• Cancer Institute Manager Social…

    St. Luke's Health System (Boise, ID)
    **Overview** At St. Luke's, our dedicated team of Behavioral Health professionals strive to build a positive, supportive, and inclusive culture that delivers ... in their benefits beyond the typical medical, dental, and vision offerings. We care about you and have fantastic financial and physical wellness options, such as:… more
    St. Luke's Health System (11/01/24)
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  • Care Manager (UM/UR) - Remote, Idaho…

    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
    Magellan Health Services (10/22/24)
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  • Clinical Care Manager - RN…

    Evolent Health (Boise, ID)
    …Working across specialties and primary care , we seek to connect the pieces of fragmented health care system and ensure people get the same level of care ... this population. **What You'll Be Doing:** + This RN Care Manager The RN CM will be...and social needs of the patient, identify gaps in care and barriers to attaining improved health .… more
    Evolent Health (10/24/24)
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  • Social Work Care Manager

    Intermountain Health (Boise, ID)
    …and provides short term treatment planning for mental, emotional and behavioral disorders, conditions and addictions. **Essentials:** + Participates in case reviews ... to evaluate care management and progress toward goals. Consults with healthcare team members to promote, monitor, and evaluate compliance with patient's treatment… more
    Intermountain Health (10/25/24)
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  • Product Manager - Care Management

    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
    Highmark Health (11/02/24)
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  • Complex Case Manager RN Pediatric…

    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 ... oversight over a specified panel of **Pediatric** members that range in health status/severity and clinical needs. The incumbent assesses health management… more
    Highmark Health (10/25/24)
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  • Registered Nurse Case Manager , LTSS Remote…

    Molina Healthcare (Nampa, ID)
    …and suggest changes accordingly. + Promotes integration of services for members including behavioral health care and long term services and supports, ... delivery of care across the continuum, including behavioral health and long-term care ,...and time management skills is highly preferred. The Case Manager must have the ability to work in a… more
    Molina Healthcare (11/03/24)
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  • Provider Relations Manager (Remote - must…

    Magellan Health Services (Boise, ID)
    …operations required. Knowledge of or experience in management of benefits and/or behavioral health required. General Job Information Title Provider Relations ... be local to Idaho Manages the relationships with key health plans and provider networks for the purpose of...experience in a Provider Relations role for a managed care plan. Bachelor's degree in a related field, or… more
    Magellan Health Services (10/23/24)
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  • Project Manager

    Highmark Health (Boise, ID)
    …project manager role and/or in a project leadership role **Preferred** + Health Care Insurance industry business and operational knowledge + Experience with ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
    Highmark Health (10/02/24)
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  • Senior Category Manager

    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
    Highmark Health (09/12/24)
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  • Manager Strategic Risk Adjustment Programs

    Highmark Health (Boise, ID)
    …capabilities. Supports other key objectives designed to build/strengthen patient care delivery and capture of Risk Adjustment documentation/ reporting capabilities, ... executive leadership of the Enterprise (both Highmark and Highmark Health ), including CFO, EVP, Chief Actuary, and Vice President,...position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
    Highmark Health (10/08/24)
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  • Case Manager PRN

    HCA Healthcare (Caldwell, ID)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and free AirMed medical ... your knowledge and expertise! **Job Summary and Qualifications** The Case Manager (CM) ensures high-quality, patient-centered care by managing Rehabilitative… more
    HCA Healthcare (10/01/24)
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  • Practice Manager II

    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 II? At West Valley General Surgery, you come...Surgery, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The… more
    HCA Healthcare (09/28/24)
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  • Practice Manager II

    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 (10/31/24)
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  • Patient Experience (PEX) Program Manager

    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 ... part of our caring community and help us put health first** The PEX Program Manager is...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager more
    CenterWell (10/30/24)
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  • Provider Contracts Manager

    Molina Healthcare (Boise, ID)
    …but not limited to, Hospitals, Independent Physician Association, and complex Behavioral Health arrangements. **Job Duties** This role negotiates contracts ... EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 5-7 years contract-related experience in the health care field including, but not limited to, provider's office,… more
    Molina Healthcare (10/27/24)
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  • Quality Clinical Reviewer (Remote - Must live…

    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
    Magellan Health Services (10/29/24)
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  • Nurse Disease Management I

    Elevance Health (Meridian, ID)
    … plans by educating members regarding clinical needs and facilitating referrals to health professionals for behavioral health needs. + Uses motivational ... or clinical assessments to identify individual member knowledge, skills and behavioral needs. + Identifies and/or coordinates specific health coaching plan… more
    Elevance Health (11/02/24)
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  • RN Registered Nurse - AHN Home Infusion…

    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 (09/06/24)
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  • Senior Application Developer (Person360 & MDM)

    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 (10/31/24)
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