- Mitsubishi Chemical Group (Charleston, WV)
- ** Compliance Case Manager (2082)** + Title: Compliance Case Manager + Group Company: Mitsubishi Chemical America + Location:Remote Group Company: ... as they are today. Job Purpose Mitsubishi Chemical Group is seeking a ** Compliance Case Manager ** to join a team committed to excellence, continuous… more
- Select Medical (Morgantown, WV)
- **Overview** **Critical Illness Recovery Hospital** ** Case Manager (PRN)** _Requires a current licensure in a clinical discipline either as a Nurse or a ... and doing well by doing what is right. The Case Manager is responsible for utilization reviews...resource management within the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. +… more
- Highmark Health (Charleston, WV)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior… more
- Cardinal Health (Charleston, WV)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient ... including patient education, regular check-ins, and addressing potential barriers to compliance . + Take ownership of intricate patient cases involving multiple… more
- BrightSpring Health Services (Huntington, WV)
- …pre-screening assessments, completion of pre-screening reports, and preparation of case proposals and other related pre-admission paperwork (ie, obtains ... levels with third party payer. + Contacts referral sources to advise them of case acceptance and provides information on the clinical team responsible for client's … more
- Highmark Health (Charleston, WV)
- …with external contacts. + Communicate effectively while interacting with Case Management Specialists, Management Team, Physician Advisors and other interdepartmental ... Participate in departmental and/or organizational work and quality initiative teams. + Case collaborate with peers, Case Management Specialists, Management Team,… more
- Cardinal Health (Charleston, WV)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement ... Provide caseload coverage outside of assigned duties as needed. + Ensure compliance with company and manufacturer policies. **_Qualifications_** + 3-6 years of… more
- Sumitomo Pharma (Charleston, WV)
- …a dynamic, highly motivated, and experienced individual for the position of **Associate Manager , Compliance , Training & Strategic Alliance (CTSA), PVRM** . The ... Associate Manager , Compliance , Training & Strategic Alliance (CTSA),... issues and significant quality issues originating with the case processing vendor and License Partner. + Participate in… more
- Travelers Insurance Company (Charleston, WV)
- …with insured based on application of policy information to facts or allegations of each case . + Work with Manager on use of Claim Coverage Counsel as needed. ... reserving, litigation management, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific… more
- CDM Smith (Huntington, WV)
- …**Job Description:** CDM Smith is seeking a Senior Data Privacy and IT Compliance Specialist to join our Corporate Business Technology team. This role is critical ... in safeguarding our information assets and ensuring compliance with data privacy regulations and IT security standards....Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or… more