- Guardian Life (Charleston, WV)
- **Position Summary** The Group Life Claims Case Manager will spend 6-8 weeks in eligibility training followed by at least 3 months of reviewing live eligibility ... claims while being mentored. The Group Life Claims Case Manager then begins to build an active claim caseload while being mentored on benefit determinations.… more
- CVS Health (Charleston, WV)
- …Boone Greenbrier Logan McDowell Mercer Mingo Monroe Pocahontas Raleigh Summers Wyoming The Case Manager RN (CM RN) is responsible for telephonically and/or face ... skills * Managed care/utilization review experience * Certified Cas Manager (CCM) certification * Case management experience in an integrated model * Case… more
- CVS Health (Charleston, WV)
- …to make health care more personal, convenient and affordable. Position Summary Nurse Case Manager is responsible for telephonically and/or face to face ... assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's… more
- Highmark Health (Charleston, WV)
- …+ One year in home clinical or case management experience + Certified Case Manager (CCM) + Licensed Bachelors Social Worker (LBSW) + Licensed Masters Social ... programs such as Disease/Chronic Condition Management, Behavioral Health, and Complex Case Management. + Collaborate with the member's health care and service… more
- Highmark Health (Charleston, WV)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior… more
- Cayuse Holdings (Charleston, WV)
- …a Referral (https://careers-cayuseholdings.icims.com/jobs/1187/urban-%26-community-forestry- case - manager ... **Overview** The Urban Forestry Case Managers will play a crucial role in...or related field + 3-5 years of project or case management experience, preferably with municipal or community experience… more
- BrightSpring Health Services (Dunbar, WV)
- …identifying alternative community service sources.* Maintains relationships with case managers.* Implements/maintains operational processes to ensure compliance with ... mental health.* Valid driver's license.* Must have two years of experience with case management or related discipline* Must be able to communicate both verbally and… more
- Cardinal Health (Charleston, WV)
- **_What Individualized Care contributes to Cardinal Health_** Delivering an exclusive model that fully integrates direct drug distribution to site-of-care with ... non-commercial pharmacy services, patient access support, and financial programs, Sonexus Health, a subsidiary of Cardinal Health, helps specialty pharmaceutical manufacturers have a greater connection to the customer experience and better control of product… more
- Guardian Life (Charleston, WV)
- **Position Summary** The STD/Absence Claims Case Manager I (CM) is responsible for administering and medically managing Short Term and Absence claims with ... specific diagnoses or leave types that tend to resolve quickly. The CM will work with employers, employees, and health care providers to administer Short Term disability in conjunction with other paid or unpaid leaves covered by Guardian. These leaves can be… more
- CVS Health (Charleston, WV)
- …Braxton, Calhoun, Clay, Fayette, Gilmer, Kanawha, Nicholas, Roane, Or Webster County. The Case Manager RN (CM RN) is responsible for telephonically and/or face ... + Crisis intervention skills + Managed care/utilization review experience + Certified Case Manager (CCM) certification + Case management experience… more
- Highmark Health (Charleston, WV)
- …Worker (LSW) + Licensed Marriage and Family Therapist (LMFT) **Preferred** + Certified Case Manager + CAC - Certified Addiction Counselor **SKILLS** + Advanced ... SUMMARY** This job provides telephonic integrated behavioral and physical health case and condition management services to members with mental health, substance… more
- Humana (Charleston, WV)
- …+ 5 or more years of previous management/supervisor level experience + Certified Case Manager (CCM) **Additional Information** + **Workstyle:** This is a remote ... providers, and community partners to support the delivery of high-quality case management services, including introducing innovative approaches to care coordination.… more
- Travelers Insurance Company (Charleston, WV)
- …with insured based on application of policy information, facts or allegations of each case . Consults with Unit Manager on use of Claim Coverage Counsel. + ... fraud investigators and to other experts. Requests through Unit Manager and coordinate the results of their efforts and...referred timely to next level claim professional or Major Case Unit. + Appropriately deals with information that is… more
- Sedgwick (Charleston, WV)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Clinical Manager **This manager will have to be able to work the PST ... PURPOSE** : To ensure efficient, cost effective, and high quality delivery of case management and utilization review services to clients by managing and training… more
- Rocket Software (Charleston, WV)
- …truly BELIEVE in what they're doing!** **Job Description Summary:** As Field Marketing Manager on the AMER Field Marketing Team, this individual is the Marketing ... for their aligned Regional Sales Team/s. A Field Marketing Manager is responsible for sales engagement and for creating...Team + Identify, manage development and ensure completion of Case Studies with Sales, Customer, Customer Advocacy Lead +… more
- J&J Family of Companies (Charleston, WV)
- Site Contract Manager - 2406193095W **Description** **Johnson & Johnson is recruiting for a Site Contract Manager to join our team located in Titusville, NJ.** ... be performed as assigned. **Principal Relationships:** This position reports to Manager , Site Contracting **Internal:** * Internal Business Partners (CCS, TA, MAF,… more
- J&J Family of Companies (Charleston, WV)
- Manager , BPO Order To Cash - 2406188910W **Description**...TN. _Remote work options may be considered on a case -by- case basis and if approved by the ... Johnson & Johnson is currently recruiting for a Manager , BPO Order to Cash for a 24 month...The Company may however extend this time-period, in which case the posting will remain available on https://www.careers.jnj.com to… more
- J&J Family of Companies (Charleston, WV)
- Manager , Distribution Process Owner - 2406188840W **Description** Johnson & Johnson is currently recruiting for a manager , Distribution Process Owner for an 24 ... NJ. Remote work options within the United States may be considered on a case -by- case basis if approved by the company. At Johnson & Johnson, we believe health… more
- J&J Family of Companies (Charleston, WV)
- IT Manager , Tax Technical Product Owner (Duration Based) -...within the United States may be considered on a case -by- case basis and if approved by the ... **Description** Johnson & Johnson is recruiting for an **IT Manager , Tax Technical Product Owner** for a **2-year duration-based...problems faced by the tax function into a value case & comprehensive set of solutions spanning process, technology,… more
- Zurich NA (Charleston, WV)
- Clinical Bill Review and Treatment Plan Team Manager 113692 Zurich Insurance is seeking a Clinical Bill Review and Treatment Plan Team Manager . This position is ... remote. The Clinical Bill Review and Treatment Plan Team Manager will be responsible for overseeing the team that...or more years of experience in Bill Review and Case Management + Knowledge of ODG, MTUS, State Guidelines… more