- Parexel (Charleston, WV)
- …**Skills and Education:** + Bachelor's/ Master's Degree or equivalent in relevant health care area. Further formal education in quality management or business ... quality activities within the assigned therapeutic area. This includes operational quality management and inspection management activities. The CQOM will oversee… more
- Highmark Health (Charleston, WV)
- …and timely processing of pre-certification requests for authorization of medically necessary health care services, at the appropriate level of care , based on the ... and notification requirements are met. + Communicate effectively with Utilization Management Staff, providers, other internal and external customers and … more
- Humana (Charleston, WV)
- …caring community and help us put health first** The UM Administration Coordinator contributes to administration of utilization management . The UM Administration ... Description **Achieve your best at Humana. Join Us!** The UM Administration Coordinator provides non-clinical support for the policies and procedures ensuring best… more
- Humana (Charleston, WV)
- …caring community and help us put health first** The Provider Contracting Coordinator initiates physician and/or other provider contracts and agreements. The Provider ... Contracting Coordinator performs advanced administrative/operational/customer support duties that require independent...Responsibilities:** + Provider data auditing for compliance + Data management for reporting **Use your skills to make an… more
- CDM Smith (Charleston, WV)
- …**Business Unit:** FSU **Job Description:** CDM Smith is seeking an experience Coordinator to support our FEMA Public Assistance Program (CCPRS JV). The ideal ... to the Task Order PM, creates weekly reports for presentation to FEMA Management . * Consults with CCPRS subcontractors to resolve discrepancies in expense reporting… more
- System One (Charleston, WV)
- Senior Marketing Production Coordinator **Employment Type:** Full Time **Date Posted:** 10/16/2025 **Location:** Remote (Based in the US) **Pay Range:** Negotiable ... **Job Number:** JO-2510-2746 **Primary Function** The Senior Marketing Production coordinator will join a team that provides market and strategic thought leadership… more
- CenterWell (South Charleston, WV)
- …caring community and help us put health first** The **Patient Services Coordinator ** is directly responsible for scheduling visits and communicating with field ... staff, patients, physicians, etc. to maintain proper care coordination and continuity of care . The...The role also assists with day-to-day office and staff management + Manages schedules for all patients. Edits schedule… more
- CVS Health (Charleston, WV)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... all with heart, each and every day. **Position Summary** The **Senior Coordinator , Proposals** contributes strategic and technical support for the sales process.… more
- Cardinal Health (Charleston, WV)
- Coordinator , Financial Counseling **_What Financial Assistance Counseling (RCM) contributes to Cardinal Health_** Practice Operations Management oversees the ... specific to open enrollment opportunities + Initiate and track all charity care applications + Work closely with other Financial Counselors, Patient Navigators,… more
- Genesis Healthcare (Marmet, WV)
- …we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care ... serve. Responsibilities Join our team as our Medical Supply Coordinator where you will manage the medical and nursing...familiar with nursing and medical supplies used in long-term care or healthcare. *Must have a working knowledge of… more
- Fresenius Medical Center (Dunbar, WV)
- …following all regulatory and FMS policy requirements. Ensure quality patient care while maintaining cost-effective clinical operations in accordance with all legal, ... programs. As the Charge Nurse, manages the daily decisions to ensure continuity of care to maintain patient and staff safety and oversees the delivery of safe… more
- Cardinal Health (Charleston, WV)
- …accurately, efficiently, promptly, recognizing their importance and relationship to patient care + Consults with appeals department for disputed / denied claims. ... are consistently achieved. + Perform any other functions as required by management . **Qualifications** + Minimum 2 years of experience in Insurance follow-up… more
- Intermountain Health (Charleston, WV)
- …+ Preferred related specialty coding credential + Requires E/M (Evaluation & Management ) coding and experience coding for the assigned specialty specific service ... position is listed below. Actual hourly rate dependent upon experience. $30.55 - $48.12 We care about your well-being - mind, body, and spirit - which is why we… more
- Highmark Health (Charleston, WV)
- …+ Pharmacy technician certification certificate + Experience working in a managed care medication formulary management environment + Working knowledge of retail ... pharmacy and/or third party prescription procession + Strong background and understanding of medications and formulary terminology + Pharmacy technicians must be familiar with multiple Medicaid drug benefit design offerings and rules/regulations across… more
- CenterWell (Charleston, WV)
- …off days during the week.** + **Required to work every other holiday.** The **Clinical Care Coordinator ** helps to ensure optimal continuity of care for ... Home Health services including home health, hospice, and palliative care . The Clinical Care Coordinator ...Good working knowledge of home health, hospice, and palliative care services. + Good time management skills.… more
- Humana (Charleston, WV)
- …Experience as an MDS Coordinator or discharge planner in an acute care setting + Previous experience in utilization management /utilization review for a ... of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation… more
- Intermountain Health (Charleston, WV)
- **Job Description:** The HIM Coding Audit Training Analyst Coordinator provides advanced training to hospital coding staff, compliance, CDI, physicians, and clinical ... staff. This Coordinator serves as a subject matter expert for all...severity of illness, risk of mortality, and quality of care + Performs audits including DRG (Diagnosis Related Groups),… more
- CVS Health (Charleston, WV)
- …and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory standards ... and Utilization Management . AHH delivers flexible medical management services that support cost-effective quality care ... experience or discharge planning, nurse navigator or nurse care coordinator experience as well as experience… more
- Public Consulting Group (Charleston, WV)
- …(HFW) is a highly structured, team-based collaborative model with a single accountable care coordinator that adheres to the fidelity of the model, convenes ... Technology + Outsourcing and Operations + Strategy + Project and Grants Management + Assessments and Feasibility Studies High Fidelity Wraparound Local Trainer and… more
- Amergis (Charleston, WV)
- …supervision. This individual employs critical thinkingand performance ability in the coordinator of patient care , consistentlyperforms according to nursing ... and is accountable in managing patientcare and assisting others in the management of patient care . The Progressive Care Unit RN is sometimesalso called a… more
