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- ...Job Description GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Charleston, West Virginia. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 10/27/2025 ~...SuggestedContract workShift work
GQR Healthcare
Charleston, WV5 days ago - ...Group (HCSG) is an experienced partner managing housekeeping, laundry, dining, and nutritional... ..., and equipment records. Runs and reviews reports, approves payroll issues, reviews... ...HCSG operational leadership. Safety - Utilize protective gear in all appropriate...SuggestedLive inLive outLocal areaRelocation
Healthcare Services Group, Inc.
Charleston, WV26 days ago $110k - $135k
Utilities Right of Way Project Manager - Multi-State (WV, VA, and MD) - (1494) Share this job as a link in your status update to LinkedIn. Job Type Full-time Salary UI Exemption Type Exempt Location MD US (Primary) VA US WV US Category Management Travel 25% Compensation...SuggestedFull timeWork experience placementWork from homeHome office$130 - $150 per hour
...Medical Director, MSK Surgery you will be a key member of the utilization management team. We can offer you a meaningful way to make a... ...What You Will Be Doing: Serve as the Physician match reviewer in Hip/Knee/Shoulder Surgery cases, that do not initially meet...SuggestedWork at officeImmediate startEvolent
Charleston, WV1 day ago- Overview Anticipated End Date: 2025-10-10 Position Title: Utilization Management Medical Director- NC Medicaid Job Description: Utilization Management... .... The Medical Director will be responsible for utilization review case management for North Carolina Medicaid. May be...SuggestedFull timeTemporary workLive inWork at officeLocal areaDay shift1 day per week
- Join to apply for the Construction Area Manager role at Kokosing Continue with Google Continue... ...such as highways, bridges, underground utilities, water/wastewater facilities, and marine... ...Essential Duties And Responsibilities Reviews project proposal or plan to determine...SuggestedFull timeFor contractorsFor subcontractor
$800 per month
...Us — EquipmentShare is Hiring a General Manager At EquipmentShare, we’re not just filling... ...and developing amazing people. Conduct reviews and performance evaluations as necessary... ...including, but not limited to: equipment utilization; underperforming assets; warranty...Suggested16 hoursFull timeFor contractorsRelocation packageNight shift$500 per month
...Medical Staffing is seeking a travel nurse RN Acute Care Case Management for a travel nursing job in Charleston, West Virginia. Job... ...to grow throughout the country. Check out our industry leading reviews on Google and Indeed to see how much our clinicians enjoy working...SuggestedWeekly payContract workZero hours contractWorldwideShift workAmerican Medical Staffing
Charleston, WV5 days ago$98 - $100 per hour
...Physical Medicine and Rehab you will be a key member of the utilization management team. We can offer you a meaningful way to make a... ...or required. Responsibilities Serve as the Physician match reviewer in PM&R cases, that do not initially meet the applicable medical...SuggestedWork at office$120 - $135 per hour
...inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You’ll Be Doing Cardiovascular Utilization Management Reviewer (Interventional Cardiologist) Are you ready to make a meaningful impact on patient care in a non-clinical setting?...SuggestedRemote jobFull timePart timeWork at officeFlexible hours$120 - $140 per hour
...Surgery, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a... ...required. What You Will Be Doing: Serve as the specialty match reviewer in Vascular cases, that do not initially meet the applicable...SuggestedWork at office$4 per hour
...updated daily. Strategic Client Relationship Management • Foster and maintain executive-level... .... • Conduct onsite executive business reviews in all assigned accounts, coordinated by... .... Advanced Sales Strategy Execution • Utilize your extensive sales expertise to craft...SuggestedLocal area$120 - $130 per hour
...Responsibilities Serve as the Physician match reviewer in Medical Oncology and imaging cases,... ...for standard and expedited appeals. Utilizes medical/clinical review guidelines and... ...activities/questions related to the Utilization Management process, interpretation, guidelines and/...SuggestedWork at office$105 - $110 per hour
...Evolent for the mission. Stay for the culture. What You’ll Be Doing As a Physician Clinical Reviewer, Interventional Pain Management, you will be a key member of the utilization management team. You can make a meaningful difference in patients’ lives in a non-clinical...SuggestedWork at office$46.99k - $91.01k
...and key issues are addressed. Thoroughly analyzes and reviews reports and utilization in order to consult with customers, implement appropriate... ...including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching...SuggestedHourly payFull timeWork at officeLocal areaFlexible hours$82k - $124k
