• RN Complex Case Manager

    Kepro (New Martinsville, WV)
    …to being a vital partner for health solutions in the public sector. Acentra seeks an RN Complex Case Manager in West Virginia da to join our growing ... team. Job Summary: The RN Complex Case Manager will: + Provide in-home, in-person care coordination in defined areas of coal mine states and telephonic care… more
    Kepro (04/17/24)
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  • Case Manager RN - Field

    CVS Health (Charleston, WV)
    …following counties: Boone Greenbrier Logan McDowell Mercer Mingo Monroe Pocahontas Raleigh Summers Wyoming The Case Manager RN (CM RN ) is responsible for ... and effectively adapt to a fast-paced changing environment. Required Qualifications * Registered Nurse with current unrestricted West Virginia (WV) license or… more
    CVS Health (06/04/24)
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  • Clinical Case Manager RN

    CVS Health (Charleston, WV)
    …solutions to make health care more personal, convenient and affordable. Position Summary Nurse Case Manager is responsible for telephonically and/or face ... to face assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the… more
    CVS Health (05/12/24)
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  • Case Manager Long-term Care…

    Highmark Health (Charleston, WV)
    …experience in long-term care, home health, hospice, public health, or assisted living **OR** + Registered Nurse or Licensed Practical Nurse and 2 years of ... year in home clinical or case management experience + Certified Case Manager (CCM) + Licensed Bachelors Social Worker (LBSW) + Licensed Masters Social Worker… more
    Highmark Health (06/08/24)
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  • Telephonic Case Manager

    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
    Sedgwick (05/30/24)
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  • Complex Case Manager RN

    Highmark Health (Charleston, WV)
    …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
    Highmark Health (06/13/24)
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  • Registered Nurse , Home Health Full…

    CenterWell (Ona, WV)
    …is ready to provide You this and More! As a **Home Health Registered Nurse ** , you will: + Provide admission, case management, and follow-up skilled nursing ... help us put health first** $10k Sign on Bonus RN - The Home Health Nurse , RN...Home Health experience a plus + Current and unrestricted Registered Nurse licensure + Current CPR certification… more
    CenterWell (06/04/24)
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  • Registered Nurse Home Health Full…

    CenterWell (Summersville, WV)
    …first** $10K Sign on Bonus available As a Home Health Registered Nurse , you will: Provide admission, case management, and follow-up skilled nursing visits ... ER, acute experience Home Health experience a plus Current and unrestricted Registered Nurse licensure Current CPR certification Strong organizational and… more
    CenterWell (04/25/24)
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  • Behavioral Health High Acuity Team (BHAT)…

    Highmark Health (Charleston, WV)
    …in a second language **LICENSES or CERTIFICATIONS** **Required** One of the following: + Registered Nurse ( RN ) + Licensed Professional Counselor (LPC) + ... Worker (LSW) + Licensed Marriage and Family Therapist (LMFT) **Preferred** + Certified Case Manager + CAC - Certified Addiction Counselor **SKILLS** + Advanced… more
    Highmark Health (05/18/24)
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  • Associate Director, Care Management (Maternal…

    Humana (Charleston, WV)
    …TN & NC)_ **.** + Bachelor's Degree: Bachelor's degree in nursing preferred. + Active Registered Nurse ( RN ) License in the Commonwealth of Virginia, with no ... + 5 or more years of previous management/supervisor level experience + Certified Case Manager (CCM) **Additional Information** + **Workstyle:** This is a remote… more
    Humana (05/30/24)
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  • Central Hospital Referrals Manager

    CommuniCare Health Services Corporate (Morgantown, WV)
    …+ 3 to 5 years of work/life experience in health care related field. + Registered Nurse or Licensed Practical Nurse preferred. + Critical care, ... CommuniCare Health Services is recruiting a Central Hospital Referrals Manager , RN or LPN Preferred for our...rehabilitation, third party reimbursement, and/or case management experience. + Excellent phone and verbal communication… more
    CommuniCare Health Services Corporate (05/25/24)
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  • A&G Weekend Inventory Manager

    Healthfirst (WV)
    …and compliance measures are met + Coordinate with outside departments for case escalation, clarifications and collaboration needed for appeal resolution + Manage ... printing and coordinate with the mailroom for expedited printing needs + Review case change requests and cancellations including appropriate routing for follow up +… more
    Healthfirst (06/06/24)
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  • Clinical Strategy and Practice Lead, Pharmacy Home…

    CenterWell (Charleston, WV)
    …or adopt policies for, and keep records of criteria for admission to service, case assignments, and case management. + Represent the pharmacy in a professional ... Graduate of an accredited school of nursing and current RN state license in good standing OR a graduate...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
    CenterWell (05/08/24)
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