- Highmark Health (Boise, ID)
- …the effective utilization management strategies including: review of appropriateness of health care services, application of criteria to assure appropriate ... of quality issues. Monitors and analyzes the delivery of health care services; educates providers and members...established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in… more
- Magellan Health Services (Boise, ID)
- …in healthcare, behavioral health , psychiatric and/or substance abuse health care setting. Strong organization, time management and communication skills. ... and analyzes utilization data. Assists with discharge planning and care coordination. Provides member assistance with mental health...Maintains an active work load in accordance with National Care Manager performance standards. + Works with… more
- Highmark Health (Boise, ID)
- …implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure ... of quality issues. Monitors and analyzes the delivery of health care services; educates providers and members...established industry and corporate standards and are within the care manager 's professional discipline. + Function in… more
- Highmark Health (Boise, ID)
- …Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice… more
- Molina Healthcare (Boise, ID)
- …for regular outreach and management. + Promotes integration of services for members including behavioral health care and long term services and supports to ... delivery of care across the continuum, including behavioral health and long term care...Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education and… more
- Highmark Health (Boise, ID)
- …, 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 ... ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs… more
- Highmark Health (Boise, ID)
- …relationship management and performance + Experience in Indirect Category Sourcing and/or Health Care Sourcing with demonstrated expertise in influencing the ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...Certified Professional in Supply Management (CPSM) + Certified Purchasing Manager (CPM) **SKILLS** + Experience in strategic management and… more
- Veterans Affairs, Veterans Health Administration (Caldwell, ID)
- …Panel management is supported by a team clinical pharmacist and by integrated behavioral health professionals. The Caldwell CBOC also has specialty services ... are not limited to: Works collaboratively with the Clinic Manager in organizing staff meetings and trainings, and furthering...is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Participation in the… more
- HCA Healthcare (Middleton, ID)
- …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... Do you have the career opportunities as a(an) Practice Manager II you want with your current employer? We...Group, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The… more
- HCA Healthcare (Caldwell, ID)
- …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... an organization that invests in you as a(an) Practice Manager III? At West Valley IM Clinic, you come...Clinic, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The… more
- Highmark Health (Boise, ID)
- …for analyzing clinical data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ensure front line ... + Analyze clinical data to assess potential stop loss and managed care claim liability and utilize Case Management oversight techniques to ensure front… more
- J&J Family of Companies (Boise, ID)
- Johnson & Johnson is recruiting for a field-based Site Activation CAR-T Senior Manager , Cell Therapy Experience Lead to support the United States. This is a field ... close proximity to a major metropolitan airport. At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a… more
- Magellan Health Services (Boise, ID)
- …and Work Experience May Be Considered. - Nursing, Bachelor's - Nursing, Master's - Behavioral Health Education - Preferred PsyD - Clinical Psychology License and ... Certifications - Required LCSW - Licensed Clinical Social Worker - Care Mgmt, LMHC - Licensed Mental Health Counselor - Care Mgmt, LPC - Licensed… more
- Highmark Health (Boise, ID)
- …in special committee meetings as required. + Cooperates with other health care team members and the Operations Manager pursuant to the Allegheny ... timely manner. + Patients are appropriately referred to other health care support systems or community resources...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Boise, ID)
- …3 years of Working knowledge of medical procedures and terminology + 3 years of Health Care claims, Health Insurance and Benefit Administration **SKILLS** ... level of production each month, as determined by the manager to ensure compliance with DLP changes. This role...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Boise, ID)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** We are on a mission to deliver remarkable health experiences, freeing people to be their ... requires an advanced 360 person-centered approach to deliver the right message, guidance, care , outcome, and experiences, all at the right time. This Sr Application… more
- Highmark Health (Boise, ID)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** We are on a mission to deliver remarkable health experiences, freeing people to be their ... requires an advanced 360 person-centered approach to deliver the right message, guidance, care , outcome, and experiences, all at the right time. This Sr level role… more
- Molina Healthcare (Meridian, ID)
- …in Nursing **Preferred Experience** + 3-5 years in case management, disease management, managed care or medical or behavioral health settings. + One year ... align with Molina auditing policy and protocols + Assists Manager with data for team member performance reviews +...audits, as needed. + Audits for clinical gaps in care from a medical and/or behavioral perspective… more
- Sharecare (Boise, ID)
- …coordinates with the Primary Care Provider and all other members of the health care team to support appropriate total healthcare management and ensure cost ... in the appropriate stratification level. + Identifies participant barriers to accessing health care services. Coordinates with Provider Service Managers and/or… more
- CenterWell (Boise, ID)
- …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... time with patients, providing compassionate, personalized care that brings better health outcomes. We...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more