- Public Consulting Group (Charleston, WV)
- …www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager . The Case Manager will be responsible ... publicly administered Medical Fund on behalf of a state agency. The Case Manager will be charged with helping program recipients, family members, and caretakers… more
- Mitsubishi Chemical Group (Charleston, WV)
- **Compliance Case Manager (2082)** + Title:Compliance Case Manager + Group Company: Mitsubishi Chemical America + Location:Remote Group Company: + ... are today. Job Purpose Mitsubishi Chemical Group is seeking a **Compliance Case Manager ** to join a team committed to excellence, continuous improvement, and… more
- Cardinal Health (Charleston, WV)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient ... effective solutions. + Provide guidance and training to junior case managers on best practices in case ...junior case managers on best practices in case management, patient interaction, and navigating internal and external… more
- Sedgwick (Charleston, WV)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance RN Field Case Manager **We are only considering full time employees at this time.** ... **Looking for** **experienced** **Workers Comp RN Field Case Manager Nurses across multiple cities in the country to facilitate progressive medical… more
- Otsuka America Pharmaceutical Inc. (Charleston, WV)
- The Patient Nurse Case Manager (PNCM) is a dynamic, field-based role that serves as a crucial educator for patients. This position helps to execute against a ... field + Background in advocacy, counseling, nursing, or social work + Case management experience in the specific therapy area + Bilingual skills, particularly… more
- Cardinal Health (Charleston, WV)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement ... Support Services in accordance with the program business rules and HIPAA regulations. This position is responsible for guiding the patient through the various process steps of their patient journey to therapy. These steps include patient referral intake,… more
- Public Consulting Group (Charleston, WV)
- …that is safe, timely, effective, efficient, equitable, and client-centered + Handles case assignments, draft service plans, review case progress and determine ... to conduct periodic in person assessments + Facilitates multiple care aspects ( case coordination, information sharing, etc.) + Helps patients make informed decisions… more
- 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 a care plan, encouraging behavior… more
- Highmark Health (Charleston, WV)
- …with external contacts. + Communicate effectively while interacting with Case Management Specialists, Management Team, Physician Advisors and other interdepartmental ... Participate in departmental and/or organizational work and quality initiative teams. + Case collaborate with peers, Case Management Specialists, Management Team,… more
- BrightSpring Health Services (Charleston, WV)
- …pre-screening assessments, completion of pre-screening reports, and preparation of case proposals and other related pre-admission paperwork (ie, obtains ... levels with third party payer. + Contacts referral sources to advise them of case acceptance and provides information on the clinical team responsible for client's … more
- Cardinal Health (Charleston, WV)
- …+ Manage the entire care process with a sense of urgency from benefit investigation/verification to medication delivery, ensuring an exceptional patient experience + ... Conduct benefit verifications and collaborate with various healthcare providers, including physicians, specialty pharmacies, and insurance companies, to ensure seamless coordination of patient care and timely access to necessary services + Assist in obtaining… more
- Cardinal Health (Charleston, WV)
- …+ Must demonstrate a superior willingness to help external and internal customers + First point of contact on inbound calls, and determines needs, and handles ... Cardinal Health Sonexus (TM) Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma,… more
- Travelers Insurance Company (Charleston, WV)
- …with insured based on application of policy information to facts or allegations of each case . + Work with Manager on use of Claim Coverage Counsel as needed. ... as strategically appropriate. + Complete outside investigation as needed per case specifics. + Actively engage in the identification, selection and direction… more
- Otsuka America Pharmaceutical Inc. (Charleston, WV)
- …lifestyle management counseling. **Key Responsibilities** + Manage and oversee nurse case manager teams, incorporating continuing education credit opportunities ... lead our Nephrology Patient Support program. This role will oversee nurse case managers, ensuring high-quality patient care and operational excellence in our support… more
- CenterWell (South Charleston, WV)
- …for normality, fax a copy of lab to doctor, make a copy for the Case Manager , and route to Medical Records Department. Initiate Employee / Patient Infection ... including receiving calls from the field staff and assisting with weekly case conferences. Refers clinical questions to Branch Director as necessary. + Maintains… more
- Travelers Insurance Company (Charleston, WV)
- …with insured based on application of policy information to facts or allegations of each case . + Consults with Manager on use of Claim Coverage Counsel as needed. ... analysis and has a thorough understanding of the litigation process, relevant case and statutory law and expert litigation management skills. + Extensive claim… more
- Lumen (Charleston, WV)
- …Provide reporting to management on all aspects of physical security. Coordinate on case progression with Senior Manager of Physical Security while demonstrating ... position or your current role. Background results will be evaluated on a case -by- case basis. Pursuant to the San Francisco Fair Chance Ordinance, we will… more
- Travelers Insurance Company (Charleston, WV)
- …with insured based on application of policy information, facts or allegations of each case . Consults with Unit Manager on use of Claim Coverage Counsel. + ... fraud investigators and to other experts. Requests through Unit Manager and coordinate the results of their efforts and...referred timely to next level claim professional or Major Case Unit. + Appropriately deals with information that is… more
- CompuCom (Charleston, WV)
- …operating goals + Prepares reports and records on department activities for use during case management or for team/program manager as requested + Call scrubbing ... following and offering suggestions to better improve procedures and policies, case management, case dispatch, entry level technical case review and triage,… more
- Datavant (Charleston, WV)
- …on which great engineering organizations are built. Success as an engineering manager at Datavant looks like predictably delivering great software with strong ... support their teams need to be successful. As the manager for the SmartRequest team you will be a...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more