41 Results for

Clinical Services Manager Jobs in Charleston, WV

Jobs

New!

Dunbar, WVToday

$90,000–$90,000

Responsibilities: As a Unit Manager/Director - RN where within an assigned unit you will support the Director of Nursing with the delivery of high quality care while achieving positive clinical outcomes, and patient/resident, family and employee satisfaction. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference.

Charleston, WV12 days ago

$45–$48 Per Hour

Powerback Rehabilitation (Powerback) is a new way of delivering recovery, rehabilitation, respiratory, and wellness services to patients across the nation. Our reimagined approach to rehabilitation connects directly to the patient experience, which is centered on transforming the road to recovery for everyone and helping patients get their power back.

Charleston, WV12 days ago

Free and stress-free credentialing with major insurers: We have streamlined the credentialing process and handle all the hard stuff for you so that you can expand your practice by accepting insurance from major payors in your state in weeks, not months. *Please note that SonderMind does not provide office space; therapists are responsible for securing their own location for in-person sessions, but we can help connect you with other SonderMind therapists looking to share space.

Charleston, WV30+ days ago

In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy._. This position will lead a team of Advanced Practice Providers (APP) who are delivering supportive and palliative care in the community and virtually.

Charleston, WV30+ days ago

Remote

$59,300–$80,900 Per Year

To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: + Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. The Care Manager, Telephonic Behavioral Health 2, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness by guiding members/care givers toward and facilitates interaction with resources appropriate for the care and wellbeing of members.

New!

Charleston, WVToday

The Sales Manager of Rural Health Transformation (RHT) is a strategic, revenue-impacting leader responsible for complete territory sales management, customer support and long-term value realization across AMC Health’s provider and payvider portfolio and management of other Sales Directors-RHT. Working collaboratively on RHT growth strategies at a provider level that delivers on the goals of the Rural Health Transformation Program, including objective goals for sustainability, increased access to care and quality measures.

Charleston, WV8 days ago

Remote

As the first member of the clinical team that most patients interact with at AMC Health, the HSC is responsible for building trust, demonstrating empathy, clearly explaining Remote Patient Monitoring (RPM) services, and ensuring a smooth and compliant enrollment process. Following enrollment, the HSC collaborates closely with nurse care managers, nurse care associates, and other members of the clinical care team to support patients in meeting their health goals and adhering to care plans.

Charleston, WV30+ days ago

Remote

This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization, identification of opportunities for referral to a Health Coach/case management, and identification and resolution of quality issues. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy._.

Charleston, WV30+ days ago

Remote

The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to coordinate care, and identifying various resources to assist members in achieving their personal health goals. + For assigned case load, create care plans to address members’ identified needs, remove barriers to care, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals and plan of regular contacts for re-assessment.

Charleston, WV30+ days ago

Presentation Skills: Exceptional presentation and communication skills, with the ability to effectively present complex information to diverse audiences, including executives, clinicians, and technical teams. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy._.

Charleston, WV30+ days ago

Remote

Serve as a clinical liaison by developing and delivering comprehensive weekly and monthly reports to senior management that details installation and usage progress/metrics, staff training needs and effectiveness of completed training, and identifying trends to inform and strengthen KOL (Key Opinion Leader) relationships that support strategic decision making. _For all positions, the Company encourages vaccination against COVID-19 and requires that the successful candidate hired be willing to test for the COVID-19 virus periodically and wear a face covering indoors as required, absent being granted an accommodation due to medical or sincerely held religious belief or other legally required exemption._.

Charleston, WV8 days ago

Remote

This role partners closely with patients, caregivers, and interdisciplinary care teams to assess health status, develop and implement evidence-based care plans, monitor biometric and IVR data, and intervene proactively to reduce risk, prevent escalation, and improve outcomes. The Telephonic Nurse Care Manager is responsible for the remote, telephonic management of patients with chronic and complex conditions (including but not limited to CHF, COPD, diabetes, and hypertension).

Charleston, WV30+ days ago

Engage appropriate internal resources, tools, analytics, and reports to enable success in the programs to drive better health outcomes, lower unit costs, and higher patient satisfaction for our members. + Manage relationship with select providers to proactively measure, anticipate and prevent problems and achieve corporate objectives around VBR programs and strategic initiatives with providers.

Charleston, WV30+ days ago

These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._. DUTIES AND RESPONSIBILITIES. + Manages complex contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups).

Charleston, WV30+ days ago

Remote

The Care Manager will advocate and guide utilizing motivational interviewing techniques and intervene on behalf of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of the care plan. The Care Manager supports the implementation of the Value Based Care Management program in an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members.

