- Cordis (Charleston, WV)
- …experience will be considered + 2+ years related experience in a combination of the medical device and/or pharmaceutical field (Cath lab, nurse , etc.) or in a ... to all staff (including Physicians, Mid-Level providers, nurses, techs, and management ). + Complete training and obtaincertification for full suite of Cordis… more
- Dunbar Center (Dunbar, WV)
- Details Client Name Dunbar Center Job Type Travel Offering Nursing Profession Registered Nurse (RN) Specialty DON Job ID 33446203 Job Title Registered Nurse (RN) ... Job Description RN - Director of Nursing (DON) Registered Nurse (RN) - Director of Nursing (DON) TLC Nursing...with at least 2 years in a leadership or management role. Strong knowledge of nursing regulations, healthcare standards,… more
- Elevance Health (Charleston, WV)
- ** Medical Management Nurse ** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... granted as required by law._ Must reside in the state of West Virginia The ** Medical Management Nurse ** will be responsible for review of the most complex or… more
- Cognizant (Charleston, WV)
- …to Friday - Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact by performing advanced level work related to clinical ... denial management and managing clinical denials from Providers to the...Plan/Payer. The comprehensive process includes analyzing, reviewing, and processing medical necessity denials for resolution. You will be a… more
- Fresenius Medical Center (Dunbar, WV)
- …care to dialysis patients, in either a chronic or acute setting. + Medical /surgical nursing preferred. + Supervisory or management experience preferred. + ... compliance, and regulatory requirements and programs. As the Charge Nurse , manages the daily decisions to ensure continuity of...direct patient care staff + Promote efficient use of medical supplies. + Attend and participate in monthly Quality… more
- CVS Health (Charleston, WV)
- …in the US with virtual training.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health. Founded in ... URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management services that support… more
- Genesis Healthcare (South Charleston, WV)
- …or weekends)! We are seeking a full-time (40 hours per week) Palliative Care Nurse Practitioner for float position between several of our centers located in the ... position is $110000 - $115000 / year. AlignMed Partners is a national medical group dedicated to improving health outcomes among residents of skilled nursing and… more
- Lincoln Financial (Charleston, WV)
- …recovery. In this role you will provide coaching and guidance to claims regarding medical management . **What you'll be doing** * Evaluate medical information ... Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred skills **Application Deadline** Applications… more
- Humana (Charleston, WV)
- …caring community and help us put health first** The Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members' needs and ... care and wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments are varied and frequently require...Our nurses are titled Care Managers, because our case management services are centered on the person rather than… more
- Elevance Health (Charleston, WV)
- …of the care management plan and modifies as necessary. Interfaces with Medical Directors and other health professionals on the development of care management ... **Telephonic RN Nurse Case Manager I** **Sign On Bonus: $3000**... Case Manager I** is responsible for performing care management within the scope of licensure for members with… more
- The Walt Disney Company (Charleston, WV)
- …and grow as a person and as a professional, apply today! As a Charge Nurse you will provide onboard supervision of the nursing staff, administration of the ship's ... care onboard for guests and crew + Orients new medical staff and trains in areas such as EMR...include proper maintenance checks. Responsible for the overall administrative management of the health center including: + Build and… more
- Sharecare (Charleston, WV)
- …The Care Manager supports the implementation of the Value Based Care Management program in an appropriate and efficient manner by providing high-quality telephonic ... Case or Care Management with CareFirst members. The Care Manager partners with...to extrapolate information from a variety of sources including medical records to create concise records that accurately depict… more
- Highmark Health (Charleston, WV)
- …:** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over a ... that range in health status/severity and clinical needs; and assesses health management needs of the assigned member panel and utilizing data/analytics in… more
- Evolent (Charleston, WV)
- …on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and Client policies and procedures while ... Doing:** + Practices and maintains the principles of utilization management and appeals management by adhering to...to company policies and procedures. + Documents communications with medical office staff and/or MD provider as required. +… more
- Humana (Charleston, WV)
- …of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require ... community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- Evolent (Charleston, WV)
- … to help Evolent partner with provider organizations to integrate value-based medical oncology care opportunities into physician, nurse , pharmacist, and staff ... Value-Based Care Enablement Strategy + Conduct thorough assessments of existing medical oncology workflows and EMR configurations for each Evolent provider partner… more
- Sedgwick (Charleston, WV)
- …service requirements and assure efficient, cost effective, quality program delivery for medical and disability management . + Coordinating and evaluating the ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. VP Medical Director **PRIMARY PURPOSE** **:** To evaluate medical reports escalated due… more
- Genesis Healthcare (Hurricane, WV)
- …balance flexibility, with no weekends! We are seeking an employed Attending Physician/ Medical Director for our Putnam Care Center, located in Hurricane, WV. This ... is a Dual Role Attending Physician/ Medical Director. It is clinical in nature. There is...of skilled nursing and senior living facilities. Our physicians, nurse practitioners (NPs) and physician assistants (PAs) are supported… more
- Amergis (Charleston, WV)
- …13 weeks Location:Charleston, WV Amergis Healthcare Staffing is seeking a Medical /Surgical Registered Nurse to assume responsibility and accountability for ... the nursing process andthe delivery of patient care. The nurse demonstrates ability to make clinical judgments in an...management of patient care. Requirements: + Current Registered Nurse License for the state in which the … more
- MTC (Charleston, WV)
- …**Essential functions:** 1. Provide nursing care to students as authorized by the medical provider and within scope for state-specific nurse practice act 2. ... treating and preventing minor injuries and illnesses assuring all medical clinical care is provided to students. They will...Provide supervision to the staff LPNs (Licensed Practical Nurse )/ LVNs to assure compliance with all state regulations… more
