• Manager , Utilization Management…

    Humana (Charleston, WV)
    …**Use your skills to make an impact** **Required Qualifications** + Active Licensed Registered Nurse ( RN ) in Virginia or enhanced compact license, ... part of our caring community and help us put health first** The Manager , Utilization Management Nursing utilizes clinical nursing skills to support the coordination,… more
    Humana (03/12/25)
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  • Care Manager , Registered

    Sharecare (Charleston, WV)
    …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... Case or Care Management with members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary...technologies. + This position will be based from a home office which must satisfy all HIPAA requirements and… more
    Sharecare (02/17/25)
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  • Case Manager , RN

    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! ... apply now. **Job Description** We are looking for a Case Manager , RN to provide...duties as assigned/requested **What You'll Need** Required: + Current Registered Nurse , licensed in the state of… more
    CAI (02/01/25)
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  • RN Field Case Manager

    Sedgwick (Charleston, WV)
    …to work. 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 next round, a recruiter will be in touch. \# nurse #fieldcasemanager # RN #workerscompensation \#LI-DV1 **​** _As… more
    Sedgwick (03/12/25)
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  • RN Clinical Manager , Home

    CenterWell (South Charleston, WV)
    …+ Graduate of an accredited School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's license, auto insurance ... referrals. Reviews available patient information related to the case , including disciplines required, to determine home ...and reliable transportation. + Two years as a Registered Nurse with at least one-year of… more
    CenterWell (03/11/25)
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  • RN , Home Health Full Time

    CenterWell (Princeton, WV)
    …and help us put health first** As a ** Home Health Registered Nurse ** , you will: + Provide admission, case management, and follow-up skilled nursing ... home health patients. + Administer on-going care and case management for each patient, provide necessary follow-up as...Home Health experience a plus Current and unrestricted Registered Nurse licensure Current CPR certification Strong… more
    CenterWell (03/13/25)
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  • Care Manager RN (Delaware) Remote

    Highmark Health (Charleston, WV)
    …+ Experience in UM/CM/QA/Managed Care **LICENSES or CERTIFICATIONS** **Required** + United States Registered Nurse ( RN ) license + Delaware RN ... resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors… more
    Highmark Health (02/20/25)
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  • Behavioral Health Case Manager II

    Elevance Health (WV)
    …**Behavioral Health Case Manager II** is responsible for performing case management telephonically and/or by home visits within the scope of licensure ... **Behavioral Health Case Manager II** **Location: West Virginia.**...and Resiliency. + Current active unrestricted license such as RN LCSW LMHC LICSW LPC (as allowed by applicable… more
    Elevance Health (03/14/25)
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  • Manager , Utilization Management Behavioral…

    Humana (Charleston, WV)
    case manager required. **Additional Information:** **Workstyle:** Remote work at Home **Location for Registered Nurse :** must reside in the state ... **Required Qualifications:** **Must meet** **one** **of the following:** + Active unrestricted registered nurse license in the state of Virginia or reside… more
    Humana (03/12/25)
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  • Manager , Transition Care Management

    Humana (Charleston, WV)
    …a bordering state/district (Washington DC, MD, WV, KY, TN & NC).** + Active Registered Nurse ( RN ) license, **OR** Licensed Mental Health Practitioner (LHMP) ... Humana Healthy Horizons in Virginia is looking for a Manager , Transition Care Management ( Manager , Care Coaching)...actions. + Three (3) years of professional experience in case management, in Medicaid and/or Medicare specifically in the… more
    Humana (03/04/25)
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