16 jobs matching your criteria
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Director, Utilization Management
access_time Posted 1 month ago
account_balance The Health Plan of West Virginia Inc
location_on Wheeling
The Director of Utilization Management provides leadership, management, oversight, and assessment ... Development and continual review and revision of all UM and A/G processes, policies, and procedures ...
Case Management Director II
access_time Posted 2 months ago
account_balance Encompass Health
location_on Vienna
Coordinates and participates in hospital utilization review process. Performs case management analysis. Oversees concurrent review functions with appropriate follow-up action plan and intervention
RN Complex Case Manager (Hybrid within WV counties Doddridge, Tyler, Wetzel)
access_time Posted 26 days ago
account_balance Acentra Health
location_on New Martinsville
An integrated case management model (including care coordination/case management and disease ... Ensure day-to-day processes are conducted in accordance with the Utilization Review Accreditation ...
Nurse Navigator
access_time Posted 29 days ago
account_balance The Health Plan of West Virginia Inc
location_on Wheeling
Utilization Management, Quality Improvement, Case Management, Disease Management or other Managed ... Conducts telephonic and/or on-site admission, concurrent or retrospective review of all inpatient ...
Pharmacist - Pharmaceutical Systems and Policy - School of Pharmacy
access_time Posted 24 days ago
account_balance West Virginia University Research Corporation
location_on Morgantown
Review individual prior authorization, drug utilization review, and billing inquiries and use ... We provide evaluation, development, patenting, management, and marketing services for inventions of ...
Financial Management Analyst
access_time Posted 10 days ago
account_balance Internal Revenue Service
location_on Beckley
Recommends and completes all actions to assure optimum utilization of available resources and ... Undergo a review of prior performance/conduct and an income tax verification. Refer to "Get Your ...
Director, Case Management
access_time Posted 1 month ago
account_balance The Health Plan of West Virginia Inc
location_on Wheeling
... Utilization Management, AVP of Population Health and the Medical Directors, as well as other ... Development and continual review and revision of all care continuum processes, policies and ...
Director of Quality and Risk
access_time Posted 1 month ago
account_balance Encompass Health
location_on Huntington
... Management, Utilization Review, Infection Control, Performance Improvement and Patient Safety). Manages implementation of hospital policies and applicable corporate (e.g., Compliance) policies. o ...
Help Desk Specialist
access_time Posted 2 months ago
account_balance Patriot, LLC
location_on Kearneysville
Supports users by fulfilling individual requests for information and/or training in the utilization ... Reviews incoming requests and receives incoming calls. May prioritize for proper action * Resolves ...
Psychiatric Nurse Practitioner (APRN)
access_time Posted 1 month ago
account_balance Addiction Recovery Care
location_on Huntington
The Psychiatric Nurse Practitioner will primarily be responsible for managing mental health ... Psychiatric Nurse practitioners may participate in utilization review activities as needed to ...
Sales Associate - Chico's
access_time Posted 3 days ago
account_balance Chico's
location_on Huntington
... utilization of customer book. Operational Excellence * Supports replenishment activities that keep ... When we do have an open position, we will review your application to determine if your ...
Radiology, Chief of Radiology (Dianostics)
access_time Posted 20 days ago
account_balance Department of Veteran Affairs
location_on Clarksburg
Responsible for establishing and applying imaging protocols, reviewing imaging requests, utilization management, ensuring appropriate patient preparations and medication are ordered, technical ...
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