- Humana (Boise, ID)
- …require interpretation and independent determination of the appropriate courses of action. The Post - Acute Utilization Management Nurse 2 (VSP): + ... caring community and help us put health first** The Utilization Management Nursing Professional contributes to team...state, with no disciplinary action + 2+ years of Post Acute clinical experience in a SNF,… more
- CenterWell (Boise, ID)
- … management program development and implementation with a focus on care transitions, post - acute care and high-risk management and care coordination. * ... cost of care, and reducing acute care utilization ). * Familiarity in integrated care management ...care regulations and policies related to care transitions and post - acute care management . * Computer… more
- Humana (Boise, ID)
- …teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post acute services such ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Humana (Boise, ID)
- …teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post - acute services (such ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Trinity Health (Boise, ID)
- …quality of care. **GENERAL SUMMARY AND PURPOSE:** Provides hospital case management / utilization review and discharge planning collaboratively determining level ... care as appropriate. Coordinates the hospital activities concerned with case management / utilization review and discharge planning. Adheres to departmental goals,… more
- Humana (Boise, ID)
- …teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post acute services such ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Sharecare, Inc. (Boise, ID)
- …of the care enhancement program by providing telephonic care and resource utilization for members in an appropriate, efficient, and cost-effective manner while ... the health care team to support appropriate total healthcare management . RD colleague is supervised by an Operations Manager....in the orientation and to take the pre and post -test to review competency during orientation. Yearly competency test… more
- Molina Healthcare (Twin Falls, ID)
- …exams for gaps in care and preventative assessments + Address both chronic and acute primary care complaints, and able to ascertain medical urgency + Establish and ... + Schedule patient appointments for in-person visits when appropriate + Provide post discharge coordination to reduce hospital readmission rates and emergency room … more