- Elevance Health (WV)
- ** Behavioral Health Case Manager II** **Location: West Virginia.** This is a field based role servicing members in the Beckley, Princeton, Morgantown or ... ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. The ** Behavioral Health Case Manager II** is responsible for… more
- Highmark Health (Charleston, WV)
- …ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs ... interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are...various resources to assist members in achieving their personal health goals. The incumbent monitors, improves and maintains quality… more
- Highmark Health (Charleston, WV)
- …medical and/or psychosocial needs have access to high quality, cost-effective health care. Assists in the holistic assessment, planning, arranging, coordinating, ... with external contacts. + Communicate effectively while interacting with Case Management Specialists, Management Team, Physician Advisors and other interdepartmental… more
- Sevita (Triadelphia, WV)
- …us all every day. Join us today, and experience a career well lived. ** Case Manager ** **Salary: $40,081.00** Everybody needs a job but only extraordinary people ... day in the lives of the people we serve. + Provide case management services including intake, assessment, crisis intervention, advocacy, referral, and monitoring… more
- Highmark Health (Charleston, WV)
- …appropriate resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality ... and refer members whose healthcare outcomes might be enhanced by Health Coaching/ case management interventions. + Employ collaborative interventions which… more
- Highmark Health (Charleston, WV)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** HNAS ( Health Now Administrative Services) offers flexible, cost-effective solutions for employee ... health benefits. HNAS is part of Highmark Health...or its strategic business partners. When this is the case , there may be less direct reporting relationships and… more
- Highmark Health (Charleston, WV)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** The Billing Product Manager defines and executes the strategy and roadmap for a best-in-class ... define the product's value proposition to develop a compelling business case focused on revenue generation and operational efficiency. Responsibilities include… more
- Highmark Health (Charleston, WV)
- …and existing Risk Adjustment Programs. The incumbent will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs (MA ... the engagement deliverables, resources, and outcomes. + Develop the engagement business case , scope, staffing and incentive model for RPM engagement with Providers… more
- Highmark Health (Charleston, WV)
- …industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans ... :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over… more
- BrightSpring Health Services (St. Albans, WV)
- …of persons served and developing nursing care plans in collaboration with programmatic behavioral health team. The nurse will be responsible for the management ... actions of all care given and communication with family, case manager , and physicians as well as...of the operation + Experience in administering medication + Behavioral Health experience and 1+year experience preferred… more