• Manager, Utilization Management

    Humana (Charleston, WV)
    …to make an impact** **Required Qualifications** + An active, unrestricted Virginia Registered Nurse ( RN ) or Behavioral Health clinician license such as a ... health first** Humana Healthy Horizons in Virginia is seeking a Manager, Utilization Management ( Behavioral Health) who will utilize their clinical skills to… more
    Humana (05/30/24)
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  • Managed Care Coordinator Clinician Non RN

    Elevance Health (Charleston, WV)
    … with telephonic assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health, ... **Managed Care Coordinator Clinician Non RN ** **Location:** Remote, within 50 miles of an...health care team, to ensure cost effective and efficient utilization of health benefits. + Decision making skills will… more
    Elevance Health (05/10/24)
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  • Clinical Operations Manager (Full Time) Hybrid…

    Kepro (Charleston, WV)
    …overseeing Clinical Operations, including Utilization Management , and Case Management functions for Medical and Behavioral Health Services. This pivotal ... equivalent combination of education and experience. + Active unrestricted RN license in the State of West Virginia as...as a subject matter expert related to medical and behavioral health utilization management operations… more
    Kepro (05/17/24)
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