- Humana (Charleston, WV)
- **Become a part of our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral ... health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the… more
- CVS Health (Charleston, WV)
- …network management and clinical coverage and policies. **Primary Job Duties & Responsibilities:** Behavioral Health Medical Director + Collaborates with ... This person will oversee and be responsible for all behavioral health activities in the health..., physical health , and social determinants of health . The medical director will… more
- Veterans Affairs, Veterans Health Administration (Huntington, WV)
- …professional advice and consultation in areas related to professional psychology and behavioral health with patients suffering from mental illness. Ability to ... a variety of modalities, and provide adjunctive interventions for treatment of medical disorders. Work Schedule: Monday - Friday 08:00am - 4:30 pm Recruitment… more
- CVS Health (Charleston, WV)
- …Michigan, Virginia, Pennsylvania, and New Jersey offering a variety of physical and behavioral health programs and services to its membership. Aetna is looking ... Bring your heart to CVS Health . Every one of us at CVS Health shares...for a medical director to be part of a centralized team that supports the … more
- Highmark Health (Charleston, WV)
- **Company :** Endorsed **Job Description :** **GENERAL OVERVIEW** The Medical Director will provide qualified medical direction and consultation for care ... provide clinical leadership and guidance to the regional interdisciplinary team. The medical director collaborates clinically with the APP to insure standards… more
- Highmark Health (Charleston, WV)
- …Patient care (hospital, outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed ... current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and… more
- CenterWell (Charleston, WV)
- …Education, and work as a thought partner with Coding and Documentation Improvement Medical Director . The main responsibilities of the role are: + Determine ... strategy with clinical education team and CDI (coding and documentation improvement) medical director embedded in Clinical excellence. + Align clinician coding… more
- Highmark Health (Charleston, WV)
- …conceptualize and design how people interact with finding and accessing virtual/physical medical and behavioral care in tight collaboration with our Experience, ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- CenterWell (Charleston, WV)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... part of our caring community and help us put health first** The National Director , Clinical Pharmacy...Medical Officer. This role reports to the National Director , High Risk Patient Management. Responsibilities will include: +… more
- BrightSpring Health Services (Martinsburg, WV)
- …Community Living, Adult Host Homes for adults regardless of disability, Behavioral /Mental Health Support, In-home Pharmacy Solutions, Telecare and Remote ... the needs of our clients in a variety of settings such as Home Health , Hospice, Residential and Private Duty. If your passion is outstanding patient care coupled… more
- Marriott (Charleston, WV)
- …to receive minimum of 7 holidays annually. All locations offer coverage for medical , dental, vision, health care flexible spending account, dependent care ... **JOB SUMMARY** Marriott has an exciting opportunity for a Director on the Corporate Systems team within the Finance...a course of action. + Professional Demeanor - Exhibits behavioral styles that convey confidence and command respect from… more
- Humana (Charleston, WV)
- **Become a part of our caring community and help us put health first** Director of Enterprise Information Protection (EIP) Cybersecurity Engineering focused on ... of manual processes using AI and RPA (Robotics Process Automation) ** Behavioral Competencies:** * Exceptional leadership skills, marked by poise, positive influence,… more
- Marriott (Charleston, WV)
- …to receive minimum of 7 holidays annually. All locations offer coverage for medical , dental, vision, health care flexible spending account, dependent care ... internal and external user expectations and operations. The Senior Director collaborates with cross-functional teams both within Marriott's Global Technology… more
- Veterans Affairs, Veterans Health Administration (Clarksburg, WV)
- …Living Center) when Medical Director not available and helping with Behavioral Health medical needs (H&Ps, medical assessments, etc). Other ... 401K with up to 5% in contributions by VA Insurance: Federal health /vision/dental/term life/long-term care (many federal insurance programs can be carried into… more
- Veterans Affairs, Veterans Health Administration (Huntington, WV)
- …through behavioral medicine interventions, psychoeducational offerings, and evaluations for medical procedures. Consults with health care providers of all ... patient care, such as treatment planning and documentation of care using Behavioral Health Lab software. Work Schedule: M-F 8:00am-4:30pm Recruitment Incentive… more
- BrightSpring Health Services (Princeton, WV)
- …Community Living, Adult Host Homes for adults regardless of disability, Behavioral /Mental Health Support, In-home Pharmacy Solutions, Telecare and Remote ... encourage you to apply today! Responsibilities + Ensures the timely entry of medical data into computer system to facilitate processing and delivery of edited… more
- Evolent Health (Charleston, WV)
- …as required. + Entering data into a proprietary system generates cases for both the medical and behavioral health reviewers. These requests may be submitted ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...will serve as a point of contact for processing medical treatment requests in accordance with departmental policies, regulatory… more
- Fresenius Medical Center (Huntington, WV)
- **About this role:** As a Social Worker with Fresenius Medical Care, you will provide psychosocial services for our dialysis clinic patients. You will work with the ... health care team to promote positive adjustment, rehabilitation, and...the clinic staff in understanding the emotional, psychological, and behavioral impact of chronic kidney disease on the patient… more
- Sevita (Beckley, WV)
- …reviews data and attests to accuracy; submits accurate data to the Program Director or appropriate billing authority. ** Health Care** 1. Monitors health ... and maintains medical supplies and equipment in consultation with program director ; communicates with employees and may assist with training on proper use. 5.… more
- CommuniCare Health Services Corporate (Charleston, WV)
- …conditions. Our more than 150 skilled nursing, assisted living, independent living, behavioral health , and long-term care facilities deliver sophisticated and ... Maryland, Virginia, West Virginia, Pennsylvania). Due to continued growth, CommuniCare Health Services is currently recruiting for a Claims Validator / Biller… more