- Veterans Affairs, Veterans Health Administration (Martinsburg, WV)
- …and initiatives as well as customer service programs. Responsibilities The Risk Manager Clinical Reviewer (RMCR) Registered Nurse (RN) is responsible for ... others in planning, designing, and implementing measures of performance, risk management, and fact findings. Demonstrates knowledge in the...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- CVS Health (Charleston, WV)
- …and effectively adapt to a fast-paced changing environment. **Required Qualifications** * Registered Nurse with current unrestricted West Virginia (WV) license ... Summers, Monroe, Greenbrier, Pocahontas, Kanawha, and Fayette.** The Case Manager RN (CM RN) is responsible for telephonically and/or...or Registered Nurse with current unrestricted WV or… more
- Fresenius Medical Center (Martinsburg, WV)
- …new staff and provides ongoing education, ensuring compliance with all risk management initiatives, including in-center staff. + Participates in Business Unit ... initiatives, projects, and audits as directed. + Performs other related duties as assigned. **PHYSICAL DEMANDS AND WORKING CONDITIONS** **:** The physical demands and work environment characteristics described here are representative of those an employee… more
- Elevance Health (Charleston, WV)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 ... of mutual concern. + Recommends possible interventions for loss control and risk avoidance based on the outcome of the investigation. **Minimum Requirements:** +… more
- CVS Health (Charleston, WV)
- …Work on behalf of the client and the member's provider. **Required Qualifications** + Registered Nurse that must reside in the Continental United States and hold ... to meaningfully improve health outcomes and costs. As Case Manager RN, you will be responsible for assessing, planning,...Apply clinical judgment to incorporate strategies designed to reduce risk factors and barriers and address complex health and… more
- Sharecare (Charleston, WV)
- …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... with participants for identification of those who are at risk for increasing acuity, and for educating the participant...the disease management program intervention guidelines. A Disease Management Nurse is supervised by an Operations Manager … more