- Humana (Charleston, WV)
- **Become a part of our caring community and help us put health first** The Telephonic Nurse Case Manager will be a member of the In-Home Case Management ... and to enhance quality of medical care. The **Telephonic Nurse Case Manager ** will collect...in Nurse (BSN). + Valid and unrestricted Registered Nurse ( RN ) license in… more
- CVS Health (Charleston, WV)
- …Qualified candidates must reside in the region, in one of the following counties: The Case Manager RN (CM RN ) is responsible for telephonically ... RESIDE IN Kanawha, Fayette, Nicholas, Roane, Calhoun, Clay, Webster, Braxton, Gilmer** * Registered Nurse with current unrestricted West Virginia (WV) license or… more
- Amergis (Charleston, WV)
- The RN Case Manager is...of services + Follows State/County mandated guidelines for the nurse case management programs + Participates in ... assessments and ongoing reassessments of the patient's status + Documents patient case information within a database system + Performs chart review/audits monthly or… more
- Sedgwick (Charleston, WV)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance 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 advocacy,… more
- Sedgwick (Charleston, WV)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus Eligible **We are growing all across the US and ... are looking for experienced Workers Comp Field Case Managers! Required to have a minimum of** **1.5...the client and the reimbursement source **EDUCATION AND LICENSING** RN licensure preferred; or bachelor's degree in health or… more
- Maxim Healthcare (Charleston, WV)
- Maxim Healthcare in Charleston is hiring for a Case Manager to oversee the clinical care of homecare clients Why This Role? + Balanced Responsibilities + ... field duties, including patient home visits Qualifications: + Active RN license required (for states where office and patients...are located) + A minimum of one year of RN experience is preferred + Supervisory experience is an… more
- Elevance Health (Charleston, WV)
- **Behavior Health Care Manager II** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... must reside in the state of West Virginia** The **Behavior Health Care Manager II** will be responsible for managing psychiatric and substance abuse or substance… more
- Health Advocates Network (Charleston, WV)
- Benefits We Offer: + Comprehensive health, prescription, dental, vision, life, and disability plans + Competitive pay rates + Referral opportunities ? Refer a friend ... & Cash in! + Travel reimbursement and per diem allowances + Employee discounts + Educational opportunities Health Advocates Network was founded based on a shared aspiration to improve the way healthcare staffing is done. We are a company founded by healthcare… more
- Humana (Charleston, WV)
- …guidelines/procedures. **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in the (appropriate state) with no ... BSN or Bachelor's degree in a related field + Registered Nurse ( RN ) with 3...adult acute care + Managed care experience + Certified Case Manager (CCM) + Bilingual is a… more
- Sharecare (Charleston, WV)
- …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care Management program in… more
- Highmark Health (Charleston, WV)
- …+ 5 - 7 years in Social Work **LICENSES OR CERTIFICATIONS** **Required** + Registered Nurse or + Licensed Clinical Social Worker (LCSW) - Non-Specific ... **Preferred** + ACM Certification (Accredited Case Manager ) **SKILLS** + Adult Learning: Theory and Practice + Creativity Skills + Clinical Systems + Company… more
- Humana (Charleston, WV)
- …timely intervention **Use your skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with no disciplinary action. + ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety...EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather… more
- Highmark Health (Charleston, WV)
- …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more
- Humana (Charleston, WV)
- …alternate time zone virtually. **Use your skills to make an impact** **Required Qualifications** + Registered Nurse ( RN ) with 3 years or more of NICU level ... and help us put health first** The NICU Care Manager , Telephonic Nurse 2, in a telephonic...guidance along the healthcare continuum. You will perform clinical case review on members during an inpatient hospital admission.… more
- Humana (Charleston, WV)
- …Typical work hours are Monday-Friday, 8 hours/day, 5 days/week. **Required Qualifications** + Registered Nurse ( RN ), holding an active and unrestricted ... caring community and help us put health first** The Manager , Fraud and Waste Investigator: Nurse Audit/Review...refers cases for annual follow-up care by disease management, case management, and primary care providers as appropriate for… more
- Sharecare (Charleston, WV)
- …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... the disease management program intervention guidelines. A Disease Management Nurse is supervised by an Operations Manager ...during the training period will be evaluated on a case by case basis and must be… more