- Humana (Boise, ID)
- …part of our caring community and help us put health first** The Utilization Management Behavioral Health Nurse uses behavioral health knowledge and ... licensed in a Compact State** The Utilization Management Behavioral Health Nurse completes...Qualifications** + Minimum of Associate Degree in Nursing + Registered Nurse ( RN ) licensure with… more
- CVS Health (Boise, ID)
- …+ Direct clinical experience in a hospital setting or prior Utilization Management experience. **Education** + If RN , Bachelor's degree in nursing required ... skills to coordinate, document and communicate all aspects of the utilization /benefit management program for preauthorization for mental health services.… more
- HCA Healthcare (Caldwell, ID)
- …potential at West Valley Medical Center! **Job Summary and Qualifications** As a Wound Care Registered Nurse ( RN ) you will have the opportunity to use your ... delivering patient-centered care?** Submit your application for Wound Care RN position and spend more time at the bedside...administered pain medications. **Qualifications:** + Current licensure as a Registered Nurse in the State of Idaho… more
- Magellan Health Services (Boise, ID)
- …- Licensed Professional Counselor - Care Mgmt, LSW - Licensed Social Worker - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care ... with necessary degrees: CEAP, LMSW, LCSW, LSW, LPC or RN . Minimum 2 years experience post degree in healthcare,...time management and communication skills. Knowledge of utilization management procedures, mental health and substance… more
- HCA Healthcare (Caldwell, ID)
- …service. **What qualifications you will need:** + Current licensure as a Registered Nurse in the State of Utah or RN compact license from participating ... for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and...(BLS or BCLS) and Certification. + Certification in case management or utilization review preferred. + InterQual… more
- Highmark Health (Boise, ID)
- …and education or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment ... data to assure appropriate level of payment and resource utilization . It is also used to identify issues which...experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder… more