Case Management Jobs in West Virginia

Description Do you enjoy helping those in need? Do you love researching, analyzing medical documents to determine if something was missed? Have you ever considered yourself a detective for medical..

Description The Overutilization Review and Monitoring Staff Clinical Pharmacist is a clinical pharmacist that works in Humana's Drug Management Program. This individual conducts case management on at-risk beneficiaries and potential..

Job Information Humana Social Worker-MSW and licensure required- Telephonic Behavioral Health-SNP- WAH Nationwide in Charleston West Virginia Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment,..

Job Information Humana Senior Market Development Professional-RN-WAH Nationwide in Charleston West Virginia Description The Senior Market Development Professional provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE..

Genesis HealthCare is one of the nation's leading providers of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are..

Job Information Humana Telephonic Behavioral Health Licensed Social Worker - SNP in Charleston West Virginia Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and..

Description The Intern - Care Manager, Registered Nurse, RN performs varied activities moderately complex administrative/operational/member support and semi-routine assignments to support the Florida Medicaid team. Responsibilities The Intern - Care..

Job Information Humana Care Coach - Kentucky Medicaid in Charleston West Virginia Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness..

Description The Behavioral Health Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding..

Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families..

Job Description Travel region is southern WV and Charleston WV office. This is a full-time telework role, however 25% travel will be required for face to face assessments in Southern..

Job Information Humana Care Coach - Kentucky Medicaid in Huntington West Virginia Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness..

Description The Senior Business Intelligence Engineer solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Senior Business Intelligence Engineer work..

Job Information Centerwell Registered Nurse Case Manager Full Time in Beckley West Virginia As a Home Health RN Case Manager , you will: Provide admission, case management, and follow-up skilled..

Description Humana is seeking a Prior Authorization RN to join the Wisconsin Medicaid Market (iCare) team. This position reviews the clinical appropriateness of prior authorization (PA) requests and ensures that..

Job Information Humana Care Manager, Telephonic Nurse 2 - WAH Nationwide in Charleston West Virginia Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates..

Job Information Humana Care Manager, Telephonic Nurse 2 Certified Diabetes Care and Education Specialist-Remote-US in Charleston West Virginia Description The Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and..

Job Information Humana Licensed Behavioral Health Professional - Quality Audit in Charleston West Virginia Description Humana Healthy Horizons in Ohio is seeking a Licensed Behavioral Health Quality Audit Professional. This..

Job Information Centerwell Social Worker, Home Health in Beckley West Virginia The Medical Social Worker participates in the interdisciplinary care provided to home health patients. The Medical Social Worker functions..

Job Information Centerwell Registered Nurse Case Manager PRN in Beckley West Virginia As a H ome Health Registered Nurse , you will: Provide admission, case management, and follow-up skilled nursing..

Job Information Humana Care Manager, Telephonic Nurse 2-Remote (Eastern Standard Time) in Charleston West Virginia Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members'..

Description The Intern - Care Manager, Registered Nurse, RN performs varied activities moderately complex administrative/operational/member support and semi-routine assignments to support the business needs. Responsibilities The Intern - Care Manager,..

Job Information Kindred at Home Registered Nurse Case Manager Full Time in Huntington West Virginia As a Home Health RN Case Manager , you will: Provide admission, case management, and..