- CAI (Charleston, WV)
- …Type** Full time **Worksite Flexibility** Remote **Job Summary** We are looking for a motivated Case Manager , RN ready to take us to the next level! If you ... move, apply now. **Job Description** We are looking for a Case Manager , RN to provide community-based care coordination/management for our client's members… 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 (WV)
- **Behavioral Health Case Manager II** **Location: West Virginia.** This is a field based role servicing members in the Beckley, Princeton, Morgantown or ... providers in person (field) 2-3 days per week. The **Behavioral Health Case Manager II** is responsible for performing case management telephonically and/or… more
- Sedgwick (Charleston, WV)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer RN Field Case Manager **Looking for** **experienced** **Workers Comp RN Field ... Case Manager Nurses across multiple cities in the country to...please apply!** **PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to face with their injured… more
- Cardinal Health (Charleston, WV)
- …get life-changing therapies to patients who need them-faster.** **_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 patient through the various process steps of their patient journey to therapy. These steps include patient referral intake,… more
- Cardinal Health (Charleston, WV)
- …get life-changing therapies to patients who need them-faster.** **_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)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior… more
- BrightSpring Health Services (Point Pleasant, 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
- BrightSpring Health Services (Princeton, 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)
- …**Responsibilities** * Handle customer escalated cases through investigation and case review * Contact customers to confirm approval/denials of coverage, ... doctors and/or patients checking on the status of the case * Maintain quality while providing an empathetic and...* Support manufacturer field team members as required on case updates * Works internally with team members regarding… more
- Travelers Insurance Company (Charleston, WV)
- …with insured based on application of policy information to facts or allegations of each case . + Consult with Manager on use of Claim Coverage Counsel as needed. ... as strategically appropriate. + Complete outside investigation as needed per case specifics. + Utilize evaluation documentation tools in accordance with department… more
- Humana (Charleston, WV)
- …coaching, performance review, up to termination. + Certified or certified-eligible case manager required. **Additional Information:** **Workstyle:** Remote work ... part of our caring community and help us put health first** The Manager , Utilization Management Behavioral Health utilizes behavioral health knowledge and skills to… more
- BrightSpring Health Services (Bridgeport, WV)
- …+ Monitoring clients' vital statistics and reporting abnormal findings to the case manager and physician assessments + Performs medication administration, ... documents nursing actions of all care given and communicates with family, case manager , and physicians as well as documents the progress and outcomes for… more
- Seventh Dimension (Brooke County, WV)
- …TX Travel: 0% Contingent upon Contract Award Position Summary: The RCC is the non-clinical case manager and advocates on behalf of the RSM and family by managing ... their individual case via the Comprehensive Recovery Plan (CRP). Responsibilities encompass...the whole person. Duties and Responsibilities: + Provide non-clinical case management for Recovering Service Members (RSMs). + Develop… more
- CenterWell (Summersville, WV)
- …for normality, fax a copy of lab to doctor, make a copy for the Case Manager , and route to Medical Records Department. Initiate Employee / Patient Infection ... including receiving calls from the field staff and assisting with weekly case conferences. Refers clinical questions to Branch Director as necessary. + Maintains… 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
- Veterans Affairs, Veterans Health Administration (Martinsburg, WV)
- …input and oversight for all Resident treatment plans in collaboration with a case manager or interdisciplinary treatment team. Participates as part of the ... interdisciplinary team to plan the care of the Resident, including resident-specific goals and outcomes for discharge. Provides clinical input and demonstrates leadership as a member of the interdisciplinary team. Participates in interdisciplinary team… more
- Fresenius Medical Center (Fairmont, WV)
- …members in provision of Pre-ESRD education as appropriate. + When appropriate, works with Case Manager to coordinate plan of care for patient education and ... identifies candidates to refer to physician for nutritional supplements, as per disease management agreements. + Reviews nutrition related lab results: + Counsels patient and/or caregiver and formulates appropriate action. + Recommends treatment changes to the… more
- Fresenius Medical Center (Grafton, WV)
- …members in provision of Pre-ESRD education as appropriate. + When appropriate, works with Case Manager to coordinate plan of care for patient education and ... identifies candidates to refer to physician for nutritional supplements, as per disease management agreements. + Reviews nutrition related lab results: - Counsels patient and/or caregiver and formulates appropriate action. - Recommends treatment changes to the… more
- Arrow Electronics (Charleston, WV)
- …as the technical leader for the practice. The SEM will act as a resource for Sales Manager (s) in the case where they have a specific set of accounts or territory ... **Position:** Sales Engineering Manager - Citrix **Job Description:** The Arrow ECS...- Citrix **Job Description:** The Arrow ECS Sales Engineering Manager (SEM) is a technical leader for the Citrix business… more