- 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 ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN state licensure… more
- Veterans Affairs, Veterans Health Administration (Martinsburg, WV)
- Summary The Patient Safety Manager Registered Nurse executes the position responsibilities that demonstrate leadership; detailed planning; professional ... equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion… more
- Veterans Affairs, Veterans Health Administration (Martinsburg, WV)
- … Manager directly responsible to the Associate Director, Patient Care Services/Chief Nursing Officer (CNO) for nursing practice. Responsibilities The Infection ... evaluation and improvement of quality and effectiveness of nursing care and patient outcomes. The IP Manager ...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Kepro (WV)
- …+ Other duties as assigned. Requirements Required Qualifications/Experience: + Current, unrestricted Registered Nurse licensure for the State of West Virginia or ... health solutions in the public sector. Acentra seeks an RN Case Manager to join our growing...will contribute to enhancing the company's success through personalized care planning, ensuring optimal outcomes and compliance with payer… more
- Highmark Health (Charleston, WV)
- …in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to ... coordinate care , and identifying various resources to assist members in...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- CVS Health (Charleston, WV)
- …of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at ... ability to innovate and deliver solutions to make health care more personal, convenient and affordable. This is a...more personal, convenient and affordable. This is a full-time remote role open to candidates throughout the United States… more
- Elevance Health (Charleston, WV)
- ** RN Hospital Bill Audit/Appeal Lead** **Supports the Carelon Payment Integrity line of business** _Location: This position will work a hybrid model ( remote and ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** RN Hospital Audit/Appeal Lead** is responsible for leading a team of… more
- CommuniCare Health Services Corporate (Morgantown, WV)
- …QUALIFICATIONS AND EXPERIENCE REQUIREMENTS + 3 to 5 years of work/life experience in health care related field. + Registered Nurse or Licensed Practical ... CommuniCare Health Services is recruiting a Central Hospital Referrals Manager , RN or LPN Preferred for our...Nurse preferred. + Critical care , rehabilitation, third party reimbursement, and/or case management experience.… more
- Cardinal Health (Charleston, WV)
- …(GI) Customer Success_** **_contributes to Cardinal Health_** The Clinical Manager for our Gastroenterology (GI) Customer Success team is responsible ... the VP of Customer Success. In this role, the manager will be held primarily accountable for the overall...that will lead our GI program. **_Location_** - Fully remote with the expectation of 15-20% travel. Travel does… 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 the ... the Morgantown or Clarksburg area. This position is a remote position. Will interface with members and providers in...Conducts assessments to identify individual needs and develops specific care plan to address objectives and goals as identified… more
- Sedgwick (Charleston, WV)
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our ... Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with...on the health and lives of others, and a remote work environment. + Enjoy flexibility and autonomy in… more
- Sedgwick (Charleston, WV)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Crisis Care Triage Nurse **PRIMARY PURPOSE OF THE ROLE:** Provide timely ... Taking care of people is at the heart of...medical status, communicate appropriate information to facilitate Field Case Manager (FCM) onsite hospital visits, and maintain communication with… more