- CVS Health (Charleston, WV)
- …RN, you will be responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of ... overcoming barriers in meeting goals and objectives. + Utilize case management processes in compliance with regulatory...the client and the member's provider. **Required Qualifications** + Registered Nurse that must reside in the… more
- CVS Health (Charleston, WV)
- …or Maternity/ Obstetrics experience . **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator or nurse ... Health. Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and...reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year… more
- 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
- 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
- BrightSpring Health Services (Beckley, WV)
- …person(s) served and staff on health maintenance and disease prevention. Provide case management . Core Requirements + Deliver quality results through operational ... + Degree from an accredited school of nursing OR License as a Registered Nurse , current and in good standing + Valid driver's license from state of… 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)
- …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
- 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
- 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