• 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 (01/03/25)
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  • Clinical Case Manager

    CVS Health (Charleston, WV)
    …outreaches and computer documentation. + Assist members with locating community based behavioral health resources. **Required Qualifications** + 3+ years of ... direct clinical practice experience + An active and unrestricted clinical behavioral health license in state of residence is required (ex: LPC, LCSW, LMFT, LPCC,… more
    CVS Health (01/10/25)
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  • Care Manager Behavioral

    Highmark Health (Charleston, WV)
    …+ 3 - 5 years of post licensure experience in a combination of Behavioral Health Clinical, Case Management and/or Condition Management + Experience ... High School Diploma/GED with RN license or Master's Degree if licensed behavioral health professional **Substitutions** + None **Preferred** + Bachelor's degree… more
    Highmark Health (12/12/24)
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  • Field Care Manager , Behavioral

    Humana (Charleston, WV)
    …put health first** Humana Healthy Horizons in Kentucky is seeking a Field Care Manager , Behavioral Health 2 who will assess and evaluate member's needs ... the care and wellbeing of members. The Field Care Manager , Behavioral Health 2 work... Case Management Certification (CCM). + Experience with behavioral change, health promotion, coaching and wellness.… more
    Humana (11/20/24)
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  • Complex Case Manager RN (Remote)

    Highmark Health (Charleston, WV)
    …ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs ... interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are...various resources to assist members in achieving their personal health goals. The incumbent monitors, improves and maintains quality… more
    Highmark Health (11/20/24)
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  • Care Manager RN - Weekends (Remote)

    Highmark Health (Charleston, WV)
    …appropriate resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality ... and refer members whose healthcare outcomes might be enhanced by Health Coaching/ case management interventions. + Employ collaborative interventions which… more
    Highmark Health (01/07/25)
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  • Site Activation CAR-T Senior Manager , Cell…

    J&J Family of Companies (Charleston, WV)
    Johnson & Johnson is recruiting for a field-based Site Activation CAR-T Senior Manager , Cell Therapy Experience Lead to support the United States. This is a field ... close proximity to a major metropolitan airport. At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a… more
    J&J Family of Companies (12/18/24)
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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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  • Medicare Medical Director

    Elevance Health (Charleston, WV)
    …The **Medicare Medical Director** is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most ... and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
    Elevance Health (01/08/25)
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  • Clin Ops Associate Medical Director

    Elevance Health (Charleston, WV)
    …A proud member of the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health Options, offers superior clinical mental ... Candidates must reside within 50 miles of an Elevance Health Pulse Point location.** **Work schedule: Monday - Friday...make an impact:** + Ensures timely completion of clinical case reviews for their board-certified specialty. + Makes physician… more
    Elevance Health (12/10/24)
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  • Associate Medical Director - Orthopedic Surgery

    Elevance Health (Charleston, WV)
    …A proud member of the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health Options, offers superior clinical mental ... a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location. **Work schedule:** Monday - Friday 8:00am to 5:00pm depending… more
    Elevance Health (12/17/24)
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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 (12/21/24)
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