- Kepro (Summersville, WV)
- …a vital partner for health solutions in the public sector. Acentra is looking for an RN Complex Case Manager - Hybrid (Counties: Nicholas, Clay, Webster, ... Braxton, West Virginia), to join our growing team. Job Summary: + The RN Complex Case Manager will: + Provide in-home, in-person care coordination in… more
- Highmark Health (Charleston, WV)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Pediatric Complex Case Management** This job owns and conducts oversight over a specified ... and / or health insurance experience **Preferred** + **Pediatric Complex Case Management Experience** + Advanced training...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- CVS Health (Charleston, WV)
- …be available after 6 months of service and with demonstrated performance and attendance. The Case Manager RN (CM RN ) is responsible for telephonically ... designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning...intervention skills + Managed care/utilization review experience + Certified Case Manager (CCM) certification + Case… more
- Evolent Health (Charleston, WV)
- …care across multiple settings and with multiple providers - Required + Current Registered Nurse license - Maryland or Compact License - **Required** + ... providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and...this population. **What You Will Be Doing:** + This RN Care Manager The RN … more
- Highmark Health (Charleston, WV)
- …AND CERTIFICATIONS** **Required** + Licensed Social Worker (LSW)-Non-Specific - State **(OR)** Registered Nurse - Non-Specific **Preferred** + CCM **Skills** + ... **Job Description :** **JOB SUMMARY** This job assures that members with complex medical and/or psychosocial needs have access to high quality, cost-effective health… more
- Elevance Health (Charleston, WV)
- …PulsePoint locations. **Shift:** Monday - Friday; 8:00am - 5:00pm The **Behavioral Health Case Manager I** is responsible for performing case management ... social work counseling with broad range of experience with complex psychiatric 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 ... you will make an impact:** . Responds to more complex cases and account specific requests. . Uses appropriate...providers. . Serves as a resource to other BH Case Managers. . Participates in cross-functional teams projects and… more
- Sedgwick (Charleston, WV)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with ... the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through… more
- Elevance Health (Charleston, WV)
- The Nurse Case Mgr I is responsible for...providing services in multiple states. + Certification as a Case Manager is preferred. Please be advised that ... care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring,… more
- Evolent Health (Charleston, WV)
- …Required + Licensed Clinical Social Worker (LCSW), Licensed Mental Health Counselor (LMHC), or Registered Nurse ( RN ), Required + 3-5 years of behavioral ... providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and...population. **What You'll Be Doing:** + The Behavioral Health Case Manager (LCSW or LMHC) will connect… more
- Sanofi Group (Charleston, WV)
- …relationship with healthcare professionals, primarily the center coordinating genetic counselor, registered nurse , or other ancillary staff. The PEL works ... measure success and impact (reported quarterly). The Patient Education Manager (PEL) is a key field-based member of the...collaboratively in a complex team environment with numerous internal cross-functional groups to… more
- Elevance Health (Charleston, WV)
- …or 1-hour commute each way of a relevant Elevance Health location. The ** Nurse Medical Management ll** is responsible to collaborate with healthcare providers and ... member benefits, and to promote effective use of resources for more complex medical issues. Ensures medically appropriate, high quality, cost effective care through… more