• ( Registered Dietician) Health Management…

    Molina Healthcare (Caldwell, ID)
    **Job Description** **Job Summary** The Molina Population Health Management Case Manager uses clinical judgment, knowledge, and direct hands-on member care ... interdisciplinary care team meetings and informal ICT collaboration. + Collaborate with RN case managers/supervisors as needed or required **Job Qualifications**… more
    Molina Healthcare (03/04/25)
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  • RN Case Manager

    St. Luke's Health System (Nampa, ID)
    …perspectives which ultimately drives our exceptional, patient-centered care. **Position Overview:** The RN Case Manager collaborates with physicians and the ... **Overview** At St. Luke's, our dedicated team of Case Managers are critical in providing exceptional, patient-centered...Bachelors' of Nursing Degree + Experience: 2 years' of RN experience + Licenses/Certifications: Current RN License… more
    St. Luke's Health System (03/04/25)
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  • RN Case Manager - Home Health

    St. Luke's Health System (Meridian, ID)
    … Nurses (RNs) to provide exceptional care. **Position Overview** As a Home Health Case Manager , you will play a key role in collaborating with physicians ... living their best lives!"_ - St. Luke's Home Health RN **What You Can Expect in This Role** +...BSN in Nursing + **Experience** : 2 years of RN experience; Home Health or Acute Care experience preferred… more
    St. Luke's Health System (01/21/25)
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  • Float RN Case Manager

    St. Luke's Health System (Meridian, 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 ... Bachelors' of Nursing Degree + Experience: 2 years' of RN experience + Licenses/Certifications: Current RN License...years' of RN experience + Licenses/Certifications: Current RN License in Idaho For more information, please contact… more
    St. Luke's Health System (03/11/25)
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  • Remote Program Manager , HCS - RN

    Molina Healthcare (Caldwell, ID)
    …materials and other related documentations. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of ...**Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare… more
    Molina Healthcare (03/04/25)
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  • Manager , Healthcare Services (Remote)

    Molina Healthcare (Caldwell, ID)
    …identifying opportunities for improvement. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of ...**Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare… more
    Molina Healthcare (03/07/25)
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  • Registered Nurse - Home Health

    Jet Health (Caldwell, ID)
    …geriatric patients have a safe home life withcomfort, independence, and dignity. Requirements Registered Nurse ( RN ) Responsibilities: + Follow a designated ... clients' conditions, reporting changes to Clinical or Client Services Manager + Follow up with, execute, and properly document...touch pad tablet Qualifications: + Current State or Compact Registered Nurse ( RN ) License in… more
    Jet Health (02/15/25)
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  • RN - TX Licensure - Transition of Care…

    Molina Healthcare (Caldwell, ID)
    **_**For this position we are seeking a ( RN ) Registered Nurse who must have a current active unrestricted RN license in the state of TEXAS._** **JOB ... ICT collaboration. + RNs provide consultation, recommendations, and education as appropriate to non- RN case managers. + RNs are assigned cases with members who… more
    Molina Healthcare (02/22/25)
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  • Trainer - Clinical Services - Utilization Review…

    Molina Healthcare (Caldwell, ID)
    …knowledge on the job. Job Qualifications **REQUIRED EDUCATION** : Completion of an accredited Registered Nurse ( RN ) Program and an Associate's or Bachelor's ... or State Clinical Social Worker/Counseling (or related field) License Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified… more
    Molina Healthcare (03/13/25)
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  • Clinical Appeals Nurse ( RN ): Texas…

    Molina Healthcare (Caldwell, ID)
    …unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied… more
    Molina Healthcare (02/09/25)
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  • Occupational Health Nurse

    Simplot (Ontario, OR)
    …file records. + Support emergency and disaster preparedness programs and planning. **Typical Education** + Registered Nurse ( RN ) or Registered Nurse ... Occupational Health Nurse - Ontario, OR Location: Ontario, OR, US,...compensation claims and follow up with employees, physicians, and case manager . + Identifies health problems and… more
    Simplot (03/06/25)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (Caldwell, ID)
    …ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
    Molina Healthcare (01/25/25)
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  • Delegation Oversight Nurse (Must Reside…

    Molina Healthcare (Caldwell, ID)
    …Practical Nurse in good standing. **Preferred Education** Completion of an accredited Registered Nurse ( RN ) Program or a bachelor's degree in Nursing. ... Certified Clinical Coder + Certified Medical Audit Specialists (CMAS) + Certified Case Manager (CCM) + Certified Professional Healthcare Management (CPHM)… more
    Molina Healthcare (03/06/25)
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  • Manager , HCS Clinical Policy - Medicare…

    Molina Healthcare (Caldwell, ID)
    …identifying opportunities for improvement. **Job Qualifications** **REQUIRED EDUCATION** : Registered Nurse or equivalent combination of Licensed Vocational ... enhance the continuity of care + Functions as hands-on manager responsible for supervision and coordination of enterprise clinical... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of … more
    Molina Healthcare (02/14/25)
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  • Clinical Resource Manager Full-Time Days

    Trinity Health (Nampa, ID)
    …quality of care. **GENERAL SUMMARY AND PURPOSE:** Provides hospital case management/utilization review and discharge planning collaboratively determining level of ... care as appropriate. Coordinates the hospital activities concerned with case management/utilization review and discharge planning. Adheres to departmental goals,… more
    Trinity Health (03/04/25)
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