- Molina Healthcare (Boise, ID)
- …level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit. ... Licensed Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education and Promotion (CHEP),… more
- Molina Healthcare (Boise, ID)
- …behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial… more
- Molina Healthcare (Meridian, ID)
- …waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... members on Waiver program. This position will have a case load and manage members enrolled in this program....who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are… more
- 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 ... area in order to be qualified.** **PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to face with their injured workers and medical providers to… more
- 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
- St. Luke's Health System (Nampa, ID)
- …ultimately drives our exceptional, patient-centered care. **Position Overview:** The RN Case Manager collaborates with physicians and the multidisciplinary team ... **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… more
- Sunrun (Boise, ID)
- …in through our commitment to diversity, inclusion and belonging. **Overview** The O&M Case Manager is responsible for coordinating effective execution of field ... and is results-driven complemented by appropriate process orientation + An excellent time manager , able to balance multiple projects and priorities on a variety of… more
- Cardinal Health (Boise, ID)
- …supervisor or senior peers on complex and unusual problems **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement ... Support Services in accordance with the program business rules and HIPAA regulations. This position is responsible for guiding the healthcare providers through the various process steps in support of their patient's journey to therapy. These steps include… more
- St. Luke's Health System (Meridian, ID)
- …Registered Nurses (RNs) to provide exceptional care. **Position Overview** As a Home Health Case Manager , you will play a key role in collaborating with ... physicians and multidisciplinary team members to create and manage individualized care plans for a designated caseload. This is a direct care role, involving travel within Boise, ID and surrounding regions to deliver in-home care from admission to discharge.… more
- 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 a care plan, encouraging behavior… more
- 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 ... in Idaho Preferred Experience in Home Health, community based case management, transition of care, or community complex ...case management, transition of care, or community complex case experience. For more information, please contact Julie at… more
- Public Consulting Group (Boise, ID)
- …+ PCG is seeking a highly motivated and dependable intellectual and developmental disability (IDD) needs assessor in the **Chittenden County, Vermont and Washington ... County, Vermont** territories. Assessors will conduct Supports Intensity Scale - Adult Version (TM) (SIS-A) (TM) assessments with individuals with intellectual and developmental disabilities eligible to receive services from Vermont's Home and Community Based… more
- Molina Healthcare (Boise, ID)
- …Reviews data to identify principal member needs and works under the direction of the Case Manager to implement care plan. + Schedules member visits with team ... Provides telephone, clerical, and data entry support for the Case Management team. + Responsible for initial review of...Management team. + Responsible for initial review of assigned case levels to assist in Case Management… more
- Travelers Insurance Company (Boise, ID)
- …with insured based on application of policy information to facts or allegations of each case . + Consult with Manager on use of Claim Coverage Counsel as needed. ... as strategically appropriate. + Complete outside investigation as needed per case specifics. + Utilize evaluation documentation tools in accordance with department… more
- UNUM (Boise, ID)
- …others, and join Team Unum today! **General Summary:** The AVP, National Client Manager is the relationship steward for our largest, most sophisticated and most ... AVP, NCM develops and implements a customized service strategy for their assigned case (s) and is accountable for retention and growth through strategic management of… more
- Highmark Health (Boise, ID)
- …**LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Case Manager (CCM) **Language (Other than English):** None **Travel ... data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ensure front line case management and… more
- Molina Healthcare (Boise, ID)
- …our Medicare/Medicaid population who have recently been admitted into Hospital. The Case Manager will support our members to ensure successful transition ... Association** Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager (CCM) To all current Molina employees: If… more
- Magellan Health Services (Boise, ID)
- …and Critical/Adverse incidents related to clinical services. + Audits and reviews case manager and provider clinical documentation and telephone interactions ... reviews of clinical interactions and clinical documentation including reviews of case management records and provider treatment records. Collects data following… more
- Molina Healthcare (Boise, ID)
- …ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified ... Professional in Healthcare Quality or other healthcare certification. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and… more
- Jet Health (Boise, ID)
- …prominence. + Report significant changes in patient conditions to the Registered Nurse Case Manager . + Assist in patient ambulation and exercise as instructed. ... + Offer and assist with bedpans and urinals. + Perform light laundry tasks and maintain tidy patient living spaces. + Conduct range of motion exercises and other simple procedures as instructed. + Provide respite care for families and caregivers when… more