• Care Manager RN…

    Highmark Health (Charleston, WV)
    …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN state licensure… more
    Highmark Health (05/21/25)
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  • Care Manager , Registered…

    Sharecare (Charleston, WV)
    …**Monday June 16th, 2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
    Sharecare (04/26/25)
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  • Clinical Registered Nurse…

    Sharecare (Charleston, WV)
    …support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Clinical Registered Nurse coordinates with the Primary ... the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn...management program intervention guidelines. A Clinical Registered Nurse is supervised by an Operations Manager … more
    Sharecare (05/10/25)
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  • NY Registered Nurse - Case…

    Public Consulting Group (Charleston, WV)
    …learn more, visit www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager . The Case Manager ... Proven working experience in case management, including as a nurse , medical, mental health care manager...plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions**… more
    Public Consulting Group (04/05/25)
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  • Complex Case Manager RN - Pediatrics…

    Highmark Health (Charleston, WV)
    …in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to ... coordinate care , and identifying various resources to assist members in...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
    Highmark Health (05/15/25)
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  • Transplant Care Nurse RN…

    Highmark Health (Charleston, WV)
    …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to… more
    Highmark Health (04/25/25)
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  • Nurse Manager / RN Required

    BrightSpring Health Services (Dunbar, WV)
    …Education: Degree from an accredited school of nursing Qualifications:* Must be a Licensed Registered Nurse ( RN ) in good standing and currently licensed by ... responsibility. Responsible to supervise all nursing personnel, and ensure care and services are coordinated with behavioral and programmatic...performance reviews* Responsible to ensure that there is a nurse on call after hours for all homes (and… more
    BrightSpring Health Services (04/24/25)
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  • RN Field Case Manager

    Sedgwick (Charleston, WV)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance RN Field Case Manager **We are only considering full time employees at this ... time.** **Looking for** **experienced** **Workers Comp RN Field Case Manager Nurses across multiple...the next round, a recruiter will be in touch. \# nurse #fieldcasemanager # RN #workerscompensation \#LI-DV1 **​** _As… more
    Sedgwick (05/09/25)
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  • Care Manager

    Healthfirst (WV)
    …knowledge of the relevant product line + Relevant work experience preferably as a Care Manager + Demonstrated ability to manage large caseloads and effectively ... **This position is 100% Remote **Duties and Responsibilities:** + Advocates, informs, and...to identify barriers and opportunities for intervention. + Develops care plans that align with the physicians treatment plans… more
    Healthfirst (05/17/25)
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  • UM Case Manager

    Healthfirst (WV)
    …identifying alternative care options, and discharge planning + Certified Case Manager + Interqual and/or Milliman knowledge + Knowledge of Centers for Medicare & ... **This position is 100% Remote **Duties/Responsibilities:** + Provides case management services for...+ Functions as a clinical resource for the multi-disciplinary care team in order to maximize HF member … more
    Healthfirst (05/08/25)
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