...The Service Provider Customer Success Management Team supports our partners in meeting their... ...to align on ROI opportunities and utilization blockers each quarter. You will coordinate... .... Plan and deliver Executive Business Reviews to align with account and Relativity leadership...Contract workRemote work$150k - $170k
...functionally to influence the effective utilization of data to deliver actionable insights,... ...both internal and external. This role will manage a team of stateside employees, while... ...compliance and security purposes and only reviewed if an applicant advances to the final interview...Work at officeShift work$93.5k - $120.24k
Overview Cardinal Health at-Home is seeking a Product Manager, to lead the development and optimization of our commerce websites and integration... ...independently receives general guidance on new projects Work reviewed for purpose of meeting objectives May act as a mentor to less...Temporary workLocal areaImmediate startFlexible hours- ...Your Opportunity + Impact The Project Manager/Senior Project Manager is responsible... ...amendments, and schedules. Promotes, utilizes, and supports quality assurance and quality... ...design errors & omissions. Prepares, reviews, and coordinates contract agreements for...Contract workLocal areaFlexible hours
Larson Design Group
Charleston, WV26 days ago $250.24k - $411.1k
...for serving as the Operational Medical Director for our care management models for our National Account clients. The medical... ...medical director provides clinical expertise in all aspects of utilization review and case management. Provides input on the clinical relevance...Full timeTemporary workWork experience placementLocal areaDay shift1 day per week$170k
...JOB SUMMARY This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy...Remote jobPart timeFor contractorsPrivate practiceWork at officeLocal areaWeekend work$2,521 per week
...Nursing Profession RN Specialty Case Manager Job ID 34366752 Job Title Registered... ...documentation of assessments and notes. It will not include utilization review or inpatient authorization, but may involve requesting...Weekly payCasual workShift workWeekend workWeekday workCAMC General Hospital
Charleston, WV1 day ago- ...intelligence, client insights and an account management focus across the region to support the... ...relationship developments and prospects utilizing customer relationship digital platform.... ...strategy development and pricing reviews, develops bid and proposal estimates and...Flexible hours
$142.7k - $178.4k
...closely with new logo sales and account management, product, and engineering teams to craft... ...knowledge with invoicing, SOWs, margins, and utilization Qualifications Minimum of 3 years... ...accommodation please click here ( If you wish to review the Affirmative Action Plan, please...Full timeWork at officeRemote workWork from home$127.9k - $213.2k
...execution standards and processes to be followed by all project managers within the program or department. Roles and Responsibilities In... ...learned are collected Perform initial and final financial reviews, and ensure ongoing budget tracking. Primarily focus on Hosting...Hourly payContract workRemote workRelocation packageFlexible hours$164.53k - $245.99k
...contracting our portfolio of products to customers. Job Description Manage brand, value, and contracting strategies, customer... ...formulary access management, coverage decision processes and utilization management. Experience with pre-launch drugs and new product launches...Contract workLocal area- ...Job Description Job Description Overview Operations Management focuses on efficiently meeting the needs of our clients across various... ...with State licensing and company operational standards Reviews staff time keeping daily, including approval of all time and...Work experience placementWork at officeAll shiftsFlexible hoursShift work
BrightSpring Health Services
Saint Albans, WV15 days ago - ...duties and responsibilities Fosters and manages overall relationship with clients ensuring... ...book of business and high satisfaction Reviews client team\'s RFPs Selects markets for... ...Ensures team prepares claims experience and utilization reports and reviews for accuracy Reacts,...Work experience placementWork at officeLocal areaImmediate start
- ...Job Title: Manager, Customer Success & Account Management Your Future. Secured. ISC2 is a force for good. As the world's leading nonprofit... ...Retention & Growth Oversee the execution of account reviews, renewal cycles, and success planning to maximize customer...Work experience placementWork at officeRemote work
West Virginia Staffing
Charleston, WV4 days ago - ...experienced tax professionals from Associate all the way up to Manager, Senior Manager, or Director level to join our big 4 clients growing... ..., and other entities in the asset management industry Review and prepare U.S. tax returns and forms including but not limited...Full timeLocal areaRelocation package
