- Highmark Health (Boise, ID)
- …the effective utilization management strategies including: review of appropriateness of health care services, application of criteria to assure appropriate ... of quality issues. Monitors and analyzes the delivery of health care services; educates providers and members...established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in… more
- Kaniksu Community Health (Sandpoint, ID)
- …who Provides triage services for Kaniksu Community Health patients. Works closely with Behavioral Health care providers to help identify what type(s) of ... services through the Patient Centered Medical Home model of care . But we're not just invested in our patients...KCH Kid's Club A Kaniksu Community Health Behavioral Health Case Manager is… more
- Molina Healthcare (ID)
- …under productivity and outcome standards * Promotes integration of services for members including behavioral health care and long term services and supports ... plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care , for members with high need… more
- Molina Healthcare (ID)
- …under productivity and outcome standards * 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...assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit.… more
- Magellan Health Services (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
- Highmark Health (Boise, ID)
- …implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure ... of quality issues. Monitors and analyzes the delivery of health care services; educates providers and members...established industry and corporate standards and are within the care manager 's professional discipline. + Function in… more
- St. Luke's Health System (Mccall, ID)
- **Overview** **Join St. Luke's Home Health McCall Team: Where Compassion Meets Care ** At St. Luke's, we are committed to fostering a positive, inclusive, and ... that empowers our Registered Nurses (RNs) to provide exceptional care . **Position Overview** As a Home Case Manager...+ **Experience** : 2+ years of RN experience; Home Health or Acute Care experience preferred +… more
- 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 (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 ... ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs… more
- St. Luke's Health System (Mccall, ID)
- **Overview** **Join St. Luke's Hospice McCall Team: Where Compassion Meets Care ** At St. Luke's, our dedicated team of Hospice RNs strive to build a positive, ... that delivers exceptional patient experiences. Our Hospice McCall team provides compassionate care that allows individuals to pass with dignity in the comfort of… more
- Highmark Health (Boise, ID)
- …in a project manager role **Preferred** + Leadership experience + Health Care Insurance industry business and operational knowledge + Experience managing ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- 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
- Veterans Affairs, Veterans Health Administration (Caldwell, ID)
- …Panel management is supported by a team clinical pharmacist and by integrated behavioral health professionals. The Caldwell CBOC also has specialty services ... are not limited to: Works collaboratively with the Clinic Manager in organizing staff meetings and trainings, and furthering...is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Participation in the… more
- HCA Healthcare (Idaho Falls, 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 East Falls Primary Care ,..., offers a total rewards package that supports the health , life, career and retirement of our colleagues. The… more
- 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
- Highmark Health (Boise, ID)
- …for analyzing clinical data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ensure front line ... + Analyze clinical data to assess potential stop loss and managed care claim liability and utilize Case Management oversight techniques to ensure front… more
- Idaho Division of Human Resources (Payette, ID)
- …experience in child welfare. Typically gained by a Master's degree in social work, behavioral health , psychology or human services related field AND at least ... Human Services Field Program Manager - PACC Posting Begin Date: 2025/01/09 Posting...Pay Rate Type: Hourly Description DEDICATED TO STRENGTHENING THE HEALTH , SAFETY, AND INDEPENDENCE OF IDAHOANS THIS ANNOUNCEMENT WILL… more
- 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
- Molina Healthcare (ID)
- …CEO + Extend scope to more fully include related areas besides 'Medical/Clinical', for example Behavioral Health , Long Term Care + Assist in proposing and ... Certified Professional in Healthcare Management Certification (CPHM), Certified Professional in Health Care Quality (CPHQ), or other healthcare or management… more
- 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