- Guardian Life (Charleston, WV)
- …to be the best at what they do. **Position Objective** : The FML Claims Case Manager II is responsible for proactively managing Leave of Absence programs and ... and Disability Case Managers, Risk Management. The FML Claims Case Manager II recognizes the importance of compliance and regulatory adherence, customer… 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)
- **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)
- …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
- 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)
- **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 (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
- 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
- Evolent (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
- 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
- Maxim Healthcare Services (Charleston, WV)
- …patient/client status to the Director of Clinical Services and/or Clinical Supervisor / Case Manager or licensed designee + Documents all physician ... medical record and + communicates this information as needed + Attends case conferences, team meetings, education in-services as required + Supports professional… 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
- 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)
- …connect the world and shape the future. **The Role** The Lead Project Manager oversees Lumen Base Infrastructure Modernization Program (BIM) projects and has overall ... to meet Service Level Agreements (SLAs). The Lead Project Manager is responsible to lead cross functional teams in...current role. Background results will be evaluated on a case -by- case basis. Pursuant to the San Francisco… 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