- Cardinal Health (Charleston, WV)
- …+ Manage the entire care process with a sense of urgency from benefit investigation/verification to medication delivery, ensuring an exceptional patient experience + ... Conduct benefit verifications and collaborate with various healthcare providers, including physicians, specialty pharmacies, and insurance companies, to ensure seamless coordination of patient care and timely access to necessary services + Assist in obtaining… more
- Humana (Charleston, WV)
- …or MSN degree + Knowledge of Milliman or Interqual + Managed care experience + Certified Case Manager (CCM) + Bilingual in English and Spanish (see Language ... community and help us put health first** The Care Manager , Telephonic Nurse 2, in a telephonic environment, assesses...homes. Our nurses are titled Care Managers, because our case management services are centered on the person rather… more
- Humana (Charleston, WV)
- …part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage ... EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather...there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess Medicare, Medicaid, and/or… more
- CAI (Charleston, WV)
- Case Manager , RN **Req number:** R6346 **Employment type:** Full time **Worksite flexibility:** Remote **Who we are** CAI is a global technology services firm ... enterprise. **Job Summary** We are looking for a motivated Case Manager , RN ready to take us...member needs, and develop tailored care plans Preferred: + Case Management Certification (CCM or equivalent) + Bilingual… more
- Elevance Health (WV)
- …depression, and insightful analytics to improve the delivery of care. **Behavioral Health Case Manager I** Must Have An Active, Current Clinical Licensure.** ... Friday, 8:00 am to 5:00 pm** The **Behavioral Health Case Manager I** is responsible for performing...health, including physical health is strongly preferred** . + Bilingual communication skills a plus. Please be advised that… more
- CVS Health (WV)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more