• Behavioral Health Case

    Elevance Health (Charleston, WV)
    ** Behavioral Health Case Manager II** **Location: West Virginia.** This role enables associates to work virtually full-time, with the exception of ... work-life integration, and ensures essential face-to-face onboarding and skill development. The ** Behavioral Health Case Manager II** is responsible for… more
    Elevance Health (06/13/25)
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  • Clinical Case Manager Behavior…

    CVS Health (Charleston, WV)
    …a holistic approach consults with manager , medical directors, and/or other physical/ behavioral health support staff and providers to overcome barriers to ... and every day. Travel: _Up to 25%_ The Care Manager BH is responsible for driving and supporting care...activities with members to ensure that their medical and behavioral health needs are met and to… more
    CVS Health (06/21/25)
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  • Case Manager Registered Nurse-…

    CVS Health (Charleston, WV)
    …a holistic approach consults with manager , medical directors, and/or other physical/ behavioral health support staff and providers to overcome barriers to ... **Brief Overview** This is a Hybrid role. The Care Manager RN will be responsible to work from home...care managementactivities with members to ensure that theirmedical and behavioral health needs are met and to… more
    CVS Health (06/15/25)
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  • Analyst Case Manager - West Virginia

    CVS Health (Charleston, WV)
    …company policies and procedures. **Required Qualifications** -2 years' experience in behavioral health , social services, or appropriate related field equivalent ... or non-licensed master level clinician required, with either degree being in behavioral health or human services preferred (psychology, social work, marriage… more
    CVS Health (06/18/25)
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  • Complex Case Manager RN - (Remote)

    Highmark Health (Charleston, WV)
    **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job has primary ownership and oversight over a specified panel of members that range in ... health status/severity and clinical needs. The incumbent assesses ...interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are… more
    Highmark Health (05/31/25)
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  • Medical Case Manager - West Virginia

    Highmark Health (Charleston, WV)
    …medical and/or psychosocial needs have access to high quality, cost-effective health care. Assists in the holistic assessment, planning, arranging, coordinating, ... with external contacts. + Communicate effectively while interacting with Case Management Specialists, Management Team, Physician Advisors and other interdepartmental… more
    Highmark Health (05/28/25)
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  • Autonomous Vehicle Behavioral Regulations…

    General Motors (Charleston, WV)
    …is not expected to report to a GM worksite unless directed by their manager . **Company Vehicle:** **Upon successful completion of a motor vehicle report review, you ... (GPSSC) organization, leads the development of a comprehensive safety case for automated driving systems (ADS). This work supports...crashes, zero emissions, and zero congestion. As the AV Behavioral Regulatory Lead, you will report to the Head… more
    General Motors (06/21/25)
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  • Care Manager RN

    Highmark Health (Charleston, WV)
    …appropriate resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality ... and refer members whose healthcare outcomes might be enhanced by Health Coaching/ case management interventions. + Employ collaborative interventions which… more
    Highmark Health (06/19/25)
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  • Manager Business Platform - HNAS

    Highmark Health (Charleston, WV)
    **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** HNAS ( Health Now Administrative Services) offers flexible, cost-effective solutions for employee ... health benefits. HNAS is part of Highmark Health...or its strategic business partners. When this is the case , there may be less direct reporting relationships and… more
    Highmark Health (04/29/25)
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  • Manager Strategic Risk Adjustment Programs

    Highmark Health (Charleston, WV)
    …and existing Risk Adjustment Programs. The incumbent will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs (MA ... the engagement deliverables, resources, and outcomes. + Develop the engagement business case , scope, staffing and incentive model for RPM engagement with Providers… more
    Highmark Health (06/05/25)
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  • Psychologist

    Holzer Health System (Gallipolis, OH)
    The Clinical psychologist reports directly to the clinical manager of the behavioral health department. The Clinical psychologist works with members of the ... healthcare team to assess, diagnose, and treat adults requiring mental health treatment. This is achieved through assessment, treatment, individual therapy, case more
    Holzer Health System (06/21/25)
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  • Coding Auditor Educator

    Highmark Health (Charleston, WV)
    **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding ... works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs...of Ethical Coding as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines.… more
    Highmark Health (05/09/25)
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  • Managed Care Claims Validator / Biller

    CommuniCare Health Services Corporate (Charleston, WV)
    …conditions. Our more than 150 skilled nursing, assisted living, independent living, behavioral health , and long-term care facilities deliver sophisticated and ... working with the CBO cash collections team, CBO cash posting team, Business Office Manager , Regional Director of Finance, MDS, Case Management, and others. The… more
    CommuniCare Health Services Corporate (05/29/25)
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