- Highmark Health (Charleston, WV)
- …is accountable for the oversight; development and maintenance of the department's case management processes. This may include utilization management , ... within the corporation to resolve issues and ensure activities coincide with Case Management processes. **ESSENTIAL RESPONSIBILITIES** + Manage and coordinate… more
- CVS Health (Lewisburg, WV)
- …telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs ... Reviews prior claims to address potential impact on current case management and eligibility. + Using a...resources for assistance in determining functionality. + Consults with supervisor and others in overcoming barriers in meeting goals… more
- CommuniCare Health Services Corporate (Charleston, WV)
- …team, CBO cash posting team, Business Office Manager, Regional Director of Finance, MDS, Case Management , and others. The CBO claims validation staff will strive ... than 19,000 employees across six states (Ohio, Indiana, Maryland, Virginia, West Virginia, Pennsylvania). Due to continued growth, CommuniCare Health Services is… more
- CDM Smith (Huntington, WV)
- …systems that reflect community needs. Our value-added program management , best-in-class design-build expertise, and unparalleled sustainability and economic ... and communicating the results of the inspection and communicates to the supervisor . **Job Title:** CEI Roadway and Bridge Construction Inspector 5 **Group:** CEI… more