• Clinical Case Manager…

    CVS Health (Buckhannon, WV)
    …applications (Outlook, Word, Excel, SharePoint, Teams). **Preferred Qualifications** Certified Case Manager (CCM) certification Medicaid Waiver Program ... We will support you all the way! **Fundamental Components of this role are:** The Clinical Care Manager BH utilizes advanced clinical judgment and critical… more
    CVS Health (10/05/25)
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  • Case Manager Behavioral…

    CVS Health (Charleston, WV)
    …model * Case management and discharge planning experience. * Certified Case Manager (CCM) certification * Familiarity with QuickBase **Education** * Minimum ... homes, residential treatment facilities, group homes, shelters, and detention facilities. The Clinical Care Manager BH utilizes advanced clinical judgment… more
    CVS Health (09/26/25)
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  • Behavioral Health Case…

    Elevance Health (WV)
    …- Friday + 9:00am - 5:30pm Eastern Time + 10:00am - 6:30pm Eastern Time The ** Behavioral Case Manager ** is responsible for performing case management ... ** Behavioral Health Case Manager ...for this position. **Preferred Skills, Capabilities, and Experiences:** + Clinical experience in behavioral health preferred. +… more
    Elevance Health (10/01/25)
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  • Complex Case Manager RN - Oncology…

    Highmark Health (Charleston, WV)
    …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of...interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are… more
    Highmark Health (08/22/25)
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  • Case Manager Supervisor

    Sevita (Triadelphia, WV)
    …**Do you have several years of experience working in human services, and as a case manager ? Bring your clinical and organizational skills to a team-based ... information; conduct intake and administer diagnostic tests to identify behavioral and personality traits; document results. + Assist in...services. Minimum of one year of experience as a Case Manager . + Self-motivated and detail-oriented with… more
    Sevita (09/20/25)
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  • BH Case Mgr II

    Elevance Health (Charleston, WV)
    …be considered for employment, unless an accommodation is granted as required by law. The ** Behavioral Health Case Manager II** is responsible for performing ... **BH Case Manager II** A proud member...**BH Case Manager II** A proud member of the Elevance...Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a… more
    Elevance Health (10/03/25)
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  • Senior Clinical Training Specialist…

    Highmark Health (Charleston, WV)
    …Clinical Social Worker (LCSW) - Non-Specific **Preferred** + ACM Certification (Accredited Case Manager ) **SKILLS** + Adult Learning: Theory and Practice + ... Description :** **JOB SUMMARY** This job delivers highly complex clinical and systems training courses, ongoing workshops in support...Work **EXPERIENCE** **Required** + 3 - 5 years in Case Management **Preferred** + 5 - 7 years in… more
    Highmark Health (09/13/25)
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  • Nurse Manager / RN Required

    BrightSpring Health Services (Bridgeport, WV)
    …monitoring both skilled and non-skilled healthcare services + Directly supervises clinical personnel + Providing clinical teaching and conducting performance ... and Medicare standards, as well as state reimbursement regulations + Leading case conferences and other client-related meetings + Chairing committees as appropriate,… more
    BrightSpring Health Services (10/01/25)
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  • National Accounts Medical Director

    Elevance Health (Charleston, WV)
    …director provides clinical expertise in all aspects of utilization review and case management. Provides input on the clinical relevance to account reporting ... medical policies used for operational reviews. + Leading multidisciplinary rounds for case management /complex clinical management. + Peer-to-peer outreach for… more
    Elevance Health (09/23/25)
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  • Utilization Management Medical Director- NC…

    Elevance Health (Charleston, WV)
    …office visits with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering ... be considered. The **Medical Director** will be responsible for utilization review case management for North Carolina Medicaid. May be responsible for developing and… more
    Elevance Health (09/26/25)
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