- Kepro (Summersville, WV)
- …health solutions in the public sector. Acentra is looking for an RN Complex Case Manager - Hybrid (Counties: Nicholas, Clay, Webster, Braxton, West Virginia), to ... join our growing team. Job Summary: + The RN Complex Case Manager will: + Provide in-home, in-person care coordination in defined areas of coal mine states and… more
- CVS Health (Charleston, WV)
- …available after 6 months of service and with demonstrated performance and attendance. The Case Manager RN (CM RN) is responsible for telephonically and/or face ... + Crisis intervention skills + Managed care/utilization review experience + Certified Case Manager (CCM) certification + Case management experience… more
- 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)
- …PulsePoint locations. **Shift:** Monday - Friday; 8:00am - 5:00pm The **Behavioral Health Case Manager I** is responsible for performing case management ... skills, both written and verbal. + Previous experience in case management. + Certified Case Manager (CCM) credentials preferred. **For candidates working… 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
- 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
- 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)
- …helps manufacturers rethink how far their products can go. **_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 patient through the various process steps of their patient journey to therapy. These steps include patient referral intake,… more
- Highmark Health (Charleston, WV)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Pediatric Complex Case Management** This job owns and conducts oversight over a specified panel ... clinical interventions and referrals, the incumbent manages an active case load of members in their panel that are...of members in their panel that are enrolled in case management. The incumbent conducts outreach to members enrolled… more
- BrightSpring Health Services (Charleston, 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
- Highmark Health (Charleston, WV)
- …with external contacts. + Communicate effectively while interacting with Case Management Specialists, Management Team, Physician Advisors and other interdepartmental ... Participate in departmental and/or organizational work and quality initiative teams. + Case collaborate with peers, Case Management Specialists, Management Team,… more
- 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 ... oversight of program policies and procedures + Participates in quality improvement activities + Ensures that documentation is thorough, accurate, and timely + Ensures that pertinent data is collected and complied as required + Obtains and maintain proficiency… more
- Cardinal Health (Charleston, WV)
- **_What Individualized Care contributes to Cardinal Health_** Delivering an exclusive model that fully integrates direct drug distribution to site-of-care with ... non-commercial pharmacy services, patient access support, and financial programs, Sonexus Health, a subsidiary of Cardinal Health, helps specialty pharmaceutical manufacturers have a greater connection to the customer experience and better control of product… more
- Cardinal Health (Charleston, WV)
- **_What Individualized Care contributes to Cardinal Health_** Delivering an exclusive model that fully integrates direct drug distribution to site-of-care with ... non-commercial pharmacy services, patient access support, and financial programs, Sonexus Health, a subsidiary of Cardinal Health, helps specialty pharmaceutical manufacturers have a greater connection to the customer experience and better control of product… more
- Elevance Health (Charleston, WV)
- …if this individual is providing services in multiple states. + Certification as a Case Manager is preferred. Please be advised that Elevance Health only accepts ... The Nurse Case Mgr I is responsible for performing care...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Travelers Insurance Company (Charleston, WV)
- …with insured based on application of policy information to facts or allegations of each case . + Consult with Manager on use of Claim Coverage Counsel as needed. ... as strategically appropriate. + Complete outside investigation as needed per case specifics. + Utilize evaluation documentation tools in accordance with department… more
- Evolent Health (Charleston, WV)
- …health outcomes for this population. **What You'll Be Doing:** + The Behavioral Health Case Manager (LCSW or LMHC) will connect with the patients and their ... enjoy working in a collaborative, team-oriented system. + CCMC (Commission for Case Manager Certification) + Knowledge and experience teaching self-management. +… more
- Guardian Life (Charleston, WV)
- **Position Summary** The STD/Absence Claims Case Manager I (CM) is responsible for administering and medically managing Short Term and Absence claims with ... specific diagnoses or leave types that tend to resolve quickly. The CM will work with employers, employees, and health care providers to administer Short Term disability in conjunction with other paid or unpaid leaves covered by Guardian. These leaves can be… more
- Sunrun (Charleston, WV)
- …our commitment to diversity, inclusion and belonging. **Overview** The Field Service Case Manager is responsible for coordinating effective execution of field ... work experience including customer service experience, scheduling, coordination or case management. + Basic knowledge of solar installation, construction and/or… 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