• Social Services Care Manager

    Humana (Boise, ID)
    **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2, in a telephonic environment, ... for the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health 2 is a **Licensed,** **Masters level, social worker** who… more
    Humana (03/20/25)
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  • Care Manager (UM/UR) - Remote, Idaho…

    Magellan Health Services (Boise, 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
    Magellan Health Services (01/26/25)
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  • Social Work Care Manager

    Intermountain Health (Boise, ID)
    …and provides short term treatment planning for mental, emotional and behavioral disorders, conditions and addictions. **Essentials:** + Participates in case reviews ... to evaluate care management and progress toward goals. Consults with healthcare team members to promote, monitor, and evaluate compliance with patient's treatment… more
    Intermountain Health (03/15/25)
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  • (Registered Dietician) Health Management…

    Molina Healthcare (Meridian, ID)
    …1-3 years in direct patient care , case management, disease management, managed care in medical or behavioral health settings. **REQUIRED LICENSE, ... **Job Description** **Job Summary** The Molina Population Health Management Case Manager uses clinical...: 3-5 years in case management, disease management, managed care or medical or behavioral health more
    Molina Healthcare (03/04/25)
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  • Case Manager , RN

    CAI (Boise, ID)
    …implement and evaluate care for eligible members with chronic and complex health care , social service and custodial needs in a nursing facility or ... address the member's specific needs + Educate members or caregivers regarding health care needs, available benefits, resources and services including available… more
    CAI (02/01/25)
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  • Complex Case Manager RN (Remote)

    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
    Highmark Health (03/13/25)
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  • Program Manager

    Highmark Health (Boise, ID)
    …nationally recognized commitment to promote living health , inclusive of individuals' social health . The Program Manager will be an integral part of Highmark ... **Company :** Highmark Health **Job Description :** **GENERAL OVERVIEW** Highmark ...develop and implement SDOH programs that remove barriers to care and help people thrive, support evaluation frameworks to… more
    Highmark Health (03/15/25)
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  • Category Manager

    Highmark Health (Boise, ID)
    …management and performance **Preferred** + 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
    Highmark Health (02/18/25)
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  • Manager , Healthcare Services (Remote)

    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 ... interdepartmental/ multidisciplinary integration and collaboration to enhance the continuity of care including Behavioral Health and Long-Term Services… more
    Molina Healthcare (03/07/25)
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  • Manager Strategic Risk Adjustment Programs

    Highmark Health (Boise, ID)
    …and existing Risk Adjustment Programs. The incumbent will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs (MA ... Programs. Supports other key objectives designed to build/strengthen patient care delivery and capture of Risk Adjustment documentation/ reporting capabilities,… more
    Highmark Health (03/06/25)
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  • Physician (Primary Care Medical Director)

    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
    Veterans Affairs, Veterans Health Administration (03/12/25)
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  • Practice Manager II

    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
    HCA Healthcare (01/30/25)
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  • Accreditation Manager

    Humana (Boise, ID)
    …areas. **Preferred Qualifications** + Experience in managing a team. + Registered Nurse or Behavioral Health professional. + Managed care , Medicaid health ... first** Humana Healthy Horizons is seeking an Accreditation Manager who will oversee and support a team of...millions of people we serve to achieve their best health - delivering the care and service… more
    Humana (03/21/25)
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  • Excess Risk Managed Care Clinician

    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
    Highmark Health (02/24/25)
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  • Program Manager , HCS RN, LMSW, LMHC, LMFT,…

    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 ... Certified Professional in Healthcare Management Certification (CPHM), Certified Professional in Health Care Quality (CPHQ), or other healthcare or management… more
    Molina Healthcare (03/21/25)
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  • Manager Strategic Social Work Services

    Fresenius Medical Center (Boise, ID)
    …patients in achieving their psychosocial goals and supports the delivery of excellent behavioral health care to patients by providing direction, guidance ... area with the assistance of Clinical Educators, Regional MSW Manager , facility master social work and other disciplines. Provides...physicians. + The work environment is characteristic of a health care facility with air temperature control… more
    Fresenius Medical Center (03/08/25)
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  • Market VP, Value-Based Care Business…

    CenterWell (Boise, ID)
    …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager more
    CenterWell (03/14/25)
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  • Senior Strategy Professional, Specialty…

    CenterWell (Boise, ID)
    …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... time with patients, providing compassionate, personalized care that brings better health outcomes. We...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager more
    CenterWell (03/19/25)
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  • Senior Application Developer (Person360 & MDM)

    Highmark Health (Boise, ID)
    **Company :** Highmark Health **Job Description :** **JOB SUMMARY** We are on a mission to deliver remarkable health experiences, freeing people to be their ... requires an advanced 360 person-centered approach to deliver the right message, guidance, care , outcome, and experiences, all at the right time. This Sr Application… more
    Highmark Health (01/30/25)
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  • Community Connector

    Molina Healthcare (Boise, ID)
    …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for members with high need ... Words: Community Health Worker, Community Connector, Nonclinical Case Manager , Care Manager , Community Engagement, CHW, Public Health , Healthcare, … more
    Molina Healthcare (03/14/25)
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