- Guardian Life (Boise, ID)
- The Long Term Disability (LTD) Claims Case Manager is responsible for making accurate decisions on assigned claims through proactive case management ... to work efforts when the capability and opportunity exist. The LTD Claims Case Manager can be located in multiple locations including Bethlehem, PA; Plano, TX;… more
- CAI (Boise, ID)
- …Type** Full time **Worksite Flexibility** Remote **Job Summary** We are looking for a motivated Case Manager , RN ready to take us to the next level! If you ... move, apply now. **Job Description** We are looking for a Case Manager , RN to provide community-based care coordination/management for our client's members… more
- Molina Healthcare (Nampa, ID)
- …behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial… more
- Sedgwick (Boise, ID)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Field Case Manager **This Field Case Manager will cover our ... area in order to be qualified.** **PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to face with their injured workers and medical providers to… more
- St. Luke's Health System (Nampa, ID)
- …ultimately drives our exceptional, patient-centered care. **Position Overview:** The RN Case Manager collaborates with physicians and the multidisciplinary team ... **Overview** At St. Luke's, our dedicated team of Case Managers are critical in providing exceptional, patient-centered care. We strive to foster an environment that… more
- Sedgwick (Boise, ID)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with ... the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through… more
- St. Luke's Health System (Meridian, ID)
- …Registered Nurses (RNs) to provide exceptional care. **Position Overview** As a Home Health Case Manager , you will play a key role in collaborating with ... physicians and multidisciplinary team members to create and manage individualized care plans for a designated caseload. This is a direct care role, involving travel within Boise, ID and surrounding regions to deliver in-home care from admission to discharge.… more
- Carrington (Boise, ID)
- **Come join our amazing team and work remote from home!** The Case Manager is responsible for representing the company or its affiliates in courtroom ... proceedings, depositions, and mediations (in-person or telephonically) regarding loans in default or as required by state statutes or judicial order. Ensures all mediations, hearings, trials and depositions activities are carried out to minimize company cost… more
- Highmark Health (Boise, ID)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior… more
- St. Luke's Health System (Boise, ID)
- **Overview** At St. Luke's, our dedicated team of Case Managers are critical in providing exceptional, patient-centered care. We strive to foster an environment that ... in Idaho Preferred Experience in Home Health, community based case management, transition of care, or community complex ...case management, transition of care, or community complex case experience. For more information, please contact Julie at… more
- Cardinal Health (Boise, ID)
- …+ Must demonstrate a superior willingness to help external and internal customers + First point of contact on inbound calls, and determines needs, and handles ... **_What Individualized Care contributes to Cardinal Health_** Delivering an exclusive model that fully integrates direct drug distribution to site-of-care with non-commercial pharmacy services, patient access support, and financial programs, Sonexus Health, a… more
- Public Consulting Group (Boise, ID)
- …+ PCG is seeking a highly motivated and dependable intellectual and developmental disability (IDD) needs assessor in the **Chittenden County, Vermont and Washington ... County, Vermont** territories. Assessors will conduct Supports Intensity Scale - Adult Version (TM) (SIS-A) (TM) assessments with individuals with intellectual and developmental disabilities eligible to receive services from Vermont's Home and Community Based… more
- Molina Healthcare (Nampa, ID)
- …Reviews data to identify principal member needs and works under the direction of the Case Manager to implement care plan. + Schedules member visits with team ... Provides telephone, clerical, and data entry support for the Case Management team. + Responsible for initial review of...Management team. + Responsible for initial review of assigned case levels to assist in Case Management… more
- Travelers Insurance Company (Boise, ID)
- …with insured based on application of policy information to facts or allegations of each case . + Consult with Manager on use of Claim Coverage Counsel as needed. ... as strategically appropriate. + Complete outside investigation as needed per case specifics. + Utilize evaluation documentation tools in accordance with department… more
- 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
- Molina Healthcare (Nampa, ID)
- …our Medicare/Medicaid population who have recently been admitted into Hospital. The Case Manager will support our members to ensure successful transition ... Association** Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager (CCM) To all current Molina employees: If… more
- Molina Healthcare (Nampa, ID)
- …experience. **Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management ... of illness and the site of service. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Healthcare Services provides operational management and oversight of integrated… more
- Takeda Pharmaceuticals (Boise, ID)
- …knowledge. **Job Description** **About the role:** Join Takeda as Litigation & Investigations Case Management Supervisor at the senior manager level, where you ... will coordinate and track eDiscovery data preservation and collection requirements for complex commercial litigation, product liability, external investigation and intellectual property litigation matters, as well as, support the Ethics & Compliance function… more
- St. Luke's Health System (Meridian, ID)
- …Home Care Coordinator** **:** + Schedule: Monday-Friday 8:30AM-5PM + Support Therapy Case Manager + Perform Physical Therapy Admissions for Home Health ... + Manageable case -loads _(_ _Daily visit requirements below state and national average)_ + Paid for drive time + Mileage reimbursement _(_ _Geographical Area:… more
- 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 ... reviews of clinical interactions and clinical documentation including reviews of case management records and provider treatment records. Collects data following… more