• Case Manager (bilingual Chinese)

    Molina Healthcare (Meridian, ID)
    …provides care coordination and assistance to member to address concerns. + Collaborates with RN case managers/supervisors as needed or required + Case ... the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's...of the following: Completion of an accredited Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN)… more
    Molina Healthcare (01/25/25)
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  • Case Manager , Ltss ( RN )

    Molina Healthcare (Meridian, ID)
    **JOB DESCRIPTION** For this position we are seeking a ( RN ) Registered Nurse who lives in OHIO and must be licensed for the state of OHIO. This position will ... health and welfare. + Provides consultation, recommendations and education as appropriate to non- RN case managers + Works cases with members who have complex… more
    Molina Healthcare (01/21/25)
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  • Case Manager ( RN )

    Molina Healthcare (Boise, ID)
    …travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who ... behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
    Molina Healthcare (01/21/25)
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  • Field Case Manager

    Sedgwick (Boise, ID)
    …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Field Case Manager **This Field Case Manager will cover our ... be qualified.** **PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to face with their injured...the client and the reimbursement source **EDUCATION AND LICENSING** RN licensure preferred; or bachelor's degree in health or… more
    Sedgwick (12/06/24)
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  • RN Case Manager

    St. Luke's Health System (Nampa, ID)
    …perspectives which ultimately drives our exceptional, patient-centered care. **Position Overview:** The RN Case Manager collaborates with physicians and the ... **Overview** At St. Luke's, our dedicated team of Case Managers are critical in providing exceptional, patient-centered...Bachelors' of Nursing Degree + Experience: 2 years' of RN experience + Licenses/Certifications: Current RN License… more
    St. Luke's Health System (01/08/25)
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  • Telephonic Case Manager

    Sedgwick (Boise, ID)
    …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with ... the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through… more
    Sedgwick (01/22/25)
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  • RN Case Manager - Home Health

    St. Luke's Health System (Meridian, ID)
    … Nurses (RNs) to provide exceptional care. **Position Overview** As a Home Health Case Manager , you will play a key role in collaborating with physicians ... living their best lives!"_ - St. Luke's Home Health RN **What You Can Expect in This Role** +...BSN in Nursing + **Experience** : 2 years of RN experience; Home Health or Acute Care experience preferred… more
    St. Luke's Health System (01/21/25)
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  • Complex Case Manager RN

    Highmark Health (Boise, ID)
    …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
    Highmark Health (01/25/25)
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  • RN Case Manager Hospital…

    St. Luke's Health System (Boise, ID)
    **Overview** At St. Luke's, our dedicated team of Case Managers are critical in providing exceptional, patient-centered care. We strive to foster an environment that ... Bachelors' of Nursing Degree + Experience: 2 years' of RN experience + Licenses/Certifications: Current RN License...in Idaho Preferred Experience in Home Health, community based case management, transition of care, or community complex … more
    St. Luke's Health System (01/21/25)
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  • RN - CA Licensure - Transition of Care…

    Molina Healthcare (Meridian, ID)
    **JOB DESCRIPTION** _For this position we are seeking a ( RN ) Registered Nurse who must have a current active unrestricted RN license in the state of CA._ ... _Case Manager RN will work in remote setting supporting our Medicare/Medicaid...population who have recently been admitted into Hospital. The Case Manager will support our members to… more
    Molina Healthcare (01/21/25)
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  • Registered Nurse - Hospice

    Jet Health (Boise, ID)
    …We believe our staff makes our company the best in the industry. Requirements Registered Nurse ( RN ) Responsibilities: + Follow a designated care plan ... clients' conditions, reporting changes to Clinical or Client Services Manager + Follow up with, execute, and properly document...touch pad tablet Qualifications: + Current State or Compact Registered Nurse ( RN ) License in… more
    Jet Health (01/18/25)
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  • Registered Nurse

    Jet Health (Boise, ID)
    …geriatric patients have a safe home life withcomfort, independence, and dignity. Requirements Registered Nurse ( RN ) Responsibilities: + Follow a designated ... clients' conditions, reporting changes to Clinical or Client Services Manager + Follow up with, execute, and properly document...touch pad tablet Qualifications: + Current State or Compact Registered Nurse ( RN ) License in… more
    Jet Health (11/03/24)
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  • Excess Risk Managed Care Clinician

    Highmark Health (Boise, ID)
    …Bachelor's degree in Nursing **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Case Manager (CCM) **Language ... data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ensure front line case management and… more
    Highmark Health (11/25/24)
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  • Registered Nurse Care Manager

    Intermountain Health (Boise, ID)
    **Job Description:** Full Time, Monday-Friday 08:00-17:00 PST. The nurse care manager works collaboratively with physicians and other members of the health care ... round at hospitals as needed. **Minimum Qualifications** + Current RN license in state of practice. + Two years...Two years of hospital floor clinical nursing experience and/or Nurse Care Management experience. + Able to multitask and… more
    Intermountain Health (01/24/25)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (Boise, ID)
    …ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
    Molina Healthcare (01/25/25)
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  • Certified Nurse Assistant

    Jet Health (Boise, ID)
    …prevent breakdown over bony prominence. + Report significant changes in patient conditions to the Registered Nurse Case Manager . + Assist in patient ... personal care and support services for patients under the supervision of a Registered Nurse . This role is essential in meeting the personal needs of patients,… more
    Jet Health (01/14/25)
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  • Care Manager RN - Weekends (Remote)

    Highmark Health (Boise, ID)
    …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more
    Highmark Health (01/07/25)
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  • Care Manager - Remote

    Sharecare (Boise, ID)
    …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based...an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care… more
    Sharecare (01/17/25)
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  • Manager , Operations - VBCM

    Sharecare (Boise, ID)
    …of Sharecare with leadership practices. **Qualifications:** + Current licensure as a Registered Nurse is required; Compact state preferred. + Bachelor's degree ... more, visit www.sharecare.com . **Job Summary:** The VBCM Operations Manager will report to the Director of Clinical Care...a variety of areas such as integration activities, audits, case management and site visits in collaboration with the… more
    Sharecare (01/17/25)
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  • Senior Manager , PV Operations

    Takeda Pharmaceuticals (Boise, ID)
    …of contact for vendor operations and vendor oversight, including vendors performing case management, case intake (ie, Call Centers), scientific literature ... contact for vendor operations including the PV BPO vendor and/or vendors performing case management, case intake, literature review; call centers + Provide… more
    Takeda Pharmaceuticals (01/10/25)
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