Charleston, WV30+ days ago

Remote

Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers, health plans, government organizations, and communities optimize individual and population-wide well-being by driving positive behavior change. Focus of this position is to enhance and nurture existing relationships resulting in client retention and identification of upsell (add-on business) opportunities and to lead streamlined, effective internal teams to support clients and customers.

Charleston, WV30+ days ago

Remote

$78,400–$107,800 Per Year

The Manager, Fraud and Waste works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the form of objectives and determines approach, resources, schedules and goals. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.

Charleston, WV30+ days ago

Remote

$100,000–$140,000 Per Year

The Clinical Specialist works closely with the surgical team members to provide clinical product assistance to the surgeon by being familiar with the surgical procedure, instruments, supplies, and equipment. Industry experience: 3+ years of full-time employment by a medical device company as a clinical specialist (or comparable position) focused on case coverage and patient outcomes (not equipment/service provider).

Charleston, WV30+ days ago

Analyze and develop network retention strategies for follow up services to providers by establishing and maintaining contact and rapport with dental staff members, office managers, insurance coordinators, hygienists and dentists throughout an assigned territory by scheduling face-to-face meetings with dental offices. + Communicate and maintain effective working relationships both internally and externally (providers, dental industry, organized dentistry and dental consultants) keeping management informed on related healthcare industry issues/topics.

Chapmanville, WV30+ days ago

$45,400–$61,300 Per Year

Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients.

Charleston, WV30+ days ago

Remote

$71,100–$97,800 Per Year

As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.

Charleston, WV30+ days ago

Remote

$71,100–$97,800 Per Year

Charleston, WV30+ days ago

Remote

$94,900–$130,500 Per Year

Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. The Branch Director is accountable for managing the day-to-day branch operations to ensure the following: operational efficiencies, quality of patient care, regulatory compliance, support of business development & patient base growth, achievement of key performance indicators, and people management/development.

Hilltop, West Virginia30+ days ago

$110,000–$114,700 Per Year

Sub-Acute, Long-Term Care is a sector of healthcare exploding with potential and work-life balance flexibility (no on call or weekends)!We are seeking a full-time (40 hours per week) Wound Care Nurse Practitioner for float position between several of our centers located in southern West Virginia (cities include Beckley, Daniels, Hilltop, Oak Hill, Ansted, and White Sulphur Springs).The base salary range for this position is $110000 - $114700 / year. Qualifications: The Advanced Practice Provider must be a graduate from an accredited School of Nursing program, licensed as a registered nurse, certified as a Nurse Practitioner by being a nursing graduate from an accredited Nurse Practitioner Program with a Master's Degree in Nursing and have a concentration and specialty track of Older Adult and/or Family Nurse Practitioner (FNP).

South Charleston, West Virginia30+ days ago

$110,000–$115,000 Per Year

Additionally, the Palliative Care APP provides guidance and education to the patient, family, primary care team, nursing, social work and rehabilitation therapies regarding risks and benefits of relevant interventions in order to facilitate the shared-decision making process. Our physicians, nurse practitioners (NPs) and physician assistants (PAs) are supported by a clinical leadership team with a decades-long track record of excellence in post-acute and long-term care.

Hurricane, West Virginia8 days ago

$75,000–$90,000 Per Year

This immersive, hands-on experience is designed to develop confident, compassionate, and operationally strong nursing leaders through mentorship, individualized coaching, and real-world clinical leadership exposure. Attend leadership meetings, coaching sessions, and development workshops focused on communication, accountability, culture-building, and leading high-performing clinical teams.

Sissonville, West Virginia30+ days ago

$38–$60 Per Hour

Charleston, WV30+ days ago

Remote

$223,800–$313,100 Per Year

The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value based care, population health, or disease or care management. The Medical Director’s work includes computer based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, communication of decisions to internal associates, and possible participation in care management.

Charleston, WV30+ days ago

Remote

$223,800–$313,100 Per Year

The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value based care, population health, or disease or care management. The Medical Director’s work includes computer-based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, communication of decisions to internal associates, and possible participation in care management.

Charleston, WV30+ days ago

Remote

$223,800–$313,100 Per Year

The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value-based care, population health, or disease or care management. The Medical Director’s work includes computer-based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, communication of decisions to internal associates, and possible participation in care management.

Charleston, WV30+ days ago

Remote

$223,800–$313,100 Per Year

Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management. + Evidence of analytic and interpretation skills, with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post acute services such as inpatient rehabilitation.

Charleston, WV30+ days ago

Remote

$223,800–$313,100 Per Year

The Behavioral Health Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value-based care, quality metrics, population health, and disease or care management. The Medical Director’s work includes computer based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, communication of decisions to internal associates, and possible participation in care management.

