• Manager , HCS Clinical Policy…

    Molina Healthcare (Idaho Falls, ID)
    …at the right place at the right time and assisting them to achieve optimal clinical , financial, and quality of life outcomes. This is done by closely monitoring ... hands-on manager responsible for supervision and coordination of enterprise clinical policy to drive integrated healthcare service activities. + Ensures adequate… more
    Molina Healthcare (02/14/25)
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  • Trainer - Clinical Services - Utilization…

    Molina Healthcare (Idaho Falls, ID)
    clinical methodology, along with policies, processes and systems. Ensures all Molina clinical team members are positioned to improve quality , control medical ... **Job Description** Job Summary Creates and delivers clinical training programs for clinical staff...knowledge to effectively collaborate in order to improve member quality of life and to control costs. + Train/educate… more
    Molina Healthcare (03/13/25)
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  • Clinical Appeals Nurse (RN): Texas and New…

    Molina Healthcare (Idaho Falls, ID)
    …4 weeks Monday-Thursday and Wed - Saturday._** **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making appropriate and correct clinical ... decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical /medical reviews of… more
    Molina Healthcare (02/09/25)
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  • Student Dietitian Clinical Placement

    Fresenius Medical Center (Chubbuck, ID)
    …in the facility or will be assigned to another patient. **SUPERVISION:** The Clinical Manager assigns and closely monitors all Dietetic Intern assignments with ... bulletin board, patient/staff education handouts, games, lobby activity) + Attend Quality Assessment and Performance Improvement and /or other interdisciplinary team… more
    Fresenius Medical Center (03/04/25)
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  • Manager , Healthcare Services (Remote)

    Molina Healthcare (Idaho Falls, ID)
    …care at the right place at the right time and assisting them to achieve optimal clinical , financial, and quality of life outcomes. + Responsible for clinical ... HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
    Molina Healthcare (03/07/25)
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  • Care Manager - Adult (Remote in Idaho…

    Magellan Health Services (Pocatello, ID)
    …facilities, develops discharge plans and oversee their implementation. + Performs quality clinical reviews while educating and making appropriate interventions ... supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health...quality of care. General Job Information Title Care Manager - Adult (Remote in Idaho or Remote in… more
    Magellan Health Services (01/26/25)
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  • (Registered Dietician) Health Management Case…

    Molina Healthcare (Idaho Falls, ID)
    **Job Description** **Job Summary** The Molina Population Health Management Case Manager uses clinical judgment, knowledge, and direct hands-on member care ... to ensure that members progress toward desired outcomes with quality care that is medically appropriate and cost-effective based...the site of service. **Job Duties** + Based on clinical assessment and member reported health care concerns, use… more
    Molina Healthcare (03/04/25)
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  • Manager NICU

    HCA Healthcare (Idaho Falls, ID)
    …as we do. We want you to apply! **Job Summary and Qualifications** The Manager ensures high quality , patient-centered care through oversight of the overall daily ... care in accordance with established policies/procedures and holds staff accountable for quality and clinical outcomes in support of facility objectives. **What… more
    HCA Healthcare (01/23/25)
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  • Remote Program Manager , HCS - RN…

    Molina Healthcare (Idaho Falls, ID)
    **JOB DESCRIPTION** Program Manager for Healthcare Services available for either RN or a Behavioral Health Specialist who has a license in good standing in their ... HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
    Molina Healthcare (03/04/25)
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  • Cath Lab Supply Materials Manager

    HCA Healthcare (Idaho Falls, ID)
    …for benefits may vary by location._** We are seeking a(an) Cath Lab Supply Materials Manager for our team to ensure that we continue to provide all patients with ... high quality , efficient care. Did you get into our industry...Summary and Qualifications** As the Cath Lab IR Materials Manager , you will be responsible for leading, implementing, measuring,… more
    HCA Healthcare (03/14/25)
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  • Practice Manager II

    HCA Healthcare (Idaho Falls, ID)
    …Do you want to join an organization that invests in you as a(an) Practice Manager II? At East Falls Primary Care, you come first. HCA Healthcare has committed up ... a difference. We are looking for a dedicated Practice Manager II like you to be a part of...provides leadership expertise to ensure all patients receive high quality , efficient care. We are an amazing team that… more
    HCA Healthcare (01/11/25)
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  • Lead Overreader, HEDIS/ Quality Improvement…

    Molina Healthcare (Idaho Falls, ID)
    **Job Description** **Job Summary** Molina's Quality Improvement Lead Overreader conducts oversight and audits of the data collected and abstracted from medical ... Overreader mentors and trains new team members. Leads special HEDIS/ Quality projects. **Job Duties** + Performs the lead role...off of the audit and chart review. + Assists Manager and Supervisor(s) in leading the training and mentoring… more
    Molina Healthcare (01/19/25)
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  • Pharmacist (Full or Part Time)

    Walgreens (Blackfoot, ID)
    …medications and awareness with drug interactions. Offers preventive and clinical healthcare services, including immunizations, diagnostic testing, and patient ... Supports the efficient workflow of the pharmacy and assists the pharmacy manager in identifying ways to optimize pharmacy financials, inventory management and… more
    Walgreens (03/06/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Idaho Falls, ID)
    Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified Professional in Healthcare ... **JOB DESCRIPTION** **Job Summary** Utilizing clinical knowledge and experience, responsible for review of...appropriate/accurate billing and claims processing. + Identifies and reports quality of care issues. + Assists with Complex Claim… more
    Molina Healthcare (01/25/25)
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  • Lead Pharmacist, UM

    Molina Healthcare (Idaho Falls, ID)
    …Supports team goals as established and agreed upon by senior leadership. + Quality - Supports clinical , cost, and value-based interventions/programs. As a Molina ... Manager . + Identifies and implements programs to improve clinical outcomes stemming from medication selection, utilization, and adherence. **JOB QUALIFICATIONS**… more
    Molina Healthcare (03/04/25)
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  • Certified Pharmacy Technician

    Walgreens (Chubbuck, ID)
    …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... and procedures in relation to pharmacy errors and the Quality Improvement Program. + Strictly adheres to the Walgreen...performs other clerical duties, as assigned by the Pharmacy Manager . + Assists and supports Pharmacy Department on inventory… more
    Walgreens (02/21/25)
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  • Director of Physician Services I

    HCA Healthcare (Idaho Falls, ID)
    …of Physician Services I with East Falls Primary Care, you can be a manager in an organization that is devoted to giving! **Benefits** East Falls Primary Care, ... have strategic and tactical operational responsibility for the business and clinical functions through administrative and clinical staff including providers,… more
    HCA Healthcare (12/24/24)
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  • Delegation Oversight Nurse (Must Reside in AZ)

    Molina Healthcare (Idaho Falls, ID)
    **JOB DESCRIPTION** **Job Summary** Responsible for continuous quality improvements within the Delegation Oversight Department. Oversees delegated activities to ... needs. In addition, the Delegation Oversight Nurse will assist the Delegation Oversight Manager with additional duties of the team. This includes, but is not limited… more
    Molina Healthcare (03/06/25)
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  • RN - TX Licensure - Transition of Care Coach

    Molina Healthcare (Idaho Falls, ID)
    …HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of ... Services, and advance directives. + Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.… more
    Molina Healthcare (03/09/25)
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  • Registered Nurse - RN

    Fresenius Medical Center (Idaho Falls, ID)
    …Home Therapies RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision ... this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility… more
    Fresenius Medical Center (02/20/25)
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