- Sharecare (Charleston, WV)
- …**Monday June 16th, 2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary care … more
- Healthfirst (WV)
- …knowledge of the relevant product line + Relevant work experience preferably as a Care Manager + Demonstrated ability to manage large caseloads and effectively ... to identify barriers and opportunities for intervention. + Develops care plans that align with the physicians treatment plans...workers, discharge planners, and community-based service providers to ensure care is coordinated and care needs are… more
- Highmark Health (Charleston, WV)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... **utilization management** strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource… more
- Healthfirst (WV)
- …knowledge of the relevant product line + Relevant work experience preferably as a Care Manager + Demonstrated ability to manage large caseloads and effectively ... to identify barriers and opportunities for intervention. + Develops care plans that align with the physicians treatment plans...workers, discharge planners, and community-based service providers to ensure care is coordinated and care needs are… more
- Healthfirst (WV)
- …and achieving quotas/goals **Preferred Qualifications:** + Bachelors degree + Experience working as a care manager for long term care programs such as MAP ... **Duties/Responsibilities:** + Lead and manage the care management team to ensure the best individualized...care management team to ensure the best individualized care decisions, adherence to timely assessments and interventions for… more
- BrightSpring Health Services (Dunbar, WV)
- … manager is responsible for the clinical and administrative oversight of the foster care program. The Program Manager supervises a team of case managers and ... licensing specialists providing foster care services throughout the region to ensure the safety,...ensure individuals and consumers are receiving the highest quality care . + Routinely observe service delivery on-site and monitor… more
- Humana (Charleston, WV)
- …for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a ... better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for… more
- Cardinal Health (Charleston, WV)
- …(TM) Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy ... therapies to patients who need them-faster.** **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement Support Services… more
- Public Consulting Group (Charleston, WV)
- …Proven working experience in case management, including as a nurse, medical, mental health care manager or a related job + Excellent knowledge of case management ... a qualified Registered Nurse to perform as a Case Manager . The Case Manager will be responsible...is to provide a funding source for future health care costs associated with birth‐related neurological injuries. The Case… more
- Public Consulting Group (Charleston, WV)
- …Proven working experience in case management, including as a nurse, medical, mental health care manager or a related job + Excellent knowledge of case management ... of program policies and procedures + Responsible for the full patient care cycle. + Assesses, plans, implements, monitors and evaluates actions required to… more
- Walmart (Ripley, WV)
- …**Walmart Supercenter #1450** 200 ACADEMY DR, RIPLEY, WV, 25271, US Job Overview These Auto Care Center roles focus on the needs of our customers who entrust us with ... the care of their vehicles as they shop for merchandise and services offered at Walmart. The Auto Care Center is a rewarding place to work with opportunities for… more
- Veterans Affairs, Veterans Health Administration (Martinsburg, WV)
- Summary The Registered Nurse- Nurse Manager MDS Geriatric Care provides oversight over the RAI/MDS, Restorative programs, Hospice Case managers, Geriatric ... Admissions Coordinator, the Sitter Transport program and the Wound Care Program. Providing first line supervisory authority and is...and is accountable to the Associate Director of Patient Care Services (ADPCS) Duties include but not limited to;… more
- CVS Health (Charleston, WV)
- …are comprised of network management, clinical coverage, and policies. The Community Care Case Manager use a collaborative process of assessment, planning, ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...as business needs arise_ Help us elevate our patient care to a whole new level! Join our Community… more
- Highmark Health (Charleston, WV)
- …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to… more
- Option Care Health (Charleston, WV)
- …and ensures that a total quality management program for all aspects of patient care is maintained. The Regional Manager of nursing is responsible for assisting ... no limit to the growth of your career.** Option Care Health, Inc. is the largest independent home and...brightest talent in healthcare. **Job Description Summary:** The Regional Manager of Nursing is a licensed professional who assumes… more
- Healthfirst (WV)
- …benefit questions/issues, care coordination, program inquiries, connecting to their care manager , and screening assessments to identify risk factors ... PHI system. + Manages an assigned member caseload who require short term care coordination and health navigation + Works within the interdisciplinary care … more
- Option Care Health (Charleston, WV)
- …capability of position to the appropriate enteral team member, including Nutrition Care Specialist, Enteral Supervisor, ECOE Manager , or Dietitian + Observes ... no limit to the growth of your career.** Option Care Health, Inc. is the largest independent home and...in on-call ECOE rotation as scheduled by Enteral COE Manager or Enteral Supervisor **Basic Education and Requirements** +… more
- Fresenius Medical Center (Beckley, WV)
- **About this role:** As a Clinical Manager with Fresenius Medical Care , you will ensure that quality patient care is delivered while maintaining clinical ... of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing...leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area… more
- Humana (Charleston, WV)
- …Enclara Pharmacia is the nation's largest full-service hospice and palliative care Pharmacy Benefits Manager , offering compassionate and cost-effective services ... of the Pharmacy Claims Team Leaders & the Pharmacy Claims (Support Services) Manager * Assist pharmacies with claims adjudication * Complete incoming tasks as… more
- CVS Health (Star City, WV)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... At CVS Health, we are focused on transforming health care for our customers and making our company a...the bar for their pharmacy team. As a Pharmacy Manager , you will lead and develop a pharmacy team… more