- Genesis Healthcare (WV)
- …serve. Responsibilities Make a difference in patient care by joining our team as the Director of Clinical Risk Management. You will champion patient safety ... provide data-driven feedback. *Serve as a subject matter expert in clinical risk management, providing guidance and promoting best practices. *Support nursing… more
- Sumitomo Pharma (Charleston, WV)
- …highly motivated, and experienced individual for the position of **Associate Medical Director .** The Associate Medical Director will provide hands-on PVRM ... including signal detection, signal validation, signal escalation, development of risk mitigation strategies and authoring of signal evaluation reports according… more
- LifePoint Health (Beckley, WV)
- …the Quality/ Risk /Medical Staff Office Department within defined financial priorities Risk ManagementConducts clinical risk assessments and analysis of ... ( clinical experience preferred). Minimum 2 years experience in clinical risk management preferred. Supervisor and/or management experience preferred.… more
- Evolent (Charleston, WV)
- … expertise in developing cardiovascular programs that include improvements to clinical effectiveness of utilization management (UM) and risk -based models.** ... the culture. **What You'll Be Doing:** Evolent is seeking an **Associate Medical Director - Cardiovascular Medicine** to play a critical role in **Performance Suite … more
- CenterWell (Charleston, WV)
- …The IPA Coding Leader manages a diverse team responsible for ensuring clinical documentation supports accurate coding and is reflective of the disease prevalence ... IPA strategic partners to develop market-specific strategies to promote accurate clinical documentation, ensures all state, federal and internal policies and… more
- Cardinal Health (Charleston, WV)
- …Our regulatory and product development strategies are designed to reduce the risk of failure and increase financial returns. We provide efficient scientific and ... post-approval success in obtaining the greatest market share possible. The Director , Business Development with Cardinal Health Regulatory Sciences is a high-profile… more
- Evolent (Charleston, WV)
- …health outcomes and a more connected care journey. We are hiring for a Senior Director to join our Finance Team. The candidate selected for this role will be part ... driving analysis and support for Evolent's fast growth and innovative risk -based Performance Suite business. **Collaboration Opportunities:** This person will work… more
- Evolent (Charleston, WV)
- …as we solve complex business problems. **Collaboration Opportunities:** The Director , Actuarial Services utilizes and develops analytical tools to solve ... + Incorporate business expectations for the financial impacts of clinical integration, population management processes, provider contracts, and benefit structures… more
- Highmark Health (Charleston, WV)
- …are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using Medical ... management. They will advise the multidisciplinary team on cases, particularly high- risk cases, through the team structure. Additionally, the incumbent may be… more
- Veterans Affairs, Veterans Health Administration (Martinsburg, WV)
- …application.Former EDRP participants ineligible to apply. Responsibilities Dietitian ( Clinical ), GS-07 Conducts a comprehensive nutrition assessment utilizing the ... a Nutrition Focused Physical Exam (NFPE) during assessments to determine risk and/or degree of malnutrition. Calculates nutrient requirements (calories, protein,… more
- Fujifilm (Charleston, WV)
- …Manage specific assigned geographic areas and successfully drive the FUJIFILM HCC Risk Biomarkers sales through that community. As assigned interface with Senior ... of IVD reagent systems, distribution modalities, as well as clinical performance and utility of assays. **Company Overview** At...all capital equipment i30 placements as directed by the Director of Sales and Marketing. + The territory is… more
- Zurich NA (Charleston, WV)
- …Utilization Review and Pharmacy nurses who are responsible for the review of clinical services for the determination of medical necessity and appropriateness of care ... for UR and pharmacy operation's culture of continuous improvement of the clinical expertise across the organization. + Motivate and lead a high performance… more
- Select Medical (Morgantown, WV)
- …Illness Recovery Hospital** **Case Manager (PRN)** _Requires a current licensure in a clinical discipline either as a Nurse or a Respiratory Therapist OR Social Work ... while also completing medical record documentation. You will report directly to the Director of Case Management and provide social work services, as necessary, per… more