- 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...discharge planning experience + Familiarity with QuickBase Education + Associate 's degree in nursing or nursing diploma required; BSN… more
- CVS Health (Charleston, WV)
- …to make health care more personal, convenient and affordable. Position Summary The Care Management Associate (CMA) role is a full time remote telework position. ... family welfare population health members, and carries a caseload. The Care Management Associate supports comprehensive coordination of medical services including… more
- Humana (Charleston, WV)
- …risks. + Develops and achieves performance metrics for a fast-paced comprehensive case management environment. + Assures contractual compliance with mandated and ... experience. + Previous experience leading managed care field/remote staff. + Case Management Certification (CCM). **Additional Information** + **Workstyle:**… more
- J&J Family of Companies (Charleston, WV)
- Associate Director, Immunology Medical Affairs Data Analytics -...in the United States may be considered on a case -by- case basis and if approved by the ... 2406185361W **Description** Johnson and Johnson Inc. is hiring an Associate Director, Immunology Medical Affairs Data Analytics. At Johnson & Johnson, we believe… more
- Merck (Charleston, WV)
- …therapeutic areas and modalities to drive portfolio impact from discovery through life-cycle management . The team is externally visible and continues to be at the ... our company, this position offers an opportunity for the Associate Director to drive pipeline impact across therapy areas....pose an undue burden to business operations, in which case you may not be offered employment, or your… more
- Humana (Charleston, WV)
- …our caring community and help us put health first** The Director, Associate Benefits applies forward-looking, innovative thought to design, financing and delivery of ... the company, and each of its divisions, an employer-of-choice. The Director, Associate Benefits: **Well-being and Benefits ("WB&B") Finance** + Finalize and present… more
- Elevance Health (Charleston, WV)
- **Clinical Operations Associate Medical Director** **Carelon Medical Benefit Management ** **Interventional Pain Benefit Review** **Location** : This position ... proud member of the Elevance Health family of companies, Carelon Medical Benefits Management , formerly AIM Specialty Health, is a benefit- management leader in… more
- Merck (Charleston, WV)
- **Job Description** The Associate Director, Technology Solutions Beef Customer Success is responsible for building, developing and leading the Livestock Technology ... successfully implement our strategies and tactics to achieve our annual targets. The Associate Director will also play an important role, along with their team, in… more
- Rocket Software (Charleston, WV)
- …people truly BELIEVE in what they're doing!** **Job Description Summary:** The Associate Payroll Analyst position is responsible for managing and supporting our ... for East/Central time zone. The ideal candidate will have excellent payroll management skills and implementing payroll process improvements and strong project … more
- Merck (Charleston, WV)
- …Pharmacology and Pharmacometrics -** **Immune/Oncology** **(QP2-IO)** team in the role of Associate Director QP2-IO team is part of the Global Clinical Development ... and pharmacometrics of oncology drugs from post-PCC to registration. Associate Directors are emerging leaders in the field of...pose an undue burden to business operations, in which case you may not be offered employment, or your… more
- Elevance Health (Charleston, WV)
- … Associate Medical Director** **Neurosurgery** **Carelon Insights/Carelon Medical Benefits Management ** _A proud member of the Elevance Health family of ... companies, Carelon Medical Benefits Management , formerly AIM Specialty Health, is a benefit- management leader in Illinois. Our platform delivers significant… more
- Merck (Charleston, WV)
- …time, every time, across the globe. **Position Responsibilities:** + The Associate Director is responsible for performing comprehensive and detailed GMP compliance ... to ensure the audit program continues to meet site, management , and regulatory expectations **Education Minimum Requirement and Experience:**...pose an undue burden to business operations, in which case you may not be offered employment, or your… more
- Marriott (Charleston, WV)
- …concern in this position. **SCOPE/EXPECTED CONTRIBUTIONS** Scope + Provides telephonic case management of associates with occupational illness/injuries to ... Field Case Managers. Claims Services + Collaborate with Claims department regarding case management . + Collaborate with UNM on utilization review issues. +… more
- Humana (Charleston, WV)
- …**Preferred Qualifications** + Three (3) or more years of professional experience in Case Management , in Medicaid and/or Medicare, specifically in the delivery ... health first** Humana Healthy Horizons in Virginia is seeking a Manager, Care Management (LTSS-ABD) who will lead a team of nurses and behavior health professionals… more
- CenterWell (Charleston, WV)
- …care and high-risk management and care coordination. * Experience with case management , social work, skilled nursing facilities, rehab programs, etc. * ... health first** **National** **Director of Transitional Care and High-Risk Patient Management ** The Director of Transitional Care and High-Risk Patient Management… more
- Marriott (Charleston, WV)
- …States **Schedule** Full-Time **Located Remotely?** Y **Relocation?** N **Position Type** Management **JOB SUMMARY** The candidate will be responsible for completing ... security policies + 3+ years direct work experience in third-party Risk Management + One or more current information security certifications such as Certified… more
- Ryder System (Charleston, WV)
- …disability and accommodation laws. REMOTE work from HOME **Essential Functions** + Perform case management and coordinate the accommodation process for short and ... employees, managers and HR on complex aspects of return to work accommodations and case management processes. + Maintain information/documentation in case … more
- Veterans Affairs, Veterans Health Administration (Martinsburg, WV)
- …team members to achieve desirable patient outcomes through day-to-day and/or telephonic case management . This position will also involve participation in ... team members to achieve desirable patient outcomes through day-to-day and/or telephonic case management . The RN Care Coordinator assists with the development,… more
- Zurich NA (Charleston, WV)
- …for a National General Adjuster to join our Commercial Property team in the Major Case Unit at Zurich North America. The selected candidate will handle some of our ... to have a timely resolution to claims by developing case strategy; developing a case evaluation and...years of experience in the Claims and/ or Litigation Management area.OR + Juris Doctor and 2 or more… more
- Humana (Charleston, WV)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... + Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + The… more