- Sedgwick (Boise, ID)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager This person must live in Ohio in order ... partnering with the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to… more
- Humana (Boise, ID)
- …degree + Knowledge of Milliman or Interqual + Managed care experience + Certified Case Manager (CCM) + Bilingual in English and Spanish (see Language Proficiency ... community and help us put health first** The Care Manager , Telephonic Nurse 2, in a ...homes. Our nurses are titled Care Managers, because our case management services are centered on the person rather… more
- CenterWell (Boise, ID)
- …appropriate. The Clinical Care Coordinator is under the general supervision of the Manager of Care Coordination and under established performance criteria. This is a ... work-from-home telephonic nurse position **Essential Functions:** + Act as CenterWell...hotspot, DSL or satellite) **Preferred Qualifications** + Experience with case management, discharge planning and patient education for adult… more
- Molina Healthcare (Meridian, ID)
- …level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit. ... to address the member needs and goals. + Conducts telephonic , face-to-face or home visits as required. + Performs...Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education… more
- Elevance Health (Meridian, ID)
- …depression, and insightful analytics to improve the delivery of care. **Behavioral Health Case Manager I** Must Have An Active, Current Clinical Licensure.** ... Friday, 8:00 am to 5:00 pm** The **Behavioral Health Case Manager I** is responsible for performing.... **Preferred Skills, Capabilities and Experiences:** + Experience in case management and telephonic and/or in person… more
- Humana (Boise, ID)
- …a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to ... EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather...them in achieving and maintaining optimum health. We provide telephonic outreach to assess and support their health, offering… more
- Sharecare (Boise, ID)
- …Care Management program in an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care ... Manager partners with members, caregivers, providers, and the interdisciplinary...preferred. + Minimum 3-5 years varied clinical experience with telephonic Case Management experience strongly preferred. +… more
- Molina Healthcare (Meridian, ID)
- …of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial ... triggers from the assessment. + Develops and implements a case management plan in collaboration with the member, caregiver,...to address the member needs and goals. + Conducts telephonic , face-to-face or home visits as required. + Performs… more
- Sharecare (Boise, ID)
- …and objectives of the Disease Management program by providing high quality telephonic and omni - channel support in an appropriate, efficient and cost-effective ... A Disease Management Nurse is supervised by an Operations Manager (OM). All Sharecare clinicians are required to participate...during the training period will be evaluated on a case by case basis and must be… more
- Travelers Insurance Company (Meridian, ID)
- …claims. Coordinate medical and indemnity position of the claim with a Medical Case Manager . Independently handles assigned claims of low to moderate complexity ... outcome + Collaborate with our internal nurse resources (Medical Case Manager ) in order to integrate the...complex claims. Mentor other Claim Professionals + Participate in Telephonic and/or onsite File Reviews. Respond to inquiries -… more