- Elevance Health (Beckley, WV)
- ** Behavioral Health Case Manager II** **Location: West Virginia.** This is a field based role servicing members in the Beckley, Princeton, Morgantown or ... ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. The ** Behavioral Health Case Manager II** is responsible for… more
- Elevance Health (Charleston, WV)
- ** Behavioral Health Medical Director- Psychiatrist** Location: Alternate locations may be considered. This position will work a hybrid model (remote and office). ... an Elevance Health Pulse Point location. The ** Behavioral Health Medical Director- Psychiatrist** is responsible...make an impact:** + Conduct peer clinical and/or notes case reviews. + Supports the Medical Management staff ensuring… more
- Highmark Health (Charleston, WV)
- …ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs ... interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are...various resources to assist members in achieving their personal health goals. The incumbent monitors, improves and maintains quality… more
- 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
- Sevita (Triadelphia, WV)
- …us all every day. Join us today, and experience a career well lived. ** Case Manager ** **Salary: $40,081.00** Everybody needs a job but only extraordinary people ... day in the lives of the people we serve. + Provide case management services including intake, assessment, crisis intervention, advocacy, referral, and monitoring… more
- 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 (Charleston, WV)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** The Billing Product Manager defines and executes the strategy and roadmap for a best-in-class ... define the product's value proposition to develop a compelling business case focused on revenue generation and operational efficiency. Responsibilities include… more
- 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 (Charleston, WV)
- …industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans ... :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over… more
- BrightSpring Health Services (St. Albans, WV)
- …of persons served and developing nursing care plans in collaboration with programmatic behavioral health team. The nurse will be responsible for the management ... actions of all care given and communication with family, case manager , and physicians as well as...of the operation + Experience in administering medication + Behavioral Health experience and 1+year experience preferred… more
- Healthfirst (WV)
- …Care Management: + Associates degree + NYS RN + LCSW or LMSW (any state) + For Behavioral Health (BH) Care Management + Associates degree + NYS RN or + LCSW, ... documentation systems + Adept at planning, organizing, and executing + Knowledge of health insurance, Medicaid, Medicare and MLTCP + Care management experience in a… more
- BrightSpring Health Services (Princeton, WV)
- …+ Monitoring clients' vital statistics and reporting abnormal findings to the case manager and physician assessments + Performs medication administration, ... actions of all care given and communicates with family, case manager , and physicians as well as...living, adult host homes for adults regardless of disability, behavioral /mental health support, in-home pharmacy solutions, telecare… more
- Elevance Health (Charleston, WV)
- …The **Medicare Medical Director** is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most ... and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
- Elevance Health (Charleston, WV)
- …services. **Minimum Requirements:** + Requires AA/AS and minimum of 2 years of experience in health services or behavioral health field or in a peer support ... Skills, Capabilities, and Experiences:** + Knowledge of care-coordination and case management concepts strongly preferred. Please be advised that Elevance… more
- Intermountain Health (Charleston, WV)
- **Job Description:** The Social Work Care Manager works collaboratively with physicians and other members of the health care team to improve the health of ... position educates patients and caregivers to help them manage their health care needs. The incumbent facilitates communication, coordinates services, addresses… more
- 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
- 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
- General Motors (Charleston, WV)
- …is not expected to report to a GM worksite unless directed by their manager . **The Role** The Safety Assurance for Effective Autonomous Driving Software team at ... recommendations for engineering and policy teams. + Contribute to safety case development and internal documentation supporting AV software releases. + Support… more