- CVS Health (Charleston, WV)
- …utilization of available resources and optimal, cost-effective outcomes. + Telephonic clinical case management with Medicare population. + Uses Motivational ... 3+ years of direct clinical practice experience + An active and unrestricted clinical behavioral health license in state of residence is required (ex: LPC,… more
- Elevance Health (WV)
- …WA, NY, IA, TX, WV, NJ, WI, MO **Shift:** Monday - Friday; 8:00am - 5:00pm The ** Behavioral Health Case Manager I** is responsible for performing case ... visits within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder...skills, both written and verbal. + Previous experience in case management. + Certified Case Manager… 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 scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs. **Location:** The ideal candidate must reside… more
- Humana (Charleston, WV)
- …us 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 and ... the care and wellbeing of members. The Field Care Manager , Behavioral Health 2 work assignments are...license with a minimum of 1 year of post-degree clinical experience in behavioral health **OR** an… more
- 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 ... resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors… more
- CVS Health (Lewisburg, WV)
- …to make health care more personal, convenient and affordable. **Position Summary** The Case Manager RN (CM RN) is responsible for telephonically and/or face ... Department of Health and Human Resources (DHHR) offices. The case manager will be working with CSED...current unrestricted West Virginia (WV) license + 5+ years' clinical practice experience + 1+ years of behavioral… more
- Highmark Health (Charleston, WV)
- …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of...interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are… 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 ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more
- BrightSpring Health Services (Martinsburg, WV)
- …monitoring both skilled and non-skilled healthcare services + Directly supervises clinical personnel + Providing clinical teaching and conducting performance ... and Medicare standards, as well as state reimbursement regulations + Leading case conferences and other client-related meetings + Chairing committees as appropriate,… more
- Elevance Health (Charleston, WV)
- …office visits with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering ... Medical Director** is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most cost-effective… more
- Elevance Health (Charleston, WV)
- …Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee ... impact:** + Determines the medical necessity of requests using clinical criteria. + Performs physician-level case review...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more