• Behavioral Health Case

    Kaniksu Community Health (Sandpoint, ID)
    …Year round, affordable on-site childcare at KCH Kid's Club A Kaniksu Community Health Behavioral Health Case Manager is an individual who Provides ... needs. From prevention and wellness to medical, dental, and behavioral health . From pediatric to geriatrics, we...mental health + Experience as a medical case manager preferred, but not required. +… more
    Kaniksu Community Health (11/22/24)
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  • RN Case Manager - Behavioral

    Molina Healthcare (ID)
    …**RED E** **X** **PE** **R** **I** **E** **N** **C** **E:** + 3+ years in behavioral health case management, disease management, managed care settings. + ... case managers/supervisors as needed or required * Case managers in Behavioral Health ...the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's… more
    Molina Healthcare (11/12/24)
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  • Case Manager RN- Behavioral

    Molina Healthcare (ID)
    …state or locality with reliable transportation. **PREFERRED EXPERIENCE:** + 3+ years in behavioral health case management, disease management, managed care ... concerns. * Collaborates with RN case managers/supervisors as needed or required * Case managers in Behavioral Health and Social Science fields may… more
    Molina Healthcare (11/12/24)
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  • Care Manager Behavioral

    Highmark Health (Boise, ID)
    …+ 3 - 5 years of post licensure experience in a combination of Behavioral Health Clinical, Case Management and/or Condition Management + Experience ... High School Diploma/GED with RN license or Master's Degree if licensed behavioral health professional **Substitutions** + None **Preferred** + Bachelor's degree… more
    Highmark Health (12/12/24)
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  • Complex Case Manager RN (Remote)

    Highmark Health (Boise, ID)
    …ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs ... interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are...various resources to assist members in achieving their personal health goals. The incumbent monitors, improves and maintains quality… more
    Highmark Health (11/20/24)
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  • RN Case Manager - Home Health

    St. Luke's Health System (Mccall, ID)
    …our Registered Nurses (RNs) to provide exceptional care. **Position Overview** As a Home Case Manager , you will play a key role in collaborating with physicians ... **Overview** **Join St. Luke's Home Health McCall Team: Where Compassion Meets Care** At...**Default: Location : Location** _US-ID-McCall_ **Work Location : Name** _301 Deinhard Ln, McCall, St. Luke's Clinic - Behavioral more
    St. Luke's Health System (10/22/24)
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  • RN Case Manager - Hospice

    St. Luke's Health System (Mccall, ID)
    …surrounded by loved ones in familiar surroundings. **Position Overview:** The RN Case Manager collaborates with physicians and the multidisciplinary team to ... ID** _2024-93465_ **Default: Location : Location** _US-ID-McCall_ **Work Location : Name** _301 Deinhard Ln, McCall, St. Luke's Clinic - Behavioral Health_ more
    St. Luke's Health System (10/18/24)
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  • Case Management Processor - Remote (must…

    Molina Healthcare (Meridian, ID)
    …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... data to identify principal member needs and works under the direction of the Case Manager to implement care plan. + Schedules member visits with team members as… more
    Molina Healthcare (01/13/25)
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  • Care Manager RN - Weekends (Remote)

    Highmark Health (Boise, ID)
    …appropriate resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality ... and refer members whose healthcare outcomes might be enhanced by Health Coaching/ case management interventions. + Employ collaborative interventions which… more
    Highmark Health (01/07/25)
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  • Clinical Value Program Manager , HCS

    Molina Healthcare (ID)
    …Extend scope to more fully include related areas besides 'Medical/Clinical', for example Behavioral Health , Long Term Care + Assist in proposing and implementing ... experience. **Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management… more
    Molina Healthcare (12/15/24)
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  • Site Activation CAR-T Senior Manager , Cell…

    J&J Family of Companies (Boise, ID)
    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 ... close proximity to a major metropolitan airport. At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a… more
    J&J Family of Companies (12/18/24)
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  • Excess Risk Managed Care Clinician

    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
    Highmark Health (11/25/24)
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  • Quality Clinical Reviewer (Remote - Must live…

    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 ... and Work Experience May Be Considered. - Nursing, Bachelor's - Nursing, Master's - Behavioral Health Education - Preferred PsyD - Clinical Psychology License and… more
    Magellan Health Services (10/29/24)
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  • Certified Alcohol and Drug Counselor

    Kaniksu Community Health (Sandpoint, ID)
    …their health needs. From prevention and wellness to medical, dental, and behavioral health . From pediatric to geriatrics, we believe that quality healthcare ... 4% 401K employer match. * In-house medical, dental, or behavioral health services. * Year round, affordable...proper evidence-based materials are available for clients. * Provide Case Management for clients as needed or outlined in… more
    Kaniksu Community Health (12/25/24)
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  • Lead, Auditor (RN) Appeals & Grievances Remote

    Molina Healthcare (ID)
    …years in case management, disease management, managed care or medical or behavioral health settings. + One year of auditing/ clinical review experience. + ... align with Molina auditing policy and protocols + Assists Manager with data for team member performance reviews +...nurse and other clinical functions in Utilization Management (UM), Case Management (CM), Member Assessment Team (MAT), Health more
    Molina Healthcare (01/13/25)
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  • Cadre Team Leader IDYCA

    Idaho Division of Human Resources (Pierce, ID)
    …and policies.(At a minimum, a favorable suitability determination by the State Security Manager is required prior to appointment into this position.) + (3) Must ... (5) Knowledge of factors that contribute to social, economic, emotional or behavioral issues; includes knowledge of methods and tactics for dealing effectively with… more
    Idaho Division of Human Resources (12/23/24)
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