- Guardian Life (Charleston, WV)
- **Position Summary** The Group Life Claims Case Manager will spend 6-8 weeks in eligibility training followed by at least 3 months of reviewing live eligibility ... claims while being mentored. The Group Life Claims Case Manager then begins to build an active claim caseload while being mentored on benefit determinations.… more
- Kepro (Summersville, WV)
- …a vital partner for health solutions in the public sector. Acentra seeks an RN Complex Case Manager in West Virginia to join our growing team. Job Summary: The ... RN Complex Case Manager will: + Provide in-home, in-person care coordination in defined areas of coal mine states and telephonic care coordination across the… more
- CVS Health (Charleston, WV)
- …Boone Greenbrier Logan McDowell Mercer Mingo Monroe Pocahontas Raleigh Summers Wyoming The Case Manager RN (CM RN) is responsible for telephonically and/or face ... skills * Managed care/utilization review experience * Certified Cas Manager (CCM) certification * Case management experience in an integrated model * Case… more
- CVS Health (Charleston, WV)
- …be available after 6 months of service and with demonstrated performance and attendance.The Case Manager RN (CM RN) is responsible for telephonically and/or face ... skills + Managed care/utilization review experience + Certified Cas Manager (CCM) certification + Case management experience in an integrated model and / or… more
- CVS Health (Charleston, WV)
- …to make health care more personal, convenient and affordable. Position Summary Nurse Case Manager is responsible for telephonically and/or face to face ... assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's… more
- Highmark Health (Charleston, WV)
- …+ One year in home clinical or case management experience + Certified Case Manager (CCM) + Licensed Bachelors Social Worker (LBSW) + Licensed Masters Social ... programs such as Disease/Chronic Condition Management, Behavioral Health, and Complex Case Management. + Collaborate with the member's health care and service… more
- CVS Health (Charleston, WV)
- …it is preferred that RN license is part of the compact. + Certified Case Manager is preferred. Education and Certification Requirements + Associate's degree or ... themselves. They are responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of… more
- Sevita (Fairmont, WV)
- …that motivate us all every day. Join us today, and experience a career well lived. Case Manager - IDD Waiver Services Full time Salary: $39,000/yr Must be able ... day in the lives of the people we serve. + Provide case management services including intake, assessment, crisis intervention, advocacy, referral, and monitoring… more
- Sedgwick (Charleston, WV)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with ... the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through… 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
- BrightSpring Health Services (Scott Depot, 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
- BrightSpring Health Services (Princeton, 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
- Cayuse Holdings (Charleston, WV)
- …a Referral (https://careers-cayuseholdings.icims.com/jobs/1187/urban-%26-community-forestry- case - manager ... **Overview** The Urban Forestry Case Managers will play a crucial role in...or related field + 3-5 years of project or case management experience, preferably with municipal or community experience… more
- BrightSpring Health Services (Dunbar, WV)
- …identifying alternative community service sources.* Maintains relationships with case managers.* Implements/maintains operational processes to ensure compliance with ... mental health.* Valid driver's license.* Must have two years of experience with case management or related discipline* Must be able to communicate both verbally and… more
- Guardian Life (Charleston, WV)
- **Position Summary** The STD/Absence Claims Case Manager I (CM) is responsible for administering and medically managing Short Term and Absence claims with ... specific diagnoses or leave types that tend to resolve quickly. The CM will work with employers, employees, and health care providers to administer Short Term disability in conjunction with other paid or unpaid leaves covered by Guardian. These leaves can be… more
- CVS Health (Charleston, WV)
- …Braxton, Calhoun, Clay, Fayette, Gilmer, Kanawha, Nicholas, Roane, Or Webster County. The Case Manager RN (CM RN) is responsible for telephonically and/or face ... + Crisis intervention skills + Managed care/utilization review experience + Certified Case Manager (CCM) certification + Case management experience… more
- Highmark Health (Charleston, WV)
- …Worker (LSW) + Licensed Marriage and Family Therapist (LMFT) **Preferred** + Certified Case Manager + CAC - Certified Addiction Counselor **SKILLS** + Advanced ... SUMMARY** This job provides telephonic integrated behavioral and physical health case and condition management services to members with mental health, substance… more
- BrightSpring Health Services (Beckley, WV)
- …+ Monitoring clients vital statistics and reporting abnormal findings to the case manager and physician assessments + Administration of medications, feedings, ... documenting nursing actions of all care given and communication with family, case manager , and physicians as well as documenting the progress and outcomes for… more
- Humana (Charleston, WV)
- …+ 5 or more years of previous management/supervisor level experience + Certified Case Manager (CCM) **Additional Information** + **Workstyle:** This is a remote ... providers, and community partners to support the delivery of high-quality case management services, including introducing innovative approaches to care coordination.… more
- Fresenius Medical Center (Fairmont, WV)
- …members in provision of Pre-ESRD education as appropriate. + When appropriate, works with Case Manager to coordinate plan of care for patient education and ... identifies candidates to refer to physician for nutritional supplements, as per disease management agreements. + Reviews nutrition related lab results: - Counsels patient and/or caregiver and formulates appropriate action. - Recommends treatment changes to the… more