develop the engagement business case , scope, staffing and incentive model for RPM engagement with Providers ... executive leadership of the Enterprise (both Highmark and Highmark Health ), including CFO, EVP, Chief Actuary, and Vice President,...position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
    Highmark Health (10/08/24)
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  • Peer Support Specialist (Certification Required)

    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 ... AA/AS and minimum of 2 years of experience in health services or behavioral health ...both written and verbal. + Knowledge of care-coordination and case management concepts strongly preferred. + BA/BS or MBA… more
    Elevance Health (11/09/24)
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  • Coding Auditor Educator

    Highmark Health (Charleston, WV)
    **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding ... works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs...of Ethical Coding as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines.… more
    Highmark Health (11/20/24)
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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 and ... working with the CBO cash collections team, CBO cash posting team, Business Office Manager , Regional Director of Finance, MDS, Case Management, and others. The… more
    CommuniCare Health Services Corporate (11/20/24)
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