- Elevance Health (Meridian, ID)
- **Title: Utilization Management Representative I** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live ... within 50 miles of one of our PulsePoint locations. The ** Utilization Management Representative I** will be responsible for coordinating cases for… more
- Trinity Health (Nampa, ID)
- …and the highest quality of care. **Position Purpose:** As a Patient Service Representative , you will work in conjunction with physicians and clinical staff to take ... with complex medical conditions. From annual wellness visits to chronic disease management , our team works closely together to provide the highest quality care… more
- HealthEdge Software Inc (Boise, ID)
- …Digital Health Management solutions have been shown to increase the utilization of preventive medicine services by 29%, reduce inpatient admissions by 17%, and ... **Overview** Company Overview: Wellframe is a digital health management platform that helps health plans offer convenient...reduce ER utilization by 9%. The platform meaningfully engages more people,… more
- Magellan Health Services (Boise, ID)
- …Healthcare-related field, or relevant experience in lieu of degree., Experience in utilization management , quality assurance, home or facility care, community ... care plan team which may include member, caregivers, member`s legal representative , physician, care providers, and ancillary support services to address care… more
- Magellan Health Services (Boise, ID)
- …Includes additional departmental responsibilities and tasks such as learning management system administrator, training material development and maintenance, audit ... company policies, COE and site procedures and systems, and clinical care management processes. + Provides classroom and/or one-on-one instruction for new employees… more
- CBRE (Boise, ID)
- …a region, line of business or large, complex client. Includes the management of such functions as budgeting, forecasting, financial reporting, strategic planning and ... management reporting processes and work product. This position can...and approval. Plans and monitors appropriate staffing levels and utilization of labor, including overtime. Prepares and delivers performance… more
- CBRE (Boise, ID)
- …Service line GWS Segment Role type Full-time Areas of Interest Facilities Management Location(s) Minneapolis - Minnesota - United States of America, Remote - ... and routine maintenance, of CBRE and/or the client's Quality Management System(QMS). This role handles the delivery of all...audits as well as serve as the primary quality representative for CBRE operations during external agency or client… more
- Air National Guard Units (Boise, ID)
- …service conditions; and conducts post-flight checks. Serves as the Air Commander's representative when performing duties as Supervisor of Flying (SOF) and is ... mission requirements, approve specific activities, coordinate for airport or airspace utilization with FAA, and direct emergency actions involving UE airplanes.… more
- St. Luke's Health System (Mountain Home, ID)
- …with facility leadership and is the senior in-house administrative representative after hours for the medical center.The Administrative Supervisor assist ... with daily operations, collaborates with leadership, crisis management , staffing issues, and more. + Provides day-to-day oversight. Is a resource and operational… more
- GCG (Boise, ID)
- …and industry standards required + Engineering, design, analytical and computer utilization experience with AutoCAD or other CAD programs, Microsoft Word, Excel, ... used by Paige + Working familiarity with Monday.com or comparable project management system preferred but not considered a requirement + Must possess excellent… more
- CBRE (Boise, ID)
- …defined geographic region or account(s), including workforce planning, performance management , employee engagement, training and development and legal compliance. ... Primary business partners are first line supervisors and senior management , including managing directors. **ESSENTIAL DUTIES AND RESPONSIBILITIES** Provides HR… more
- Red River (Boise, ID)
- …to approximately 6 months or longer. The individual is an exceptional representative of Red River and maintains the highest standards of professionalism, attention ... Report on progress and provide regular updates to upper management . + Work with other departments to ensure that...budget on projects by reporting burn rates and tracking utilization to keep projects within assigned budget allocation. +… more
- WM (Boise, ID)
- …business development position is responsible for the development of biosolids management solutions by employing both traditional and next generation organics ... facilities. + Fosters and builds partnerships and relationships with Biosolids management companies and consultants to source volume, develop facilities and expand… more
- Sharecare, Inc. (Boise, ID)
- …other members of the health care team to support appropriate total healthcare management and ensure cost effective, appropriate resource utilization and quality ... the participants and their Primary Care Provider according to the disease management program intervention guidelines. An RN is supervised by an Operations Manager… more
- Sutherland Global Services (Boise, ID)
- …of Benefits Requests + Authorizations + Status Inquiries + Denial Rationale + Utilization Management Appeals + Prior Authorization Verification + Eligibility and ... a high-volume call center environment as a customer service representative + Effective verbal and written communication skills +...skills with a strong attention to detail + Time Management skills + Sufficient Internet speeds while connected to… more
- Trinity Health (Nampa, ID)
- …(pre-certifications, third-party authorizations, referrals) and contacts physicians and Care Management / Utilization Review personnel, as needed. + Obtains and ... routine payer or provider issues and escalates to Lead Patient Financial Services Representative . + Acts as a point of contact for assigned payers. + Maintains… more