- Veterans Affairs, Veterans Health Administration (Beckley, WV)
- Summary The Quality Management (QM) Consultant Accreditation Specialist RN focuses on individual growth and self-direction in quality -of-care outcomes. This ... and creating a survey readiness tracer program. Responsibilities The Quality Management Consultant Accreditation Specialist delivers fundamental...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- CVS Health (Charleston, WV)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... and Utilization Management . AHH delivers flexible medical management services that support cost-effective quality care...setting. + A Registered Nurse that holds an active, unrestricted… more
- CVS Health (Charleston, WV)
- …RESIDE IN Kanawha, Fayette, Nicholas, Roane, Calhoun, Clay, Webster, Braxton, Gilmer** * Registered Nurse with current unrestricted West Virginia (WV) license or ... state. Through a strong, localized team, an innovative care management model, and creative provider and community advocacy partnerships,... Registered Nurse with current unrestricted WV or… more
- Fresenius Medical Center (Dunbar, WV)
- …and shut-down procedures as outlined in the Technical Services Manual. + Complete Nurse 's Technical Training Program/Water Quality Facility + Assist with special ... including following all regulatory and FMS policy requirements. Ensure quality patient care while maintaining cost-effective clinical operations in accordance… more
- Sharecare (Charleston, WV)
- …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... program in an appropriate and efficient manner by providing high- quality telephonic Case or Care Management with...by providing high- quality telephonic Case or Care Management with CareFirst members. The Care Manager partners with… more
- BrightSpring Health Services (Beckley, WV)
- …needed Qualifications + Degree from an accredited school of nursing OR License as a Registered Nurse , current and in good standing + Valid driver's license from ... served and staff on health maintenance and disease prevention. Provide case management . Core Requirements + Deliver quality results through operational… more
- Sharecare (Charleston, WV)
- …channel support in an appropriate, efficient and cost-effective manner while ensuring high quality care. The Disease Management Nurse works with ... learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting...with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the… more
- Humana (Charleston, WV)
- …part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently… more
- Genesis Healthcare (Dunbar, WV)
- …must be a graduate from an accredited School of Nursing program, licensed as a registered nurse , certified as a Nurse Practitioner by being a nursing ... seeking a full-time (40 hours per week) Palliative Care Nurse Practitioner for float position between several of our...long-term care. At AlignMed, we believe in a better quality of life for all. Our mission is to… more
- Evolent (Charleston, WV)
- …+ Participates in continuing education initiatives. + Collaborates with Claims, Quality Management and Provider Relations Departments as requested. + ... with the health care delivery team to maintain high quality and cost effective care delivery. **What You'll Be...duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical/Vocational Nurse… more
- BrightSpring Health Services (Dunbar, WV)
- …Education: Degree from an accredited school of nursing Qualifications:* Must be a Licensed Registered Nurse (RN) in good standing and currently licensed by the ... Nursing is accountable for overseeing the day-to-day clinical operations to ensure quality of care & services, regulatory compliance, support of business development… more
- Humana (Charleston, WV)
- …part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently… more
- CVS Health (Charleston, WV)
- …and good standing Arizona clinical and/or counseling license, specifically RN ( Registered Nurse ), LPC (Licensed Professional Counselor), LAC (Licensed Associate ... to coordinate, document, and communicate all aspects of the utilization/benefit management program. + Applies critical thinking and knowledge in clinically… more
- CVS Health (Charleston, WV)
- …Service/Health Services (as applicable to hiring program) or Associates degree with a Registered Nurse with Behavioral Health experience/ background with 3 years ... to coordinate, document and communicate all aspects of the utilization/benefit management program. Applies critical thinking and is knowledgeable in clinically… more
- Fujifilm (Charleston, WV)
- …customers. + Ensure compliance with all applicable requirements of the company's quality management system. + Maintains effective communications and working ... experience in: + MPI + MUGA + PET + (CV) Registered Nurse Cardiac experience in: + Cath,... products and services. + Understand and apply appropriate quality management system processes. + Promote Company… more
- Cardinal Health (Charleston, WV)
- …be needed to perform your duties up to 25%. **_Qualifications_** + Current, unrestricted Registered Nurse license, required. + BA, BS or equivalent experience in ... and satisfactory experience for all customers. The Supervisor, Clinical Operations monitors nurse to patient contact quality and provides coaching as needed… more
- Humana (Charleston, WV)
- …intervention **Use your skills to make an impact** **Required Qualifications** + Active Registered Nurse (RN) license with no disciplinary action. + **Hold an ... help us put health first** The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and...Our nurses are titled Care Managers, because our case management services are centered on the person rather than… more
- Amergis (Hurricane, WV)
- Salary: $2155 / Week Medical-Surgical Registered Nurse (RN) The Medical-Surgical RN is a skilled and compassionate nursing professional responsible for ... patient advocacy and uphold patient rights and confidentiality Minimum Requirements + Current Registered Nurse License in the state of practice + Minimum one… more
- Fujifilm (Charleston, WV)
- …+ Compliance with respect to all applicable requirements of the company's quality management system. + All other functions and/or responsibilities that ... + Bachelor's degree in biomedical engineering, healthcare, computer science or registered nurse , sonographer, technologist - desired, but not required.… more