- CVS Health (Charleston, WV)
- …telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs ... Reviews prior claims to address potential impact on current case management and eligibility. * Using a...Fayette, Nicholas, Roane, Calhoun, Clay, Webster, Braxton, Gilmer** * Registered Nurse with current unrestricted West Virginia… more
- 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 ... providing a comprehensive, holistic approach for case management throughout the continuum of care. The case...in Nurse (BSN). + Valid and unrestricted Registered Nurse (RN) license in the (appropriate… more
- Sharecare (Charleston, WV)
- …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration ... via self-directed learning. **Specific Skills/ Attributes:** + Strong motivational interviewing and case management skills. + Ability to be self-directed, highly… more
- Sharecare (Charleston, WV)
- …for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting the goals and ... cost-effective manner while ensuring high quality care. The Disease Management Nurse works with participating members to...with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the… more
- Humana (Charleston, WV)
- …**Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) in the (appropriate state) with no disciplinary ... restrictions if needed + 2 years or more of case management experience + Comprehensive knowledge of...BSN or Bachelor's degree in a related field + Registered Nurse (RN) with 3 years or… more
- Humana (Charleston, WV)
- …Condition Categories (HCC) and refers cases for annual follow-up care by disease management , case management , and primary care providers as appropriate ... Typical work hours are Monday-Friday, 8 hours/day, 5 days/week. **Required Qualifications** + Registered Nurse (RN), holding an active and unrestricted license +… 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 3 ... community and help us put health first** The NICU Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members' needs and… more
- Highmark Health (Charleston, WV)
- …needs with the depth of engagement ranging from coaching interventions to intensive case management interventions. The overall goal is to help members navigate ... treating provider or providers in more complex clinical situations requiring case management intervention. + Identify on-line, telephonic and community-based… more
- Humana (Charleston, WV)
- …the start time is 10:00AM EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather than the condition. ... skills to make an impact** **Required Qualifications** + Active Registered Nurse (RN) license with no disciplinary...MCG or CMS guidelines, assessment and documentation practice + Case Management certification (CCM) + Bilingual in… more
- Highmark Health (Charleston, WV)
- …in Nursing + Bachelor's degree in Social Work **EXPERIENCE** **Required** + 3 - 5 years in Case Management **Preferred** + 5 - 7 years in Nursing + 5 - 7 years ... in Social Work **LICENSES OR CERTIFICATIONS** **Required** + Registered Nurse or + Licensed Clinical Social Worker (LCSW) - Non-Specific **Preferred** + ACM… more