- Molina Healthcare (Boise, ID)
- …Suite, organized and analytical thinking . Medicare knowledge/experience is highly preferred. The Case Manager must be able to work in a high-volume environment. ... assistance to member to address concerns. + Collaborates with RN case managers/supervisors as needed or required...the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's… 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 ... 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
- 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 (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
- 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
- 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...years' of RN experience + Licenses/Certifications: Current RN License in Idaho For more information, please contact… more
- 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 (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
- 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
- Magellan Health Services (Boise, ID)
- …MFT - Marriage and Family Therapist - Care Mgmt, PSY - Psychologist - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care Mgmt ... Looking for candidates with: - Bachelors level clinician ( RN ) or Masters level clinician (LCSW, LPC, LMHC,...incidents related to clinical services. + Audits and reviews case manager and provider clinical documentation and… more
- Molina Healthcare (Meridian, ID)
- …to resolve/correct them.. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ) Program and an Associate's or ... align with Molina auditing policy and protocols + Assists Manager with data for team member performance reviews +...+ Required License, Certification, Association + Active, unrestricted State Registered Nurse ( RN ) License in… more
- 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
- Baylor Scott & White Health (Boise, ID)
- …at least five years of relevant work experience + Hold a valid registration as a Registered Nurse As a health care system committed to improving the health of ... may vary based on position type and/or level **Job Summary** As a Manager for Utilization Review, you guide and supervise staff. You oversee care coordination… more
- Highmark Health (Boise, ID)
- …+ Licensed Marriage and Family Therapist (LMFT) + Licensed Behavior Specialist + Registered Nurse . **Preferred** + None **SKILLS** + Working knowledge of ... resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors… more
- 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
- Trinity Health (Boise, ID)
- …KNOWLEDGE, EDUCATION AND EXPERIENCE** : + Licensed in the State of Idaho as a Registered Nurse as defined by the Idaho State Board of Nursing. + Bachelor's ... Responsible for the day to day operations of Clinical Resource Management/ Case Management, Social Work, Bundled Payment for Care Improvement and Transition… more
- 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
- Trinity Health (Boise, ID)
- …quality of care. **GENERAL SUMMARY AND PURPOSE:** Provides hospital case management/utilization review and discharge planning collaboratively determining level of ... care as appropriate. Coordinates the hospital activities concerned with case management/utilization review and discharge planning. Adheres to departmental goals,… more
- J&J Family of Companies (Boise, ID)
- …Site or Cell & Gene therapy Treatment Center/Site of Care Certification and Activation + RN license or Advanced Practice degree ( Nurse Practitioner / PA / PharmD ... Johnson & Johnson is recruiting for a field-based Site Activation CAR-T Senior Manager , Cell Therapy Experience Lead to support the United States. This is a field… more
- Abbott (Boise, ID)
- …and establishes strong rapport with customers. + Proficient in complex programming, case support. + Works seamlessly with Territory Manager (s) allowing them ... clinical, and programming assistance, primarily in support of 1-2 Territory Manager (s). + Assist Territory Managers in after-hours call support and activities.… more