- Humana (Charleston, WV)
- …community and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support the coordination, ... health services and/or benefit administration determinations. The Utilization Management Behavioral Health Nurse 2 work assignments are varied and frequently… more
- Fresenius Medical Center (Charleston, WV)
- PURPOSE AND SCOPE: The registered professional nurse Home Therapies RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This ... a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching,...Nurse . . Minimum of 1-year experience as a Registered Nurse (preferred) . Home … more
- Humana (Charleston, WV)
- …**Use your skills to make an impact** **Required Qualifications** + Active licensed Registered Nurse (RN) in the state of Virginia or obtain a ... part of our caring community and help us put health first** The Utilization Management Nurse 2...is a plus **Additional Information:** **Workstyle:** Remote work at Home **Location:** Must reside in the state of Virginia… more
- Humana (Charleston, WV)
- …**Use your skills to make an impact** **Required Qualifications** + Active Licensed Registered Nurse (RN) in the state of Virginia or obtain a ... part of our caring community and help us put health first** The Pre-Authorization Nurse 2 reviews...experience in utilization management, case management, discharge planning and/or home health or rehab + Certification in… more
- BrightSpring Health Services (Beckley, WV)
- …needed Qualifications + Degree from an accredited school of nursing OR License as a Registered Nurse , current and in good standing + Valid driver's license from ... Living, Adult Host Homes for adults regardless of disability, Behavioral/Mental Health Support, In- home Pharmacy Solutions, Telecare and Remote Support,… more
- Humana (Charleston, WV)
- …**Use your skills to make an impact** **Required Qualifications** + Active Licensed Registered Nurse (RN) in Virginia or enhanced compact license, (eNLC) with ... part of our caring community and help us put health first** The Manager, Utilization Management Nursing utilizes clinical...+ Bilingual is a plus **Workstyle:** Remote work at Home **Location:** Reside in a state participating in a… more
- Sharecare (Charleston, WV)
- …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... plus comprehensive benefits package Sharecare is the leading digital health company that helps people - no matter where...technologies. + This position will be based from a home office which must satisfy all HIPAA requirements and… more
- Amergis (Charleston, WV)
- …similar comprehensive visits virtually or in the home + Active and unrestricted Registered Nurse and Nurse Practitioner or Physician Assistant license + ... + 2 or more years of direct patient care required + Managed Care/IPA/ Health Plan experience + Access to transportation, a valid driver's license, and car… more
- Humana (Charleston, WV)
- …or certified-eligible case manager required. **Additional Information:** **Workstyle:** Remote work at Home **Location for Registered Nurse :** must reside in ... **Must meet** **one** **of the following:** + Active unrestricted registered nurse license in the state of...or reside in a state participating in the enhanced nurse compact licensure, (eNLC) **Location for Behavioral Health… more
- Fresenius Medical Center (Charleston, WV)
- …Report any significant information and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine ... **PURPOSE** **AND** **SCOPE:** Functions as part of the dialysis health care team in providing safe and effective dialysis...policy. Report any change or unusual findings to the registered nurse or supervisor. + Perform and… more
- Maxim Healthcare Services (Beckley, WV)
- … (RN) License for the state in which the nurse practices. + Current Health Certificate (per facility Registered Nurse (RN) contract or state regulation). ... BLS card. + One year prior Registered Nurse (RN) experience preferred. Maxim Benefits: Health ...Accidental Insurance, Hospital Expense Protection Plan, Critical Illness Insurance, Home and Auto Insurance discounts, Pet Insurance and Legal… more
- Highmark Health (Charleston, WV)
- …+ Experience in UM/CM/QA/Managed Care **LICENSES or CERTIFICATIONS** **Required** + United States Registered Nurse (RN) license + Delaware RN license must be ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...within the first 6 months of employment, unless the home state license is part of the compact **Preferred**… more
- Highmark Health (Charleston, WV)
- … health outcomes. + Collaborate with Primary Care Physicians, Medical Specialists, Home Health and other ancillary healthcare providers with the goal being ... **Required** + Licensed Social Worker (LSW)-Non-Specific - State **(OR)** Registered Nurse - Non-Specific **(OR)** Licensed Professional Counselor… more
- Fresenius Medical Center (Charleston, WV)
- …of the PCT I HT are to be performed under the direct supervision of the Home Therapies registered nurse (HT RN), in compliance with and as permissible ... health care team in providing safe and effective home dialysis therapy and training for patients under the...for patients under the direct supervision of a licensed nurse under organization policies, procedures, and training and in… more
- Humana (Charleston, WV)
- …Services and Supports (LTSS). + Experience compiling NCQA File Review Universes. + Registered Nurse or Behavioral Health professional. + Managed care, ... part of our caring community and help us put health first** Humana Healthy Horizons is seeking a Senior...+ Advanced degree in a healthcare-related field. **Work From Home ** To ensure Home or Hybrid … more
- Humana (Charleston, WV)
- …(Washington DC, MD, WV, KY, TN & NC).** + Active Registered Nurse (RN) license, **OR** Licensed Mental Health Practitioner (LHMP) licensed in the ... related field. + Previous experience in utilization management, discharge planning and/or home health or rehabilitation. + Experience with disease management, … more
- CAI (Charleston, WV)
- …standards + Perform other duties as assigned/requested **What You'll Need** Required: + Current Registered Nurse , licensed in the state of Delaware + 2+ years of ... with all telecommuter policies + Experience in geriatric special needs, behavioral health , home health + Understanding of the importance of cultural… more