- Prime Therapeutics (Boise, ID)
- …Nurse (RN). + 5 years of post-degree clinical experience. + Experience in managed care , specialty drugs, care management and utilization review. + Meets ... and drives every decision we make. **Job Posting Title** Infusion Referral Nurse - REMOTE **Job Description Summary** Under supervision, is responsible for… more
- Molina Healthcare (Nampa, ID)
- …will be supporting our Idaho State plan. We are seeking a Registered Nurse with previous Case Management experience. Medicare and Medicaid knowledge/experience ... to better serve our members. Experience with direct case management and managed care highly preferred.** **_Further...**_Further details to be discussed during our interview process._** ** Remote ; with about 50% field travel within Ada or… more
- Humana (Boise, ID)
- …part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently… more
- Elevance Health (Meridian, ID)
- ** Nurse Disease Management I** **Location:** This position will work a hybrid model ( remote and office). The Ideal candidate will live within 50 miles of one ... locations. Pacific and Mountain time zones are preferred. The ** Nurse Disease Management I** will be responsible...for the member. + Implements and/or coordinates coaching and/or care plans by educating members regarding clinical needs and… more
- Veterans Affairs, Veterans Health Administration (Boise, ID)
- …position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex IR patient care . Assumes responsibility for ... the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care . Influences care … more
- Veterans Affairs, Veterans Health Administration (Boise, ID)
- …or to the world-famous Sun Valley or scenic McCall. The Advanced Practice Nurse Certified Nurse Anesthetist provide anesthetic services within four general ... and evaluation; anesthesia induction, maintenance, and emergence; post anesthesia care ; and peri-anesthetic and clinical support functions. Duties include but… more
- Idaho Division of Human Resources (Coeur D'Alene, ID)
- …Begin Date: 2024/10/31 Posting End Date: 2024/11/14 Category: Nursing Sub Category: Management Work Type: Full Time Remote : Flexible Hybrid Location: Coeur ... aNurse, Registered Sr. for the Bureau of Long Term Care (BLTC) inCoeur d'Alene.Would you like to make a...in your community while utilizing your experience as a Nurse ? The Coeur d' Alene office of the Idaho… more
- St. Luke's Health System (Meridian, ID)
- …unique strengths, experiences, and perspectives which drives our exceptional, patient-centered care . We're hiring a **Device** **Registered Nurse ** at **Boise ... **What you can expect from this role** The Device Nurse will provide thorough, competent interrogations and reprogramming of... needed; medications; process steps for in-clinic visits and remote device transmissions; and other clinical care … more
- R1 RCM (Boise, ID)
- …analytics, AI, intelligent automation, and workflow orchestration. As our **Clinical Appeals Nurse ** , you will help our hospital clients by serving as an ... expert on appeals and denials management where claims were denied by either governmental contractors...use sound judgment in reviewing clinical documentation supporting patient care as well as conceptual knowledge of the denials… more
- Magellan Health Services (Boise, ID)
- …degree in healthcare, behavioral health, psychiatric and/or substance abuse health care setting. Strong organization, time management and communication skills. ... quality of care . General Job Information Title Care Manager (UM/UR) - Remote , Idaho Licensed...Care Mgmt, LSW - Licensed Social Worker - Care Mgmt, RN - Registered Nurse , State… more
- Magellan Health Services (Boise, ID)
- …Mgmt, MFT - Marriage and Family Therapist - Care Mgmt, PSY - Psychologist - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care ... measurement. - Ability to work independently with minimal supervision. - Project management skills and demonstrated experience. - Candidates must live within a… more
- Highmark Health (Boise, ID)
- … interventions. The overall goal is to help members navigate the health care system and develop condition self- management skills through behavior change. Provide ... **Job Description :** **JOB SUMMARY** This job provides case and condition management services to members with behavioral health concerns. The incumbent uses… more
- Evolent Health (Boise, ID)
- …positively impact and improve the healthcare delivery system. **Collaboration Opportunities** Our Care Management team offers candidates the opportunity to make ... Manager The RN CM will be providing 100% remote interaction with patients and their care ...knowledge of their clinical condition(s) and provide education and self- management support based on the patient's unique learning style.… more
- St. Luke's Health System (Boise, ID)
- **Overview** St. Luke's Health System is currently seeking a full-time Nurse Practitioner or Physician Assistant to join our Transitions of Care team supporting ... patients with virtual appointments from our Virtual Care Center after an acute hospital stay with the goal of safely transitioning patients from the acute setting to… more
- St. Luke's Health System (Boise, ID)
- …We are looking for an RN Quality Specialist to join our Patient Blood Management (PBM) program, under the leadership of the PBM Quality RN Manager. Are you ... an experienced clinical nurse who enjoys science, is data-driven and has the...be the role for you! St. Luke's Patient Blood Management (PBM) is an interdisciplinary, patient-centered program for optimizing… more