Charleston, WV30+ days ago

Remote

$223,800–$313,100 Per Year

The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value-based care, population health, or disease or care management. The Medical Director’s work includes computer-based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, communication of decisions to internal associates, and possible participation in care management.

Sissonville, West Virginia30+ days ago

$104,000–$120,000 Per Year

Qualifications: The Advanced Practice Provider must be a graduate from an accredited School of Nursing program, licensed as a registered nurse, certified as a Nurse Practitioner by being a nursing graduate from an accredited Nurse Practitioner Program with a Master's Degree in Nursing and have a concentration and specialty track of Older Adult and/or Family Nurse Practitioner (FNP). Our physicians, nurse practitioners (NPs) and physician assistants (PAs) are supported by a clinical leadership team with a decades-long track record of excellence in post-acute and long-term care.

Charleston, WV30+ days ago

Remote

$223,800–$313,100 Per Year

Charleston, WV30+ days ago

$226,000–$266,000 Per Year

Work-life programs include paid national holidays and optional holidays, Global Shutdown Days between Christmas and New Year's holiday, up to 120 hours of paid vacation, up to two (2) paid days to volunteer, sick time off, and summer hours flexibility. Each of us is empowered to apply our individual talents and unique perspectives in a supportive culture, promoting global participation in clinical trials, while our shared values of passion, innovation, urgency, accountability, inclusion and integrity bring out the highest potential of each of our colleagues.

CHARLESTON, West Virginia30+ days ago

$31–$33 Per Hour

Charleston, West Virginia23 days ago

With hundreds of locations across 45 states, our team delivers high-quality products, exceptional service, and compassionate support that helps patients live more comfortably, independently, and actively. In this role, you’ll work closely with Case Management and Continuing Care teams to ensure a smooth transition for patients requiring Respiratory Therapy and Durable Medical Equipment (DME) at home.

CROSS LANES, WV30+ days ago

May assist pharmacist in administering clinical services including the collection and proper labeling of blood/urine samples from patients and other clinical services as required; assists pharmacy staff in coordination of clinical services, Walgreens healthcare clinics and external providers. Performs duties as assigned by Pharmacy Manager, Staff Pharmacist and Store Manager including utilizing pharmacy systems to enter patient and drug information, ensuring information is entered correctly, filling prescriptions by retrieving, counting and pouring pharmaceutical drugs, verifying medicine is correct, and checking for possible interactions.

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Clinical Services Manager Jobs in Charleston, WV

Jobs

Unit Manager, RNDunbar Center

Physical Therapist (PT)Powerback Rehabilitation

Mental Health Therapist - Guaranteed PaySonderMind Careers

Clinical Manager - Advanced Practice Provider - Palliative Care (Hybrid)Highmark Health

Social Services Care ManagerHumana

Sales Manager of RHTAdvanced Monitored Caregiving Inc.

Telephonic Health Services CoordinatorAdvanced Monitored Caregiving Inc.

Care Manager RN - (Remote)Highmark Health

Complex Case Manager RN - Oncology (Remote)Highmark Health

Product Manager - Utilization ManagementHighmark Health

Assoc Clinical Spec (Regional)Fujifilm

Telephonic Nurse Care ManagerAdvanced Monitored Caregiving Inc.

Provider Account ManagerHighmark Health

Healthcare, Provider Contract Manager - Pittsburgh, PA market - Cigna HealthcareThe Cigna Group

Care Manager, Registered Nurse- RemoteSharecare

Client Success Manager - RemoteSharecare

Manager, Fraud and WasteHumana

Charleston, WV based Clinical Specialist - Remote, USACalyxo

Dental Network Service RepresentativeHighmark Health

Patient Service Coordinator LPN Home HealthCenterWell

Care Manager- Telephonic Nurse Part TimeCenterWell

Care Manager- Telephonic Nurse - Part Time Evenings & WeekendsCenterWell

Branch Director, Home HealthCenterWell

Adv Practice Wound Care Provider - Nurse PractitionerAlignMed

Palliative Care Nurse PractitionerAlignMed

Future Leader Director of Nursing in Training - RNTeays Valley Center

Occupational Therapist (OT)Powerback Rehabilitation

Medical Director - FloridaHumana

Medical Director - Southeast RegionHumana

Medical Director - National Medicare TeamHumana

Medical Director - Mid West RegionHumana

Behavioral Health Medical Director - MedicareHumana

Medical Director - Claims ManagementHumana

Physician AssistantAlignMed

Medical Director - Northeast RegionHumana

Regional Business Regional Business Director, Cardiovascular - Greater Mid-Atlantic RegionBristol Myers Squibb

Registered Nurse - Home CareAll Ways Caring HomeCare

Hospital LiaisonRotech Healthcare Inc.

Pharmacy Technician / Pharm Tech ApprenticeshipWalgreens

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