- 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 ... Conducts assessments to identify individual needs and develops specific care plan to address objectives and goals as identified...Requires MA/MS in social work counseling or a related behavioral health field or a degree in… more
- Humana (Charleston, WV)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2 , in a telephonic environment, ... the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health...impact** **Required Qualifications** + Bachelor's degree in SW or Behavioral Health related field + 3 -… more
- Highmark Health (Charleston, WV)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization,… more
- Highmark Health (Charleston, WV)
- …**EDUCATION** Required + Bachelor's Degree in science, technology, mathematics or related field OR relevant experience and/or education as determined by the company ... Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company… more
- BrightSpring Health Services (Dunbar, WV)
- …area of responsibility. Responsible to supervise all nursing personnel, and ensure care and services are coordinated with behavioral and programmatic staff ... accountable for overseeing the day-to-day clinical operations to ensure quality of care & services, regulatory compliance, support of business development & growth,… more
- CVS Health (Charleston, WV)
- …planning experience + Medicaid experience + Crisis intervention skills + Managed care experience + Certified Case Manager (CCM) certification + Familiarity ... purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our...convenient and affordable. **Position Summary** This is a full-time field teleworker position with some travel is 10% of… more
- Teleflex (Charleston, WV)
- Regional Sales Manager -Interventional Cardiology and Radiology-Charleston WV **Date:** Jan 23, 2025 **Location:** Charleston, WV, US **Company:** Teleflex **Expected ... a difference in patients' lives. **Position Summary** The Interventional Regional Sales Manager is responsible for maximizing sales and profitability in an assigned… more
- Humana (Charleston, WV)
- …Qualifications** + Experience in managing a team. + Registered Nurse or Behavioral Health professional. + Managed care , Medicaid health plan experience. ... health first** Humana Healthy Horizons is seeking an Accreditation Manager who will oversee and support a team of...+ Advanced degree in a healthcare-related field . **Work From Home** To ensure Home or Hybrid… more
- BrightSpring Health Services (Parkersburg, WV)
- …lines of business. If your passion is managing and developing staff to ensure quality care to help our clients live their best life, we encourage you to apply today! ... ensure individuals and consumers are receiving the highest quality care . + Routinely observe service delivery on-site and monitor...duties as assigned Qualifications + Degree in Human Services field or related field and minimum of… more
- CenterWell (Charleston, WV)
- …learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and ... of diverse scope and complexity ranging from moderate to substantial. **Complex Care Program Operations Lead** **Job Summary** The Program Delivery Lead will partner… more
- CenterWell (Charleston, WV)
- …learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and ... with regulatory standards. + Implement process improvement initiatives to enhance patient care , increase efficiency, and reduce costs. + Ensure clinical services are… more
- BrightSpring Health Services (Dunbar, WV)
- …at Home WV is to safely reduce reliance on in-state and out-of-state congregate care for youth ages 12-17. Safe at Home WV will provide for trauma-focused treatments ... family while building upon their strengths. Responsibilities + Consults with Program Manager regularly and as needed + Responsible for contract compliance and… more
- Elevance Health (Charleston, WV)
- …+ Requires AA/AS and minimum of 2 years of experience in health services or behavioral health field or in a peer support services role; or any combination ... The **Wellness & Recovery Specialist** is responsible for care coordination activities focused on the Wellness and...network. + Assist members in working with their case manager or treatment team in determining the steps he/she… more
- Highmark Health (Charleston, WV)
- …requires an advanced 360 person-centered approach to deliver the right message, guidance, care , outcome, and experiences, all at the right time. This Sr Application ... roles, including, but not limited to, Developer, Technical Lead and Project Manager , based upon level of experience. + Effectively communicates with team members,… more
- IMSolutions, LLC (Charleston, WV)
- …we are looking for.** + Master's degree in business, design, psychology, behavioral science, management science, or other relevant field , experience working ... - Contingent Remote Full Time \#1212 - Client Services Manager /Supervisor Share (https://imsolutions1.applytojob.com/app/share/aAJXkKPl0M) **This position is contingent on the… more
- Highmark Health (Charleston, WV)
- …requires an advanced 360 person-centered approach to deliver the right message, guidance, care , outcome, and experiences, all at the right time. This Sr level role ... limited to, Scrum Master, Business Technical Analyst, User Interface designer, Capability Manager , or Tester, based upon experience and need. + Provide required… more
- Highmark Health (Parkersburg, WV)
- …procurement and privacy) and external vendor partners (eg, Pharmacy Benefit Manager , Specialty Pharmacies) to help manage the end-to-end contract lifecycle, ... Degree in Administration Management, Supply Chain, Finance or related field or three years of relevant experience and/or education...in the Healthcare industry + 3 years in Managed Care + 3 years of Pharmacy benefitmanagement + 3… more